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International Journal of Alzheimer’s Disease
Volume 2012, Article ID 418289, 7 pages
Research Article

Relative Preservation of Advanced Activities in Daily Living among Patients with Mild-to-Moderate Dementia in the Community and Overview of Support Provided by Family Caregivers

1Department of Geriatric Medicine, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto 606-8507, Japan
2Department of Social Welfare, Faculty of Social Studies, Doshisha University, Kyoto 602-8580, Japan

Received 17 February 2012; Revised 20 April 2012; Accepted 12 May 2012

Academic Editor: Hiroko H. Dodge

Copyright © 2012 Hajime Takechi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Little is known about the extent to which advanced activities of daily living among patients with dementia are preserved and how family caregivers of these patients support them in the community. In this cross-sectional assessment of pairs of patients with dementia and their family caregivers, we evaluated basic, instrumental, and advanced activities of daily living by comparing past and present status observed by caregivers with subjective estimations by patients with dementia. We also asked about ways in which support was provided by family caregivers. Thirty-nine pairs of patients with dementia and caregivers who presented to our memory clinic were interviewed. The mean age of patients with dementia was 7 5 . 3 ± 7 . 0 years, and Mini-Mental State Examination scores were 2 2 . 3 ± 3 . 4 . We found relative preservation of advanced activities of daily living compared with instrumental activities of daily living. Caregivers provided instrumental, informational, and reminding support to patients with dementia. These findings may reinforce the concept of person-centered support of patients with dementia in the community.