4.5 Article

Numerical Activities of Daily Living - Financial: a short version

期刊

NEUROLOGICAL SCIENCES
卷 42, 期 10, 页码 4183-4191

出版社

SPRINGER-VERLAG ITALIA SRL
DOI: 10.1007/s10072-021-05047-y

关键词

Financial capacity; ADL; Neurological patients; Legal competency; Neuropsychological assessment

资金

  1. Progetto giovani ricercatori: FINAGE from the Ministry of Health [GR-2018-12367927]

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The study aims to prepare a shorter version of NADL-F and examine the relationship between the new short version and a measure of general cognitive functioning of comparable length, the MMSE.
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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