Quality of Life-Alzheimer’s Disease (QOL-AD). The third instrument in this proposed study is Quality of Life-Alzheimer’s Disease (QOL-AD; Logsdon, Gibbons, McCurry & Teri, 2002). The QOL-AD is a 13-item questionnaire designed to provide both a self-report and a caregiver (proxy) report of the quality of life (QOL) of the person with dementia. To facilitate its use with cognitively impaired individuals, the QOL-AD uses simple and straightforward language, responses are structured in a four-choice format that is consistent across all questions, and all items are rated according to the person’s current QOL (Logsdon et al, 2002). The QOL-AD takes an average of 10 minutes to administer in an interview format. Overall scores were computed for the …show more content…
The Montreal Cognitive Assessment (MoCA) was originally developed to help screen for mild dementia (Nasreddine et al. 2005). It takes minimal training and can be used in about 10 min by any clinician. The MoCA is divided into 7 subscores: visuospatial/executive (5 points); naming (3 points); memory (5 points for delayed recall); attention (6 points); language (3 points); abstraction (2 points); and orientation (6 points). A score of 25 or lower (from maximum of 30) is considered significant cognitive impairment (Nasreddine et al. 2005). It performs at least as well as MMSE, including in screening for dementia. The MoCA has good overall discriminant validity as a global cognition assessment instrument and Cronbach's alpha is 0.86 (Hopes et al., …show more content…
Coping strategies of participants was measured by the CSI-SF, which is a 16-item checklist comprised of emotional, behavioral and cognitive abilities (Addison et.al, 2007). All the coping subscales had marginal to acceptable levels of internal consistency (0.58-0.72) (Addison et.al, 2007). The items are measured on a 5-point Likert scale where 1= never to 5= almost always. The inventory is comprised of four subscales: problem-focused engagement (PFE) (4 items), emotion-focused engagement (EFE) (4 items), problem focused disengagement (PFD) (4 items), and emotion-focused disengagement (EFD) (4 items). The potential scores for each of the four subscales range from 4-20 (Addison et.al, 2007). The items for each of these are presented in Appendix I. The EFE scale measures dealing with a stressor through seeking involvement of family and social support, and the PFD scale measures avoidance of the stressor (e.g., trying not to think about the problem and hoping the problem would take care of itself). High scores on the PFE scale indicate that parents cope by optimism and active problem solving. High scores on the EFD scale mean that parents cope by using withdrawal and negative self-evaluation (e.g., self-blame and self-criticism) (Addison et.al,