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Cross‐sectional and longitudinal assessments of function in prodromal‐to‐mild Alzheimer's disease: A comparison of the ADCS‐ADL and A‐IADL‐Q scales
by
Blendstrup, Mira
, Sikkes, Sietske A.M.
, Randolph, Christopher
, Li, Yihao
, Pickthorn, Karen
, Butcher, Brandon D.
, Teng, Edmond
, Manser, Paul T.
in
Activities of daily living
/ Alzheimer's disease
/ assessment
/ Biomarkers
/ Clinical trials
/ Cognitive ability
/ Dementia
/ FDA approval
/ function
/ Memory
/ Mild cognitive impairment
/ Questionnaires
2023
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Cross‐sectional and longitudinal assessments of function in prodromal‐to‐mild Alzheimer's disease: A comparison of the ADCS‐ADL and A‐IADL‐Q scales
by
Blendstrup, Mira
, Sikkes, Sietske A.M.
, Randolph, Christopher
, Li, Yihao
, Pickthorn, Karen
, Butcher, Brandon D.
, Teng, Edmond
, Manser, Paul T.
in
Activities of daily living
/ Alzheimer's disease
/ assessment
/ Biomarkers
/ Clinical trials
/ Cognitive ability
/ Dementia
/ FDA approval
/ function
/ Memory
/ Mild cognitive impairment
/ Questionnaires
2023
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Cross‐sectional and longitudinal assessments of function in prodromal‐to‐mild Alzheimer's disease: A comparison of the ADCS‐ADL and A‐IADL‐Q scales
by
Blendstrup, Mira
, Sikkes, Sietske A.M.
, Randolph, Christopher
, Li, Yihao
, Pickthorn, Karen
, Butcher, Brandon D.
, Teng, Edmond
, Manser, Paul T.
in
Activities of daily living
/ Alzheimer's disease
/ assessment
/ Biomarkers
/ Clinical trials
/ Cognitive ability
/ Dementia
/ FDA approval
/ function
/ Memory
/ Mild cognitive impairment
/ Questionnaires
2023
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Cross‐sectional and longitudinal assessments of function in prodromal‐to‐mild Alzheimer's disease: A comparison of the ADCS‐ADL and A‐IADL‐Q scales
Journal Article
Cross‐sectional and longitudinal assessments of function in prodromal‐to‐mild Alzheimer's disease: A comparison of the ADCS‐ADL and A‐IADL‐Q scales
2023
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Overview
Introduction Prior observational work in a heterogeneous cohort of participants with mild cognitive impairment suggests the Amsterdam Instrumental Activities of Daily Living Questionnaire (A‐IADL‐Q) may have greater sensitivity for functional decline than the more established Alzheimer's Disease Cooperative Study–Activities of Daily Living (ADCS‐ADL) scale. However, the relative utility of the A‐IADL‐Q versus the ADCS‐ADL for clinical trials in early Alzheimer's disease (AD) remains uncertain. Methods We compared baseline and longitudinal performance of the A‐IADL‐Q and ADCS‐ADL in participants with biomarker‐confirmed prodromal (pAD; n = 158) or mild (mAD; n = 283) AD enrolled in the 18‐month Tauriel study of semorinemab (NCT03289143). Results The A‐IADL‐Q exhibited numerically stronger discrimination between pAD and mAD participants at baseline per Cohen's d analyses and similar sensitivity to longitudinal decline across cohorts over 18 months relative to the ADCS‐ADL. Discussion The comparable performance of the ADCS‐ADL and A‐IADL‐Q supports the utility of the A‐IADL‐Q in early AD clinical trials. Highlights The Amsterdam Instrumental Activities of Daily Living Questionnaire (A‐IADL‐Q) may be more sensitive than the Alzheimer's Disease Cooperative Study–Activities of Daily Living Scale (ADCS‐ADL) for distinguishing prodromal and mild Alzheimer's disease (AD). A‐IADL‐Q and ADCS‐ADL are similarly sensitive to decline in early AD over 18 months. Comparable performance of these indices supports A‐IADL‐Q use in future AD trials. Additional AD clinical trial data could extend findings across more diverse cohorts.
Publisher
John Wiley & Sons, Inc,John Wiley and Sons Inc,Wiley
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