Technology‐based instrumental activities of daily living in persons with Alzheimer's disease and related disorders

Abstract INTRODUCTION Instrumental activities of daily living (iADLs) increasingly involve technology (e.g., making payments online, texting). The current study examined the applicability and diagnostic accuracy of technology‐based iADLs in those evaluated for Alzheimer's disease and related de...

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Main Authors: Jared F. Benge, Arsh Ali, Neha Chandna, Noor Rana, Rachel Mis, David A. González, Andrew M. Kiselica, Michael K. Scullin, Robin C. Hilsabeck
Format: Article
Language:English
Published: Wiley 2024-10-01
Series:Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
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Online Access:https://doi.org/10.1002/dad2.70022
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author Jared F. Benge
Arsh Ali
Neha Chandna
Noor Rana
Rachel Mis
David A. González
Andrew M. Kiselica
Michael K. Scullin
Robin C. Hilsabeck
author_facet Jared F. Benge
Arsh Ali
Neha Chandna
Noor Rana
Rachel Mis
David A. González
Andrew M. Kiselica
Michael K. Scullin
Robin C. Hilsabeck
author_sort Jared F. Benge
collection DOAJ
description Abstract INTRODUCTION Instrumental activities of daily living (iADLs) increasingly involve technology (e.g., making payments online, texting). The current study examined the applicability and diagnostic accuracy of technology‐based iADLs in those evaluated for Alzheimer's disease and related dementias (ADRD). METHODS A total of 264 care partners of persons undergoing comprehensive interdisciplinary evaluations completed the Functional Activities Questionnaire and 11 technology‐based iADL items. RESULTS Technology‐based iADLs applied to more than 80% of patients. Average dependence on technology‐based items was overall less than for traditional iADLs. The addition of technology‐based items to traditional iADL items slightly improved the ability to identify individuals with dementia. When considered separately, technology‐based iADL items demonstrated comparable ability to distinguish between diagnostic stages. DISCUSSION Technology use is common in older adults with ADRD for a range of daily activities. Accounting for technology use increases the content validity of existing iADL measures for the modern context and yields comparable diagnostic accuracy. Highlights Technology use is often integral to daily activity performance for individuals with Alzheimer's disease and related dementias (ADRD). Daily technologies, such as smartphones, were used frequently by those with ADRD. Many individuals were less dependent on technology activities than traditional activities. Adding technology questions slightly increased diagnostic accuracy for detecting dementia.
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spelling doaj-art-5be66f8eef78421fa5909d1319a2cb3d2024-12-27T13:08:30ZengWileyAlzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring2352-87292024-10-01164n/an/a10.1002/dad2.70022Technology‐based instrumental activities of daily living in persons with Alzheimer's disease and related disordersJared F. Benge0Arsh Ali1Neha Chandna2Noor Rana3Rachel Mis4David A. González5Andrew M. Kiselica6Michael K. Scullin7Robin C. Hilsabeck8Department of Neurology Dell Medical School University of Texas at Austin Austin Texas USADepartment of Neurology Dell Medical School University of Texas at Austin Austin Texas USADepartment of Neurology Dell Medical School University of Texas at Austin Austin Texas USADepartment of Neurology Dell Medical School University of Texas at Austin Austin Texas USADepartment of Neurology Dell Medical School University of Texas at Austin Austin Texas USADepartment of Neurological Sciences Rush University Medical Center Chicago Illinois USADepartment of Health Psychology University of Missouri Columbia Missouri USADepartment of Psychology and Neuroscience Baylor University Waco Texas USADepartment of Neurology Dell Medical School University of Texas at Austin Austin Texas USAAbstract INTRODUCTION Instrumental activities of daily living (iADLs) increasingly involve technology (e.g., making payments online, texting). The current study examined the applicability and diagnostic accuracy of technology‐based iADLs in those evaluated for Alzheimer's disease and related dementias (ADRD). METHODS A total of 264 care partners of persons undergoing comprehensive interdisciplinary evaluations completed the Functional Activities Questionnaire and 11 technology‐based iADL items. RESULTS Technology‐based iADLs applied to more than 80% of patients. Average dependence on technology‐based items was overall less than for traditional iADLs. The addition of technology‐based items to traditional iADL items slightly improved the ability to identify individuals with dementia. When considered separately, technology‐based iADL items demonstrated comparable ability to distinguish between diagnostic stages. DISCUSSION Technology use is common in older adults with ADRD for a range of daily activities. Accounting for technology use increases the content validity of existing iADL measures for the modern context and yields comparable diagnostic accuracy. Highlights Technology use is often integral to daily activity performance for individuals with Alzheimer's disease and related dementias (ADRD). Daily technologies, such as smartphones, were used frequently by those with ADRD. Many individuals were less dependent on technology activities than traditional activities. Adding technology questions slightly increased diagnostic accuracy for detecting dementia.https://doi.org/10.1002/dad2.70022computer usedementia diagnosis and staginginstrumental activities of daily livinginternet activitiespasswordssmartphone
spellingShingle Jared F. Benge
Arsh Ali
Neha Chandna
Noor Rana
Rachel Mis
David A. González
Andrew M. Kiselica
Michael K. Scullin
Robin C. Hilsabeck
Technology‐based instrumental activities of daily living in persons with Alzheimer's disease and related disorders
Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring
computer use
dementia diagnosis and staging
instrumental activities of daily living
internet activities
passwords
smartphone
title Technology‐based instrumental activities of daily living in persons with Alzheimer's disease and related disorders
title_full Technology‐based instrumental activities of daily living in persons with Alzheimer's disease and related disorders
title_fullStr Technology‐based instrumental activities of daily living in persons with Alzheimer's disease and related disorders
title_full_unstemmed Technology‐based instrumental activities of daily living in persons with Alzheimer's disease and related disorders
title_short Technology‐based instrumental activities of daily living in persons with Alzheimer's disease and related disorders
title_sort technology based instrumental activities of daily living in persons with alzheimer s disease and related disorders
topic computer use
dementia diagnosis and staging
instrumental activities of daily living
internet activities
passwords
smartphone
url https://doi.org/10.1002/dad2.70022
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