title: In-home assessment of dementia by nurses: experience using the CERAD evaluations. Consortium to Establish a Registry for Alzheimer's Disease.
abstract: OBJECTIVE
  To maximize respondent participation in a study of the prevalence, incidence, and natural history of dementia.
  
  
  METHODS
  Clinical research nurses were trained to carry out evaluations for dementia in the home. We describe the assessment and training procedures used and note the advantages and drawbacks of this approach.
  
  
  RESULTS
  Nurse identification of the presence of dementia agreed well with that of medical specialists (kappa = 0.84), but was slightly poorer regarding type of dementia (kappa = 0.71).
  
  
  CONCLUSIONS
  Use of nurses for such activity need not be limited to epidemiological studies, but is relevant also in clinical practice.
authors.affiliation: School of Nursing, Duke University, Durham, NC 27710, USA.
authors.forename: B
authors.initials: B
authors.lastname: Trapp-Moen
authors.forename: M
authors.initials: M
authors.lastname: Tyrey
authors.forename: G
authors.initials: G
authors.lastname: Cook
authors.forename: A
authors.initials: A
authors.lastname: Heyman
authors.forename: G G
authors.initials: GG
authors.lastname: Fillenbaum
mesh_terms: D000368:Aged; D000544:Alzheimer Disease / Q000175:diagnosis* / Q000453:epidemiology / Q000451:nursing; D003430:Cross-Sectional Studies; D005260:Female; D015577:Geriatric Assessment / Q000706:statistics & numerical data*; D006699:Home Care Services; D006801:Humans; D008297:Male; D009483:Neuropsychological Tests / Q000706:statistics & numerical data*; D009730:Nursing Assessment / Q000706:statistics & numerical data*; D011594:Psychometrics; D015203:Reproducibility of Results