The functional cognitive evaluation and model to assess older adults’ ability to function in their homes in the community

Aims: The functional cognitive evaluation (FCE) was designed to evaluate the safety and functioning of community older adults with cognitive decline (CD). The FCE validity was examined and a clinical model was derived. Methods: Older adult with CD ages ≥ 65 years (N = 110) were evaluated in their homes with the FCE, which examines basic/instrumental ADL, safety, executive functions, awareness and decision-making. A telephone follow-up (2 months) and a second home visit (4 months) were conducted. Persons scoring < 10 on the Mini Mental State Examination (MMSE) or those who were not mobile were excluded from the study. Results: The FCE results correlated significantly with a routine geriatric clinic evaluation. Regression analyses revealed that executive functioning and self-efficacy predict basic and instrumental activities of daily living. Significant mediators were found. Conclusions: The validity of the battery was demonstrated. The FCE model and evaluation enable practitioners to provide recommendations supporting older adults’ ability to function in their homes.