Abstract
Financial capacity is the ability to manage money and finances according to a person’s values and self-interests. In Italy, the first instrument specifically designed to assess financial capacity has recently been developed: the Numerical Activities of Daily Living – Financial (NADL-F). The aims of this study are (1) to prepare a shorter version of NADL-F and (2) to examine the relationship between the new short version and a measure of general cognitive functioning of comparable length, the MMSE. After an item analysis performed on NADL-F, the items presenting a higher internal consistency were selected. The resulting NADL-F Short is a reliable, easy to use, and quick to administer tool for assessing financial capacity both in clinical and legal practice. Correlation analysis showed a low positive correlation between four NADL-F Short tasks and the MMSE, for the healthy participants group. For the patient group, instead, a low-moderate correlation was found for all the NADL-F Short tasks, except one. Many participants scoring high in the MMSE (both healthy controls and neurological patients) showed low NADL-F Short scores. These findings suggest that it is not correct to use generic tools like the MMSE to make inferences on a person’s financial capacity.
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Widera E, Steenpass V, Marson D, Sudore R (2011) Finances in the older patient with cognitive impairment: “he didn’t want me to take over”. JAMA 305:698–706. https://doi.org/10.1001/jama.2011.164
Demakis G (2012) Civil capacities in clinical neuropsychology. Oxford University press, New York
Griffith HR, Belue K, Sicola A, Krzywanski S, Zamrini E, Harrell L, Marson DC (2003) Impaired financial abilities in mild cognitive impairment: a direct assessment approach. Neurology 60:449–457. https://doi.org/10.1212/wnl.60.3.449
Marson DC, Sawrie SM, Snyder S, McInturff B, Stalvey T, Boothe A, Aldridge T, Chatterjee A, Harrell LE (2000) Assessing financial capacity in patients with Alzheimer disease: a conceptual model and prototype instrument. Arch Neurol 57:877–884. https://doi.org/10.1001/archneur.57.6.877
Kershaw MM, Webber LS (2008) Assessment of financial competence. Psychiatry Psychol Law 15:40–55. https://doi.org/10.1080/13218710701873965
Sousa LB, Simões MR, Firmino H, Peisah C (2014) Financial and testamentary capacity evaluations: procedures and assessment instruments underneath a functional approach. Int Psychogeriatr 26:217–228. https://doi.org/10.1017/S1041610213001828
Sousa LB, Vilar M, Firmino H, Simões MR (2015) Financial capacity assessment instrument (IACFin): development and qualitative study using focus groups. Psychiatry Psychol Law 22:571–585. https://doi.org/10.1080/13218719.2014.960038
Burgio F, Delazer M, Meneghello F, Pertl MT, Semenza C, Zamarian L (2018) Cognitive training improves ratio processing and decision making in patients with mild cognitive impairment. J Alzheimers Dis 64:1–14. https://doi.org/10.3233/JAD-180461
Pertl MT, Benke T, Zamarian L, Delazer M (2017) Effects of healthy aging and mild cognitive impairment on a real-life decision-making task. J Alzheimers Dis 58:1077–1087. https://doi.org/10.3233/JAD-170119
Cronbach LJ (1970) Essentials of psychological testing. Harper & Row, New York
Chaytor N, Schmitter-Edgecombe M (2003) The ecological validity of neuropsychological tests: a review of the literature on everyday cognitive skills. Neuropsychol Rev 13:181–197. https://doi.org/10.1023/b:nerv.0000009483.91468.fb
Marson DC (2013) Clinical and ethical aspects of financial capacity in dementia: a commentary. Am J Geriatr Psychiatry 21:382–390. https://doi.org/10.1097/JGP.0b013e31826682f4
Arcara G, Burgio F, Benavides-Varela S, Toffano R, Gindri P, Tonini E, Meneghello F, Semenza C (2017) Numerical Activities of Daily Living – Financial (NADL-F): a tool for the assessment of financial capacities. Neuropsychol Rehabil 7:1–23. https://doi.org/10.1080/09602011.2017.1359188
Darzins P, Molloy DM, Strang D (2004) Who can decide?: the six step capacity assessment process. Memory Australia Press, Adelaide
Gerstenecker A, Eakin A, Triebel K, Martin R, Swenson-Dravis D, Petersen RC, Marson D (2016) Age and education corrected older adult normative data for a short form version of the Financial Capacity Instrument. Psychol Assess 28(6):737–749. https://doi.org/10.1037/pas0000159
Kershaw MM, Webber LS (2004) Dimensions of financial competence. Psychiatry Psychol Law 11:338–349. https://doi.org/10.1375/pplt.2004.11.2.338
Okonkwo OC, Wadley VG, Griffith HR, Ball K, Marson DC (2006) Cognitive correlates of financial abilities in mild cognitive impairment. J Am Geriatr Soc 54:1745–1750. https://doi.org/10.1111/j.1532-5415.2006.00916.x
Webber LS, Reeve RA, Kershaw MM, Charlton JL (2002) Assessing financial competence. Psychiatry Psychol Law 9:248–256. https://doi.org/10.1375/pplt.2002.9.2.248
Folstein MF, Folstein SE, McHugh PR (1975) Mini mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198. https://doi.org/10.1016/0022-3956(75)90026-6
Semenza C, Meneghello F, Arcara G, Burgio F, Gnoato F, Facchini S (2014) A new clinical tool for assessing numerical abilities in neurological diseases: numerical activities of daily living. Front Aging Neurosci 6:288. https://doi.org/10.3389/fnagi.2014.00112
Gauthier S, Reisberg B, Zaudig M, Petersen RC, Ritchie K, Broich K, Belleville S, Brodaty H, Bennett D, Chertkow H, Cummings JL, de Leon M, Feldman H, Ganguli M, Hampel H, Scheltens P, Tierney MC, Whitehouse P, Winblad B (2006) Mild cognitive impairment. Lancet 367:1262–1270. https://doi.org/10.1016/S0140-6736(06)68542-5
Gelb DJ, Oliver E, Gilman S (1999) Diagnostic criteria for Parkinson disease. Arch Neurol 56:33–39. https://doi.org/10.1001/archneur.56.1.33
Lakens D, Scheel AM, Isager PM (2018) Equivalence testing for psychological research: a tutorial. AMPPS 1:259–269. https://doi.org/10.1177/2515245918770963
Frank F, Hall MA, Witten IH (2016) The WEKA workbench. Online appendix for “data mining: practical machine learning tools and techniques”. Morgan Kaufmann, San Francisco
Holte RC (1993) Very simple classification rules perform well on most commonly used datasets. Mach Learn 11:63–91. https://doi.org/10.1023/A:1022631118932
Hebert KR, Marson DC (2007) Assessment of financial capacity in older adults with dementia. In: Qualls SH, Smyer MA (eds) Changes in decision-making capacity in older adults: assessment and intervention. Wiley, Hoboken, pp 237–270
Moye J, Armesto JC, Karel MJ (2005) Evaluating capacity of older adults in rehabilitation settings: conceptual models and clinical challenges. Rehabil Psychol 50:207–214. https://doi.org/10.1037/0090-5550.50.3.207
Douven E, Köhler S, Schievink SH, van Oostenbrugge RJ, Staals J, Verhey FRJ et al (2017) Temporal associations between fatigue, depression, and apathy after stroke: results of the cognition and affect after stroke, a prospective evaluation of risks study. Cerebrovasc Dis 44:330–337. https://doi.org/10.1159/000481577
Johnson SK, Lange G, DeLuca J, Korn LR, Natelson B (2010) The effects of fatigue on neuropsychological performance in patients with chronic fatigue syndrome, multiple sclerosis, and depression. Appl Neuropsychol 4:145–153. https://doi.org/10.1207/s15324826an0403_1
Lou J, Kearns G, Oken B, Sexton G, Nutt J (2001) Exacerbated physical fatigue and mental fatigue in Parkinson’s disease. Mov Disord 16:190–196. https://doi.org/10.1002/mds.1042
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The writing of this paper was made possible by the support of “Progetto giovani ricercatori: FINAGE” (GR-2018-12367927) from the Ministry of Health to F.B.
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All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Roberta Toffano, Francesca Burgio, Giorgio Arcara, Silvia Benavides-Varela, and Grazella Orrù. The first draft of the manuscript was written by Roberta Toffano and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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All participants gave their informed consent according to the Helsinki Declaration. The study was approved by the Ethics Committee for clinical experimentation of Venice and IRCCS San Camillo Hospital Foundation (Venice, Italy), reference number 2016.07.
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Toffano, R., Burgio, F., Palmer, K. et al. Numerical Activities of Daily Living – Financial: a short version. Neurol Sci 42, 4183–4191 (2021). https://doi.org/10.1007/s10072-021-05047-y
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DOI: https://doi.org/10.1007/s10072-021-05047-y