A direct functional measure to help ascertain optimal level of residential care

Myron F. Weiner, Barbara Davis, Kristin Martin-Cook, Linda S. Hynan, Kathleen C. Saine, C. Munro Cullum

Research output: Contribution to journalArticlepeer-review

8 Scopus citations


A brief direct measure of daily living skills might help place cognitively impaired elders in suitable living environments. In this study, the Test of Everyday Functional Abilities (TEFA) as a possible adjunctive measure was investigated. The authors recruited 77 cognitively impaired persons in independent living (IL; N = 26), assisted living (AL; N = 25), and dementia special care (SC; N = 26) units. Participants in IL and AL were administered the TEFA and other instruments at baseline and every 6 months over 18 months and when transferred to a higher level oF care. Special care subjects were administered the same instruments only at baseline. The TEFA clearly separated IL, AL, and SC residents (P <.0001). A TEFA score >50 suggests adequate functional competence For IL; a score from 30 to 40 adequate functional competence for AL; and a score of <30 probable need for an SC unit in the absence oF a capable spouse.

Original languageEnglish (US)
Pages (from-to)355-359
Number of pages5
JournalAmerican Journal of Alzheimer's Disease and Other Dementias
Issue number5
StatePublished - 2007


  • Assisted living
  • Dementia special care
  • Test of Everyday Functional Abilities

ASJC Scopus subject areas

  • General Neuroscience
  • Clinical Psychology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health


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