Skip to main content
Log in

Preliminary findings of the Brief Everyday Activities Measurement (BEAM) in older adults

  • Published:
The journal of nutrition, health & aging

Abstract

Objectives

Functional losses are common in healthy and cognitively impaired older adults. However, subtle declines in instrumental activities of daily living (IADLs) are not always detected in self-reports. Performance IADL measurements are financially and time burdensome, restricting their use in varied settings. To address these limitations, we developed the Brief Everyday Activities Measure (BEAM), a short (< 5 minutes) objective IADL measure that assesses medication and finance management.

Design

The BEAM was administered to 209 cognitively non-demented community-dwellers (ages 65–95 years).

Setting

Community.

Participants

The BEAM was administered to 209 cognitively non-demented community-dwellers (ages 65–95 years).

Measurements

Participants completed standardized motor, neuropsychological, psychological, and self-report functional assessments.

Results

completion time was moderate (0.65, 95% CI [.43 -.78]). Accuracy for total BEAM performance was in the low-moderate range (Kappa = 0.38, p <.001, 95% CI [.18 -.54]). As predicted, lower accuracy and longer time to complete the BEAM were both associated with worse executive functions, attention, and processing speed.

Conclusion

Medication and finance management can be efficiently assessed within five minutes. The BEAM may be a valuable screening tool to evaluate these functional abilities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ganguli M, Dodge HH, Mulsant BH. Rates and predictors of mortality in an aging, rural, community-based cohort: The role of depression. Arch Gen Psychiatry 2002;59: 1046–1053. doi: 10.1001/archpsyc.59.11.1046

    Article  PubMed  Google Scholar 

  2. Fried LP, Kronmal RA, Newman AB et al. Risk factors for 5-year mortality in older adults: The cardiovascular health study. JAMA 1998;279(8): 585–592. doi:10.1001/jama.279.8.585

    Article  CAS  PubMed  Google Scholar 

  3. Verghese J, LeValley A, Hall CB et al. Epidemiology of gait disorders in community-residing older adults. Journal of American Geriatric Society 2006;54: 255–261. doi:10.1111/j.1532-5415.2005.00580.x

    Article  Google Scholar 

  4. Lawton MP, Brody EM. Assessment of older people self-maintaining and instrumental activities of daily living. Gerontologist, 1969;9: 179–86. doi:10.1093/geront/9.3_Part_1.179

    Article  CAS  PubMed  Google Scholar 

  5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA American Psychiatric Publishing.

  6. Naunton M, Peterson GM. Evaluation of a home-based follow-up of high-risk elderly patients discharged from hospital. Journal of Pharmacy Practice and Research, 2003;33(3): 176–182.

    Google Scholar 

  7. Suchy Y., Kraybill M.L., & Franchow E. Instrumental activities of daily living among community-dwelling older adults: Discrepancies between self-report and performance are mediated by cognitive reserve. Journal of Clinical and Experimental Neuropsychology, 2011;33(1), 92–100. doi: 10.1080/13803395.2010.493148

    Article  PubMed  Google Scholar 

  8. Bell-McGinty S, Podell K, Franzen M, et al. Standard measures of executive function in predicting instrumental activities of daily living in older adults. Int J Geriatr Psychiatry, 2002;17(9): 828–834. doi: 10.1002/gps.646

    Article  PubMed  Google Scholar 

  9. Cahn-Weiner DA, Boyle PA, Malloy PF. Tests of executive function predict instrumental activities of daily living in community-dwelling older individuals. Applied Neuropsychology 2002;9(3): 187–191. doi:10.1207/S15324826AN0903_8

    Article  PubMed  Google Scholar 

  10. Allaire JC, Gamaldo A, Ayotte BJ, et al. Mild cognitive impairment and objective instrumental everyday functioning: the everyday cognition battery memory test. Jour Am Geriatr Soc 2009;57(1): 120–125. doi: 10.1111/j.1532-5415.2008.02054.x

    Article  Google Scholar 

  11. Gold DA. An examination of instrumental activities of daily living assessment in older adults and mild cognitive impairment. J Clin Exp Neuropsychol 2012;34(1): 11–34. doi:10.1080/13803395.2011.614598

    Article  PubMed  Google Scholar 

  12. Monaci L, Morris RG. Neuropsychological screening performance and the association with activities of daily living and instrumental activities of daily living in dementia: Baseline and 18- to 24-month follow-up. Int J Geriatr Psychiatry 2012;27: 197–204. doi:10.1002/gps.2709

    Article  PubMed  Google Scholar 

  13. Owsley C, Sloane M, McGwin G et al. Timed instrumental activities of daily living tasks: Relationship to cognitive function and everyday performance assessments in older adults. Gerontology 2002;48: 254–265. doi: 10.1159/000058360

    Article  PubMed  Google Scholar 

  14. Slone Epidemiology Center. Patterns of medication use in the United States. Boston University Boston, Massachusetts, 2006. Retrieved from http://www.bu.edu/slone/SloneSurvey/AnnualRpt/SloneSurveyWebReport2006.pdf

  15. Budnitz DS, Lovegrove MC, Shehab N et al. Emergency hospitalizations for adverse drug events in older Americans. N Engl J Med 2011;365: 2002–2012. doi: 10.1056/NEJMsa1103053

    Article  CAS  PubMed  Google Scholar 

  16. Triebel KL, Martin R, Griffith HR et al. Declining financial capacity in mild cognitive impairment: A 1-year longitudinal study. Neurology 2009;73(12): 928–934.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  17. Wilber KH, Reynolds SL. Introducing a framework for defining financial abuse of the elderly. Journal of Elder Abuse & Neglect 1997;8(2): 61–80

    Article  Google Scholar 

  18. Michon K. Helping Seniors Manage Money and Finances, 2012. Retrieved from http://www.nolo.com/legal-encyclopedia/helping-seniors-manage-money-finances32268-2.html

    Google Scholar 

  19. Galasko D, Bennett DA, Sano M et al. ADCS prevention instrument project: Assessment of instrumental activities of daily living for community-dwelling elderly individuals in dementia prevention clinical trials. Alzheimer Dis Assoc Disord 2006;20(3): 152–169. doi:10.1097/01.wad.0000213873.25053.2b

    Article  Google Scholar 

  20. Moore DM, Palmer BW, Patterson TL et al. A review of performance-based measures of functional living skills. J Psychiatr Res 2007;41: 97–118. doi: 10.1016/j.jpsychires.2005.10.008

    Article  PubMed  Google Scholar 

  21. Schmitter-Edgecombe M, Parsey C, Cook DJ. Cognitive correlates of functional performance in older adults: Comparison of self-report, direct observation, and performance-based measures. Journal of International Neuropsychology Society 2011;17: 1–12. doi:10.1017/S1355617711000865

    Article  Google Scholar 

  22. Bottari CL, Dassa C, Rainville CM et al. The IADL profile: development, content validity, intra- and inter-rater agreement. Canadian Journal of Occupational Therapy, 2010b;77(2): 90–100. doi: 10.2182/cjot.2010.77.2.5

    Article  Google Scholar 

  23. Cullum CM, Saine KC, Chan LD et al. A performance-based instrument to assess functional capacity in dementia: the Texas Functional Living Scale. Neuropsychiatry, Neuropsychol Behav Neurol 2001;14(2): 103–108.

    CAS  Google Scholar 

  24. Vaughan L, Giovanello K. Executive function in daily life: Age-related influences of executive processes on instrumental activities of daily living. Psychol Aging 2010;25(2): 343–355. doi: 10.1037/a0017729

    Article  PubMed  Google Scholar 

  25. Farias ST, Mungas D, Jagust W. Degree of discrepancy between self and other reported everyday functioning by cognitive status: Dementia, mild cognitive impairment, and healthy elders. Int J Geriatr Psychiatry 2005;20: 827–834. doi: 10.1002/gps.1367

    Article  PubMed Central  PubMed  Google Scholar 

  26. Sikkes SAM, de Lange-de Klerk ESM, Pijnenburg YAL et al. A systematic review of Instrumental Activities of Daily Living scales in dementia: room for Improvement. J Neurol Neurosurg Psychiatry 2009;80: 7–12. doi:10.1136/jnnp.2008.155838

    Article  CAS  PubMed  Google Scholar 

  27. Holtzer R, Wang C, Verghese J. Performance variance on walking while talking tasks: theory, findings, and clinical implications. Age, advance online publication, 2014. doi: 10.1007/s11357-013-9570-7

    Google Scholar 

  28. Delva F, Edjolo A, Pérès K, Berr C, Barberger-Gateau P, & Dartigues JF. Hierarchical structure of the activities of daily living scale in dementia. J Nutr Health Aging 2014;18(7): 698–704. doi: 10.1007/s12603-014-0028-0.

    Article  CAS  PubMed  Google Scholar 

  29. Thompson DW & Walter SD. Reappraisal of the kappa coefficient. J Clinical Epidem 1988;41(10): 949–958. doi: http://dx.doi.org/10.1016/0895-4356(88)90031-5

    Article  CAS  Google Scholar 

  30. Song HJ, Meade K, Akobundu U, Sahyoun NR. Depression as a correlate of functional status of community-dwelling, older adults: Utilizing a short-version of 5-item Geriatric Depression Scale as a screening tool. J Nutr Health Aging 2014;18(8):765–70. doi: 10.1007/s12603-014-0452-1.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Roee Holtzer.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Scharaga, E.A., Holtzer, R. Preliminary findings of the Brief Everyday Activities Measurement (BEAM) in older adults. J Nutr Health Aging 19, 929–934 (2015). https://doi.org/10.1007/s12603-015-0545-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12603-015-0545-5

Key words

Navigation