{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:24:00Z","timestamp":1785900240734,"version":"3.56.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2015,5,24]],"date-time":"2015-05-24T00:00:00Z","timestamp":1432425600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Alzheimers Dis Other Demen"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:p>To investigate the utility of the Severe Impairment Rating Scale (SIRS) as a cognitive assessment tool among nursing home residents with advanced dementia, we conducted a cross-sectional study of 96 residents in 3 nursing homes with Functional Assessment Staging Test (FAST) stage 6a and above. We compared the discriminatory ability of SIRS with the Chinese version of Mini-Mental State Examination, Abbreviated Mental Test, and Clock Drawing Test. Among the cognitive tests, SIRS showed the least \u201cfloor\u201d effect and had the best capacity to distinguish very severe (FAST stages 7d-f) dementia (area under the curve 0.80 vs 0.46-0.76 for the other tools). The SIRS had the best correlation with FAST staging ( r = \u2212.59, P &lt; .01) and, unlike the other 3 tools, exhibited only minimal change in correlation when adjusted for education and ethnicity. Our results support the utility of SIRS as a brief cognitive assessment tool for advanced dementia in the nursing home setting.<\/jats:p>","DOI":"10.1177\/1533317515587085","type":"journal-article","created":{"date-parts":[[2015,5,25]],"date-time":"2015-05-25T20:11:17Z","timestamp":1432584677000},"page":"87-96","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Severe Impairment Rating Scale"],"prefix":"10.1177","volume":"31","author":[{"given":"Cindy","family":"Yeo","sequence":"first","affiliation":[{"name":"Department of Continuing and Community Care, Tan Tock Seng Hospital, Singapore"},{"name":"Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wee Shiong","family":"Lim","sequence":"additional","affiliation":[{"name":"Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore"},{"name":"Department of Geriatric Medicine, Cognition and Memory Disorders Service, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Chan","sequence":"additional","affiliation":[{"name":"Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore"},{"name":"Department of Geriatric Medicine, Cognition and Memory Disorders Service, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin Qin","family":"Ho","sequence":"additional","affiliation":[{"name":"Ministry of Health Holdings, Ministry of Health, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philomena Vasantha","family":"Anthony","sequence":"additional","affiliation":[{"name":"Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore"},{"name":"Nursing Service, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huey Charn","family":"Han","sequence":"additional","affiliation":[{"name":"Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore"},{"name":"Nursing Service, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei Sian","family":"Chong","sequence":"additional","affiliation":[{"name":"Institute of Geriatrics and Active Ageing, Tan Tock Seng Hospital, Singapore"},{"name":"Department of Geriatric Medicine, Cognition and Memory Disorders Service, Tan Tock Seng Hospital, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,5,24]]},"reference":[{"key":"bibr1-1533317515587085","unstructured":"Alzheimer\u2019s Association. 2014 Alzheimer\u2019s Disease Facts and Figures. Chicago, IL: Alzheimer\u2019s Association; 2014;10(2). Web site. www.alz.org. Accessed October 28, 2014."},{"key":"bibr2-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0902234"},{"key":"bibr3-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1017\/S0714980800006334"},{"key":"bibr4-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.164.3.321"},{"issue":"3","key":"bibr5-1533317515587085","first-page":"233","volume":"3","author":"Moss MS","year":"2002","journal-title":"Alzheimers Care"},{"key":"bibr6-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2004.30329.x"},{"key":"bibr7-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2008.0020"},{"key":"bibr8-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2004.7.808"},{"key":"bibr9-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-12-30"},{"key":"bibr10-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1007\/s40266-012-0001-8"},{"key":"bibr11-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1177\/1533317508317524"},{"key":"bibr12-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2008.04.008"},{"key":"bibr13-1533317515587085","doi-asserted-by":"publisher","DOI":"10.3928\/00989134-20081201-03"},{"key":"bibr14-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/983056"},{"key":"bibr15-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1177\/1533317511432732"},{"key":"bibr16-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2013.06.004"},{"key":"bibr17-1533317515587085","first-page":"298","volume":"2","author":"Saxton J","year":"1990","journal-title":"J Consult Clin Psychol"},{"key":"bibr18-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1097\/00002093-199700112-00008"},{"key":"bibr19-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1996.00550040107020"},{"key":"bibr20-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610294001651"},{"key":"bibr21-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-4943(01)00117-0"},{"key":"bibr22-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1097\/00002093-200007000-00008"},{"key":"bibr23-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1590\/0004-282X20140002"},{"key":"bibr24-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2008.163220"},{"key":"bibr25-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1159\/000119124"},{"key":"bibr26-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/49.5.M223"},{"key":"bibr27-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1097\/00019442-199622430-00008"},{"key":"bibr28-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1177\/1533317510370955"},{"key":"bibr29-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1099-1166(200003)15:3<234::AID-GPS99>3.0.CO;2-G"},{"issue":"2","key":"bibr30-1533317515587085","first-page":"54","volume":"5","author":"Munang LA","year":"2010","journal-title":"Asian J Gerontol Geriatr"},{"key":"bibr31-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/1.4.233"},{"key":"bibr32-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(88)90034-0"},{"key":"bibr33-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/27.3.399"},{"key":"bibr34-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1993.tb07308.x"},{"key":"bibr35-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1375"},{"key":"bibr36-1533317515587085","doi-asserted-by":"publisher","DOI":"10.47102\/annals-acadmedsg.V32N6p740"},{"key":"bibr37-1533317515587085","first-page":"162","volume-title":"Principles and Practice of Geriatric Psychiatry","author":"Reisberg B","year":"2011","edition":"3"},{"key":"bibr38-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610292001157"},{"key":"bibr39-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-1331.2002.00356.x"},{"key":"bibr40-1533317515587085","unstructured":"The National Survey of Senior Citizens in Singapore 2005. Ministry of Community Development, Youth and Sports. Web site. http:\/\/app.msf.gov.sg\/portals\/0\/Summary\/publication\/NSSC-2005.pdf. Accessed October 28, 2014."},{"key":"bibr41-1533317515587085","unstructured":"Chan A, Yap MT. Baby-boomers survey. Ministry of Community Development, Youth and Sports. Web site. http:\/\/www.news.gov.sg\/public\/sgpc\/en\/media_releases\/agencies\/mcys\/press_release\/P-20090109-1\/AttachmentPar\/0\/file\/Baby_Boomer_Survey_7Jan09.pdf. Accessed October 28, 2014."},{"key":"bibr42-1533317515587085","doi-asserted-by":"publisher","DOI":"10.1097\/01.wad.0000174991.60709.36"}],"container-title":["American Journal of Alzheimer's Disease &amp; Other Dementias\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1533317515587085","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1533317515587085","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1533317515587085","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:20:10Z","timestamp":1777368010000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1533317515587085"}},"subtitle":["A Useful and Brief Cognitive Assessment Tool for Advanced Dementia for Nursing Home Residents"],"short-title":[],"issued":{"date-parts":[[2015,5,24]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,2]]}},"alternative-id":["10.1177\/1533317515587085"],"URL":"https:\/\/doi.org\/10.1177\/1533317515587085","relation":{},"ISSN":["1533-3175","1938-2731"],"issn-type":[{"value":"1533-3175","type":"print"},{"value":"1938-2731","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,24]]}}}