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AcronymNameReferenceYearDOICitationsCited_in_abstractCitation_per_yearAbstract_per_yearRatio_ACRatio_yearScoringPopulationN_sampleAge_samplesEducation_samplesRaterModalityAge_CaregiverEducation_caregiverLanguage_listEnglishChineseHindiSpanishFrenchArabicRussianPortugueseOtherLanguagesPeriod Setting Compared_to_NPICorrelation_coefficientsCompared_to_otherCorrelations_coefficients_othersIntCons_CronbachIRR_ICCTRT_ICC_sampleTRT_ICCTime frameOther_versionsReference_other_versionsDerivedReferences_motherProsConsTypeItems Aberrant motor or wanderingAgitationAggression PhAggression VAnxietyApathyDelusionDepressionDisinhibitionEatingEuphoriaHallucinationsIrritabilitySleepingUncooperativenessHarmful to selfOther uncategorizableNotes
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ABC-DSABC Dementia ScaleKikuchi 2018201810.4172/2161-0460.1000429731,7073170730,73170731710,4290,10713-117 (total), 3-27 (domain B)AD patients312Healthcare staffInterview with caregiverFrench, Korean, English, ChineseYesYesNoNoYesNoNoNoKoreanEnglish and other few (< 5)12 weeksOutpatient clinicNPI-distress-0,64 2180,9641 weekNoStable, monitor disease progression. Also used pictorial descriptions. Observational, medical treatments not considered. Licensed (to be purchased)Narrow3NoYes (1)NoNoNoNoNoNoNoNoNoNoYes (1)NoYes (1)NoDomain A (ADL) with 6 sub-items, Domain C (Cognitive) with 4 sub-items
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ABIDAgitated Behavior in Dementia scaleLogsdon 1999199910.1111/j.1532-5415.1999.tb07439.x6832,9437229440,12987012990,0440,0020-96 (frequency score) and 0-64 (caregiver reaction score)AD patients14874.8 ± 7.112.6 ± 3.5Caregiver 65.6 ± 13.013.3 ± 2.6English, JapaneseYesNoNoNoNoNoNoNoJapaneseEnglish and other few (< 5)2 one-week intervalsOutpatient clinicNoRMBPC, BRSD, CMAI0.74, 0.65, 0.620,7920.73 (frequency), 0.60 (reaction)2 weeksFocus on agitated behavior, includes caregiver distress, reportedly short (<15 min)Only evaluates frequency (not severity)Broad16Yes (1)Yes (3)Yes (2)Yes (1)Yes (1)NoYes (1)NoYes (2)NoNoYes (1)Yes (1)Yes (1)Yes (1)Yes (1)
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ABMIAgitation Behavior-Mapping InstrumentCohen-Mansfield 1989198910.1002/1097-4679(198907)45:4<611::aid-jclp2270450417>3.0.co;2-f1031331,148036250,090634441090,0030,0000-140 (frequency of each item in a 3 minute period) + 1-5 (disruptiveness)Elderly2486.7 [62-93]NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglish2 weeksNursing homeNo NoFocus on agitated behavior, includes triggers, includes disruptivenessOnly observationalBroad14Yes (3)Yes (5)Yes (2)Yes (2)NoNoYes (1)NoNoYes (1)NoYes (1)NoNoNoNo
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ABSAbe's BPSD scoreAbe 2015201510.1016/j.jns.2015.01.0293745,2112676060,56338028170,1080,0150-44Patients with dementia8181.6 ± 9.9Caregiver65.2 ± 11.5English, Portuguese, JapaneseYesNoNoNoNoNoNoYesJapaneseEnglish and other few (< 5)Not statedHome or NHNPI 0,716Good correlation with NPI, high correlation between primary and secondary caregiversOnly evaluates frequency (not severity)Broad10Yes (1)Yes (1*)Yes (1)Yes (1)NoYes (1)Yes (1**)Yes (1)NoYes (1***)Yes (1*)Yes (1**)Yes (1)Yes (1)NoNoYes (1*** - toilet problems)
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ABeSAggressive Behavior ScalePerlman 2008200810.1111/j.1532-5415.2008.02048.x1631411,560283690,99290780140,0860,0060-12Patients with dementia21482.0 ± 11.3NurseObservationalEnglish, ChineseYesYesNoNoNoNoNoNoNoEnglish and other few (< 5)1 weekNursing homeNoCMAI - aggression subscore0,720,8Yes10.1093/geronj/49.4.m174Quick and easyOnly evaluates frequency (not severity)Narrow4NoNoYes (1)Yes (1)NoNoNoNoYes (1)NoNoNoNoNoYes (1)No
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ACIDAnxiety in Cognitive Impairment and Dementia Scale Gerolimatos 2015201510.1017/S10416102150010271401,97183098600,0000,0000-26Patients with dementia4577.6 ± 11.011.9 ± 3.9ClinicianInterview with patient and proxyEnglishYesNoNoNoNoNoNoNoNoEnglishOne dayOutpatient clinicNPI-anxiety0.27 (SR) - 0.52 (PR)CSDD-Person, CSDD-Proxy 0.71 (SR-person), 0.81 (PR-proxy)0,87 (SR) - 0,73 (PR)Combines impact of a symptom in terms of presence and distress, combines self-report and proxy reportOnly evaluates anxiety, weak association between proxy and patient (r = 0.14)Broad13NoYes (1)NoNoYes (3)NoNoNoNoNoNoNoYes (1)Yes (1)NoNoYes (7 - somehow related to anxiety but aspecific)
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ADAS-NoncogAlzheimer's Disease Assessment Scale - Non cognitive subscaleRosen 1984198410.1176/ajp.141.11.135634811591,36482940,39370078740,0040,0000-50AD patients2765.1 ± 7.414.6 ± 2.6ClinicianObservational or interview with patient and/or informantEnglish, Italian, Spanish, Swedish, German, FrenchYesNoNoYesYesNoNoNoItalian, Swedish, GermanEnglish and many others (>5)1 weekOutpatient clinicNo0.945 (original)NoLong, includes two items which might not be BPSD, no normative data, not widely used (Kueper 2018)Broad10Yes (2)NoNoNoNoNoYes (1)Yes (2)NoYes (1)NoYes (1)NoNoYes (1)NoYes (2 - distractability, tremors)The citations are for ADAS (Cog part is widely used, non-cog part is not, only a few citations used it)
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AEPCAssessment of the Environment for Person-Centered Management of BPSD and Assessment of Policies for Person-Centered Management of BPSDResnick 20212021no doi, PMID: 34378006 NoEvaluates the environment rather than the person, it's more useful for prevention
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Apathy InventoryApathy InventoryRobert 2002200210.1002/gps.7553093315,373134331,6417910450,1070,0050-36AD patients11574.9 ± 7.1ClinicianInterview with patient and caregiverEnglish, French, Spanish, Portuguese, KoreanYesNoNoYesYesNoNoYesKoreanEnglish and other few (< 5)Not statedOutpatient clinicNPI-disphorians0.84 (caregiver version)Only evaluates apathyNarrow3NoNoNoNoNoYes (3)NoNoNoNoNoNoNoNoNoNoNo
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AWSAlgase Wandering ScaleAlgase 2001200110.1177/1533317501016003017363,459715640,28436018960,0820,004Not provided (each item is rated on a four-point ordinal scale)Patients with dementia15185.7 ± 6.5Healthcare staffObservationalEnglish, French, German, Korean, JapaneseYesNoNoNoYesNoNoNoGerman, Korean, JapaneseEnglish and many others (>5)16 hoursNursing homeNo0,86Revised AWS, AWS Version 210.1177/1533317513494454 ; 10.1177/153331751349Subscales with good internal consistencyFocus only on wandering. Interpretation of scores not provided.Narrow28Yes (28)NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
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BADGPBehavioral Activities in Demented Geriatric PatientsFerm 1974197410.1159/0002455214710,97713097710,020790020790,0210,00013-78Patients with dementia136NurseObservationalEnglish, FinnishYesNoNoNoNoNoNoNoFinnishEnglish and other few (< 5)Not definedHospitalNoYes10.1159/000244817Includes cognitive aspectsMostly cognitive, no direct mention of BPSDNarrow13NoYes (1)NoNoNoYes (1)NoNoNoNoNoNoNoYes (1)NoNoYes (10 - cognitive aspects)Two BPSD are rated inversely (quietness, participation)
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BARSBrief Agitation Rating ScaleFinkel 1993199310.1111/j.1532-5415.1993.tb05948.x9223,1615120270,068728522340,0220,00110-70Elderly23286 [65-102]NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglish2 weeksNursing homeNoBSSD, BEHAVE-ADnot always significant, depending on shift0.74 (day) - 0.82 (evening)Yes10.1093/geronj/44.3.m77Not specific for patients with dementia. Only rates frequency. Narrow10Yes (1)Yes (6)Yes (3)NoNoNoNoNoNoNoNoNoNoNoNoNo
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BEAM-DBehavioral and Emotional Activities Manifested in DementiaSinha 1992199210.1016/0165-1781(92)90020-44421,461794020,066445182720,0450,0020-69Patients with dementia4576.7 ± 9.911.1 ± 4.6ClinicianInterview with patient and caregiver and observationalEnglishYesNoNoNoNoNoNoNoNoEnglishNot definedAnyNoYesADAS, Hamilton rating scale for depressionOnly observationalBroad18Yes (1)Yes (1)Yes (2)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)^Yes (2)NoYes (4 - Disruption of other's activities, hoarding behavior, appropriateness/stability of affect)
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BEHAVE-ADBehavioral Pathology in Alzheimer's Disease Rating ScaleReisberg 19871987no doi, PMID: 3553166111812031,851851853,4188034190,1070,003Each category (A-G) is scored independently, as is the global rating questionAD patients5775 + 9.1CaregiverEnglish, Dutch, Japanese, German, Italian, Korean, Chinese, Spanish, French, CantoneseYesYesNoYesYesNoNoNoDutch, Japanese, German, Italian, Korean, CantoneseEnglish and many others (>5)2 weeksOutpatient clinicNo BEHAVE-AD-FW // E-BEHAVE-AD // EPDTA (only in French)10.1016/s0924-9338(00)00524-1 // 10.1017/S1041610296002621 // no doi, PMID: 11283463NoWell validated and widely used, also in trials leading to risperidone, rivastigmine and memantine approval, includes impact on caregiverLong, total score is not weighted. Broad25Yes (3)Yes (1)Yes (1)Yes (1)Yes (4)NoYes (7)Yes (2)NoNoNoYes (5)NoYes (1)NoNoNoPart I: symptomatology, Part II: global rating
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BMDSBehavioural and Mood Disturbance ScaleGreen 1982198210.1093/ageing/11.2.1214842412,069825440,59850374060,0500,0010-60 (RSS), 0-136 (BMDS) Elderly3876 [59-87]CaregiverEnglish, Italian, Norwegian, ChineseYesYesNoNoNoNoNoNoItalian, NorwegianEnglish and other few (< 5)Not definedCasaNoMeasures of caregiver distress includedIt's hard to classify the symptoms into one BPSD domain; excessively long; includes behaviors that are not BPSD, but rather symptoms of dementiaBroad34Yes (3)Yes (3)Yes (1)Yes (1)Yes (1)Yes (8)Yes (1)Yes (2)NoNoNoNoYes (1)Yes (2)NoYes (1)Yes (10 - Hoarding and cognitive aspects)
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BPCBehavioral Problem ChecklistO'Malley 2016201610.1080/07317115.2015.1121196300,491803278700,0000,0000-7 (mean average for each of 3 subscales + ADL and IADLAnyone45679 ± 11.6Caregiver 60 ± 11.1EnglishYesNoNoNoNoNoNoNoNoEnglish4-6 monthsHome NoRMBPCNot always significant0.88-0.93 for the subscalesBoth for dementias and chronic illnesses. Includes cognitive aspects.Broad34 (in the "behavioral" subscale)NoNoYes (1*)Yes (1*)Yes (1)Yes (2)NoYes (3)Yes (1)Yes (2)NoNoYes (1)Yes (1)NoYes (1)Yes (21 - Personality changes, suspiciousness, social relations, energy level, homicidal thoughts, other mostly cognitive aspects, 2 "other" items)One subscale for BPSD, one subscale for ADL, one subscale for attribution.
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BPSD-DSBPSD in Down Syndrome ScaleDekker 2018201810.3233/jad-1709203237,8048780490,73170731710,0940,023-44 -> + 44 (frequency change), -36 -> +36 (severity change)Down syndromeClinicianInterview with informantDutch, Italian, Spanish, English, FrenchYesNoNoYesYesNoNoNoItalian, DutchEnglish and other few (< 5)Six months compared to characteristic pastOutpatient clinicNo0.90 (frequency) - 0.88 (severity)BPSD-DS II10.3233/JAD-219007Available in Italian; also considering caregiver's burden; considers changeOnly validated on patients with Down's syndrome Broad12NoYes (1)Yes (1*)Yes (1*)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)NoYes (1)Yes (1)Yes (1)NoNoObstinacy
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BPSD-TBehavioral and Psychological Symptom of Dementia assessment tool, Thai versionPhannarus 2020202010.1002/brb3.1816200,952380952400,0000,00014-56 (BPSD-DS) 14-56 (CG's burden) Patients with dementia16880.7 ± 6.7CaregiverThai, EnglishYesNoNoNoNoNoNoNoThaiEnglish and other few (< 5)One monthOutpatient clinicNPI0,684Also considering caregiver's burdenBroad14Yes (2)NoYes (1*)Yes (1*)Yes (1)Yes (1)Yes (1)Yes (1)NoNoYes (1)Yes (1)Yes (1)Yes (1)NoNoYes (3 - Repeating, misidentification, hoarding)
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BSO-DOSDementia Observation SystemSchindel 1998 (introvabile)1998no doi; User Manual available at https://brainxchange.ca/BSODOS Patients with dementiaNurseObservationalEnglish, FrenchYesNoNoNoYesNoNoNoNoEnglish and other few (< 5)CustomizableHospital or NHCustomizable and observational, rates all states from sleeping to states at risk; web based tool which calculates the average episodes in terms of blocks and hours and risk. Includes causes, planning and interventions. Analysis of the data to understand behavior. Manual and resources available. Requires constant observation, a bit complicated, analysis table may be a bit difficult to analyseBroad8+Yes (1)Yes (1)Yes (1)Yes (1)NoNoNoNoYes (1)NoNoNoNoNoNoNoIt's possible to track additional behaviors
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BSSDBehavioral Syndromes Scale for DementiaDevanand 1992199210.1017/S104161029200125X15004,98338870400,0000,000Each item is rated 0-6 (except denial, 0-4), and scores are summed for each syndrome. A global score for each syndrome is also given (based on overall impression). Patients with dementia10672.1 ± 9.811.5 ± 4.2ClinicianInterview with caregiverEnglishYesNoNoNoNoNoNoNoNoEnglishOne weekOutpatient clinic0.69-0.83 (for subscores)0.76-0.95 (for subscores)Extremely complicated. Some subsyndromes include items in a rather arbitrary way. Broad30+Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)Yes (7)Yes (2)Yes (1)Yes (3)NoYes (1)NoYes (1)NoNoYes (1)Yes (7 - Denial, Sundowning (2 items), Self-centeredness, Stubborness, Dependency, Stereotypy)5 different subsyndromes, namely dishinibition, apathy, catastrophic reactions, sowndown, denial (rated differently)
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CABOSComputer-Assisted Behavioral Observation SystemBurgio 1994199410.1093/geronj/49.5.p23010613,7722419930,035587188610,0090,000Descriptive statistics of disruptive vocalizationsPatients with dementia1186 ± 7.4NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglishContinuous observation for 2 weeksNursing homealso collects data on location, activity, social environment, sound, use of physical restraint, to orient treatmentNot applicable anymore (used outdate software and hardware). Only focus on verbal distruption. Only investigates frequency, and not severity. Broad1NoYes (1*)NoYes (1*)NoNoYes (1*)Yes (1*)Yes (1*)NoNoNoNoNoNoNoAll grouped into disruptive vocalization
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CAMDEXCambridge Mental Disorders of the Elderly ExaminationRoth 1986198610.1192/bjp.149.6.69818214750,44321331,3019390580,0260,001Not clear (BPSDs are not in the same sections, and there is a separated Depression Scale)Elderly4065MixedObservational and interview with patient and caregiverEnglish, German, Dutch, Italian, Spanish, Portuguese, Polish, DanishYesNoNoYesNoNoNoYesGerman, Dutch, Italian, Polish, DanishEnglish and many others (>5)Not statedOutpatient clinicNo CAMDEX-R, CAMDEX-DS, CAMDEX-DS-IIYes10.1192/bjp.114.512.797Not free; difficult to score, extremely long, mixed with other aspects, doesn't focus on BPSD (both in section A and H). CAMCOG might be more widely used than the BPSD part. BroadNot clearYes (1)NoNoNoNoNoYesYes (21)Yes (1)NoNoNoNoNoNoNo
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CBSChallenging Behavior ScaleMoniz-Cook 2001200110.1348/0144665011637153851,8009478670,23696682460,1320,0060-25 (total number of behaviors), 0-100 (frequency), 0-100 (difficulty), level of challenge (0-400: sum of product of frequency x difficulty)Patients with dementia38282.7 ± 8.1NurseObservationalEnglish, Hebrew, ChineseYesYesNoNoNoNoNoNoHebrewEnglish and other few (< 5)8 weeksNursing homeNo0.82-0.87 (for subscores)0.59-0.66 (for subscores)490.97-0.9910 daysYesBPCComplicated and longBroad25Yes (1)Yes (4)Yes (1)Yes (1)NoYes (2)NoNoYes (3)NoNoNoNoYes (1)Yes (1)Yes (1)Yes (10 - Clinging, interfering with other people, hoarding, suspiciousness, manipulative, lack of self care, spitting, faecal smearing, dangeros behaviour, demands attention)
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CBS-8Columbia Behavior Scale for Dementia Mansbach 2021202110.3928/19404921-20210326-0200000,0000,0000-24 (each item is rated 0-3)Patients with dementia35079.1 ± 10.2NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglishOne monthNursing home0,781Quick; only consider positive symptomsRequires (minimal) training; only evaluates frequencyBroad8Yes (1)Yes (1*)Yes (1)Yes (1)Yes (1*)NoYes (1*)NoYes (1*)NoNoYes (1*)Yes (1*)NoNoNo
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CDBQCalifornia Dementia Behavior Questionnaire Caregiver and Clinical Assessment of Behavioral DisturbanceVictoroff 1997199710.1017/S1041610297004316900,358565737100,0000,0000-248 (I part, frequency), 0-57 (II part, severity)Patients with dementia258CaregiverEnglishYesNoNoNoNoNoNoNoNoEnglishOne month (but also ask if present in the last 6 months)Outpatient clinicNoBEHAVE-AD, CUSPAD0.461, 0.5180.91-0.92 (for subscales)YesCUSPAD, BEHAVE-AD, CMAI, HDI, ZBIAlso evaluate caregiver burdenExtremely long and complicated, redundantBroad62 + 19Yes (3+0)Yes (3+2)Yes (2+0)Yes (1+0)Yes (3+1)Yes (0+7)Yes (12+0)Yes (6+1)Yes (3+0)Yes (4+0)Yes (0+1)Yes (10+0)Yes (0+2)Yes (4+0)Yes (1+0)NoYes (10+4 - Hoarding, shadowing and other cognitive aspects)
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CERAD/BRSDConsortium to Establish a Registry for Alzheimer's Disease/Behavior Rating Scale for DementiaTariot 1995199510.1176/ajp.152.9.13493992814,723247231,0332103320,0700,0035 items rated as present or absent, 43 items rated 0-9 based on frequencyPatients with dementia30373.5 ± 7.812.6 ± 3.7ClinicianInterview with caregiverEnglish, French, KoreanYesNoNoNoYesNoNoNoKoreanEnglish and other few (< 5)One month Outpatient clinicNo17-itemNoLong and complicated, copyrightedBroad48Yes (3)Yes (3)Yes (1)Yes (1)Yes (2)Yes (3)Yes (8)Yes (7)Yes (1)Yes (2)NoYes (5)Yes (1)Yes (2)Yes (1)Yes (2)Yes (6 - Tiredness, change in sexual drive, sudden change in emotion, somatic complaints, daily pattern of confusion, other unspecified)
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CMAICohen-Mansfield Agitation InventoryCohen-Mansfield 1989198910.1093/geronj/44.3.m77104520531,570996986,1933534740,1960,00629-203Elderly40885 [75-99]NurseObservationalEnglish, Chinese, Italian, Dutch, German, Slovak, Spanish, Turkish, Norwegian, Japanese, Polish, French, KoreanYesYesNoYesYesNoNoNoItalian, Dutch, German, Slovak,Turkish, Norwegian, Japanese, Polish, KoreanEnglish and many others (>5)Nurse's shift or 2 weeksNursing homeYes Focus on significantly problematic behaviorsLongBroad29Yes (3)Yes (7)Yes (8*)Yes (1)NoNoNoYes (1)Yes (3)NoNoNoNoNoNoYes (3*)Yes (3 - hoarding, hiding, handling things)
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COBRACaretaker Obstreperous-Behavior Rating AssessmentDrachman 1992199210.1111/j.1532-5415.1992.tb02012.x7912,6245847180,033222591360,0130,00012 different summary scoresPatients with dementia31 (outpatients) + 36 (inpatients)71.5 ± 7.9; 84.9 ± 6.4NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglishNot statedOutpatient clinic or NHEvaluates frequency and severityToo many scoring systemsBroad30Yes (4)Yes (2)Yes (3)Yes (2)NoYes (1)Yes (3)NoYes (1)Yes (1)NoYes (2)NoYes (1)Yes (1)Yes (1)Yes (7 - incontinence, weight change, personality change, pain tolerance, bradykinesia, hoarding, reclusiveness, following)
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CPCECare Plan Checklist for Evidence of Person-Centered Approaches for BPSDResnick 2017201710.1016/j.jamda.2017.10.0211011,9607843140,19607843140,1000,0200-8Patients with dementia13782.0 ± 11.4NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglishNot statedNursing homeNoCMAI, CSDD0.44, 0.380,96Evaluates if a behavior is present and addressedDoesn't evaluate severity or frequencyBroad8Yes (1)Yes (3)Yes (1)NoNoYes (1)NoNoYes (1)NoNoNoNoNoYes (1)NoNoEvaluates whether the identified behaviors are present and addressed in person-centered care plans
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CSDDCornell Scale for Depression in DementiaAlexopoulos 1988198810.1016/0006-3223(88)90038-8213541062,6099706712,023460410,1920,0060-38Patients with dementia8379 [63-92]ClinicianInterview with patient and caregiverEnglish, Norwegian, Chinese, Vietnamese, Italian, Spanish, Dutch, Persian, Japanese, Korean, Arabic, Turkish, Portuguese, Finnish, Thai, Malaysian, German, French, DanishYesYesNoYesYesYesNoYesNorwegian, Vietnamese, Italian, Dutch, Persian, Japanese, Korean, Turkish, Finnish, Thai, Malaysian, German, DanishEnglish and many others (>5)One weekOutpatient clinicNo0,84mCSDD4-MA10.2196/29021Long (30 minutes), confuses severity and frequency (mild or intermittent); not suitable for aphasic patientsBroad19NoYes (1)NoNoYes (1)Yes (1)Yes (1)Yes (5)NoYes (1)NoNoYes (1)Yes (3)NoYes (1)Yes (4 - retardation, multiple physical complaints, weight loss, diurnal variation)
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CUSPADColumbia University Scale for Psychopathology in Alzheimer's diseaseDevanand 1992199210.1001/archneur.1992.00530280051022208226,9102990030,730897010,1060,004Not clearAD patients9172.0 ± 9.8CaregiverEnglish, German, GreekYesNoNoNoNoNoNoNoGerman, GreekEnglish and other few (< 5)One monthOutpatient clinicNoComplicated scoring systemBroad24Yes (1)Yes (1)Yes (1)Yes (1)NoNoYes (10)Yes (1)NoYes (1)NoYes (6)NoYes (1)NoNoYes (1 - sundowning)
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DAIRDementia Apathy Interview and Rating scaleStrauss 2002200210.1097/01.WNN.0000020010.79870.C38484,1791044780,39800995020,0950,0050-3 (average of each completed item, which is rated 0-3)Patients with dementia10075.0 ± 8.5CaregiverEnglish, SpanishYesNoNoYesNoNoNoNoNoEnglish and other few (< 5)One monthOutpatient clinic CERAD/BRSDnot significant0,89Evaluates whether the behavior was present before illness onsetOnly suitable for mild to moderate dementia. Only evaluates frequency. Narrow16NoNoNoNoNoYes (16)NoNoNoNoNoNoNoNoNoNo
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DBDSDementia Behavior Disturbance ScaleBaumgarten 1990199010.1111/j.1532-5415.1990.tb03495.x223346,9470404981,0591900310,1520,0050-112Patients with dementia9677.8 ± 6.2 (sample 1), 68.9 ± 8.2 (sample 2)CaregiverEnglish, Chinese, Japanese, Serbian, SpanishYesYesNoYesNoNoNoNoJapanese, SerbianEnglish and other few (< 5)One weekOutpatient clinicBMD0,730.83-0.84Short version (Japanese, with 5 items), DBD13 (13 items)Only evaluates frequency; also includes cognitive aspectsBroad28Yes (3)Yes (4)Yes (2)Yes (1)NoYes (1)Yes (1)NoYes (4)Yes (2)NoNoNoYes (3)Yes (1)NoYes (6 - getting lost outside, hoarding, hiding, incontinence (x2), throwing food)
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DBRIDysfunctional Behavior Rating InstrumentMolloy 1991199110.1111/j.1600-0447.1991.tb01429.x3731,1897106110,096463022510,0810,0030-125Elderly184CaregiverEnglish YesNoNoNoNoNoNoNoNoEnglishNot statedOutpatient clinic350,75Only evaluates frequency; also includes cognitive aspects; intended also as a screening instrument Broad25Yes (2)Yes (3)Yes (1)Yes (1)Yes (1)Yes (1)Yes (5)NoYes (1)NoNoYes (2)Yes (2)Yes (1)Yes (1)NoYes (4 - repeating stories, being frustrated, keeping changing mind, hiding things)
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DBRSDisruptive Behavior Rating ScalesMungas 1989198910.1177/0891988789002004056401,93353474300,0000,0000-5 (for total score, averaging 4 domain subscores; 0 = not enough data)Patients with dementia16NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglishOne weekNursing home0,9Focus on items which are relevant for treatment, and it's easy to use. Inlcudes a checklist of 21 items to rate subsequent scales.Narrow4Yes (1)Yes (1)Yes (1)Yes (1)NoNoNoNoNoNoNoNoNoNoNoNoNo
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DBSDisruptive Behavior ScaleBeck 1997199710.1080/136078697574072310,91633466140,039840637450,0430,002WSI (weighted severity index)Patients with dementia6272.9 ± 5.5NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglishOne weekNursing home0,8Seems to rate frequency, but also severity (with indexes), but it doesn't seem to provide an understandable total scoreBroad45Yes (2)Yes (5)Yes (14)Yes (1)NoNoNoNoYes (10)Yes (2)NoNoNoNoYes (1)Yes (2)Yes (8 - isolating from others, losing track of own objects, taking objects from others (x2), spitting medication, talking constantly, throwing food, unkeeping personal hygiene)
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DICEDescribe, Investigate, Create, EvaluateKales 2014201410.1111/jgs.127303381141,728395061,3580246910,0330,004NAPatients with dementiaCaregiverEnglishYesNoNoNoNoNoNoNoNoEnglishNAHomeSupports the use of a diary; it's a treatment-oriented approach, evaluates triggers; applicable to any BPSDDoes not give usable indexes; it's not immune to recall bias; it may already be what physicians do when contacted by caregiversNA
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DMASThe Dementia Mood Assessment ScaleSunderland 1988198810.1176/ajp.145.8.955136233,9882697950,67448680350,1690,005Not clear (possibly 0-102, as a sum of the first 17 items scores, but some items have subitems)Patients with dementia2166.9 ± 10.2CaregiverEnglish, Japanese, GermanYesNoNoNoNoNoNoNoJapanese, GermanEnglish and other few (< 5)One weekOutpatient clinic 0.69-0.74YesHamilton depression scale Quite complicated and longBroad17NoYes (1)NoNoYes (1)Yes (2)NoYes (5)NoYes (1)NoNoYes (1)Yes (1)NoYes (1)Yes (4 - psychosomatic complaints, energy, awareness of emotional status, speech)10.1017/S1041610297004031 ; plus items 18-24 not to be included in the score
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DSSSDementia Signs and Symptoms ScaleLoreck 1994199410.1097/00019442-199400210-000092911,032028470,035587188610,0340,001Not clear, probably a sum of items in subscales, with overall judgmentsPatients with dementia5673.2 ± 7.612.3 ± 4.1ClinicianInterview with patient and informantEnglishYesNoNoNoNoNoNoNoNoEnglishOne monthOutpatient clinicBEHAVE-AD, CUSPAD, CSDD0.62-0.93, 0.49-0.73, 0.840,37-0,750.92-0.99For some items severity and frequency are evaluated, for others only severity or frequency; difficult scoring system, longBroad43Yes (1)Yes (3)Yes (1)Yes (1)Yes (3)Yes (2)Yes (8)Yes (5)Yes (2)Yes (1)Yes (4)Yes (4)Yes (1)Yes (2)Yes (1)NoYes (4 - somatic complaints, following, unusual behavior, unsafe behaviors)
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HBSHarmful Behaviors ScaleDraper 2002200210.1046/j.1532-5415.2002.50070.x4142,0398009950,19900497510,0980,0050-92Elderly61083.9 [65-111] NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglish2 weeksNursing homeBEHAVE-AD0,6790,85-0,87 (for shifts)0.896 [0.812-0.944]Not focusing on demented patients, only evaluates frequencyBroad23NoNoYes (2)Yes (1)NoNoNoYes (1)NoYes (1)NoNoNoNoYes (6)Yes (7)Yes (5 - refuses to take part in social activities, alienates staff, burning, other, overdosing medication)
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IASIrritability-Apathy ScaleBurns 1990199010.1097/00005053-199001000-0000415144,7040498440,12461059190,0260,0010-17 (irritability), 0-32 (apathy)HD and AD patients31 (AD), 26 (HD)70.3 ± 7.3 (AD), 48.3 ± 15.1 (HD)ClinicianInterview with relativeEnglishYesNoNoNoNoNoNoNoNoEnglishSince onset of the illnessOutpatient clinicNo0.82 (IS), 0.78 (AS)NoHD patients were significantly more apathetic than AD ones.Quite long, between 20-35 minutes. Limited to two unrelated BPSD. Hard to understand. Narrow10NoNoYes (2*)NoYes (5)NoNoNoNoNoNoYes (5*)NoNoNoNo
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IQIrritability QuestionnaireCraig 2008200810.1016/j.psychres.2007.03.0025774,0425531910,49645390070,1230,009IQ: 0-63 (frequency), 0-63 (severity); CIQ: 0-30 (frequency), 0-30 (severity)HD, AD and psychiatric patients6470 ± 8 (AD), 51 ± 9 (HD)Patient and caregiverEnglish, PersianYesNoNoNoNoNoNoNoPersianEnglish and other few (< 5)2 weeksOutpatient clinicIAS0,370,9It partially relies on patient ability to self-report symptoms; some items go in the opposite direction but add up to a total score (which makes the scale useless)Narrow10 (in the CIQ)NoNoYes (3)Yes (2)NoNoNoNoNoNoNoNoYes (2)NoNoNoYes (3 - withdrawn, critical, frustrated)The items of the IQ are 21
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MBI-CMild Behavioral Impairment ChecklistIsmail 2017201710.3233/JAD-1609791863936,470588247,6470588240,2100,0420-102Patients with MBI > 50 yearsClinician, patient or informantEnglish, Chinese, Persian, Spanish, Italian, French, CzechYesYesNoYesYesNoNoNoItalian, Persian, CzechEnglish and many others (>5)6 monthsOutpatient clinicFocus on pre-dementia phaseNo cut-offs provided, only evaluates severity, possibly redundant, does not differentiate between aggression and agitation, items are not consistently groupedBroad34NoYes (2*)Yes (1*)Yes (1*)Yes (2)Yes (6)Yes (3)Yes (4)Yes (8)Yes (2)NoYes (2)Yes (3*)NoNoNoYes (3 - hoarding, stubborness, lack of empathy)34 items in 5 domains. Items have been derived by consensus.
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MOUSEPADManchester and Oxford Universities Scale for the Psychopathological Assessment of DementiaAllen 1996199610.1192/bjp.169.3.2937352,7969348660,19157088120,0680,003Not clearPatients with dementia32CaregiverEnglishYesNoNoNoNoNoNoNoNoEnglishOne monthOutpatient clinicPBEMini-MOUSEPADNo clear distinction between frequency and severity, quite longBroad59Yes (3)Yes (2)Yes (6*)Yes (5*)NoNoYes (22)NoYes (2)Yes (4)NoYes (15)NoYes (4)NoNoYes (3 - shadowing, hiding, mislay)
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NHBPSNursing Home Behavior Problem ScaleRay 1992199210.1093/geronj/47.1.M9112133,7209302330,43189368770,1160,0040-116Patients with dementia553NurseObservationalEnglish, French, DanishYesNoNoNoYesNoNoNoDanishEnglish and other few (< 5)3 daysNursing homeCMAI0,911YesCMAI, NOSIEOnly evaluates frequencyBroad29Yes (2)Yes (5)Yes (2)Yes (1)NoNoYes (2)NoYes (3)NoNoNoYes (1)Yes (3)Yes (4)Yes (3)Yes (2 - asks or complains about health, complains or whines)
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NPINeuropsychiatric InventoryCummings 1994199410.1212/wnl.44.12.230860421100215,017793639,145907470,1820,0070-120 + 0-50Patients with dementia4075.7 [56-90]CaregiverEnglish, Icelandic, Italian, Chinese, Danish, Polish, Thai, Japanese, Chinese, Portuguese, Hebrew, German, Spanish, Czech, French, Hindi, Korean, Dutch, Finnish, Turkish, Serbian, Norwegian, Swedish, Greek, CroatianYesYesYesYesYesNoYesYesIcelandic, Italian, Danish, Polish, Thai, Japanese, Hebrew, German, Czech, Korean, Dutch, Finnish, Turkish, Serbian, Norwegian, Swedish, Greek, Croatian, Bengali, UrduEnglish and many others (>5)One month (original)Outpatient clinic or NHBEHAVE-AD0.33-0.77 (for items)0,88NPI-12, NPI-13 (NPI-plus), NPI-Q, NPI-NH, NPI-C, mobile app (9 items), NPI-Diary10.1111/ggi.14164, 10.1159/000490380Widely used, reference scale, includes distressMix of different symptomsBroad10Yes (1)Yes (1*)Yes (1*)Yes (1*)Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)In NPI-12Yes (1)Yes (1)Yes (1)In NPI-12NoNoNo
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PASPittsburgh Agitation ScaleRosen 1994199410.1097/00019442-199400210-00008137174,875444840,60498220640,1240,0040-16Patients with dementia25NurseObservationalEnglish, Persian, Chinese, SpanishYesYesNoYesNoNoNoNoPersianEnglish and other few (< 5)1-8 hoursHospital and NH0.82 (hospital), 0.93 (NH)Focusing on agitation domains, quickNarrow4NoYes (2)Yes (1*)Yes (1*)NoNoNoNoNoNoNoNoNoNoYes (1*)NoNoPhysical aggression rated high, verbal aggression rated low
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PBEPresent Behavioral ExaminationHope 1992199210.1017/s003329170003288873162,4252491690,53156146180,2190,007Extremely complicatedPatients with dementia39ClinicianInterview with caregiverEnglishYesNoNoNoNoNoNoNoNoEnglishOne monthOutpatient clinicExtremely complicated scoring system, extremely long, also includes cognitive and other unrelated aspectsBroad121 (+66 nested questions)Yes (28)?Yes (1)Yes (1)????Yes (5)Yes (30)??????Yes, many othersNot available in full
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PEARPerson-environment apathy ratingJao 2016201610.1080/13607863.2015.10436181862,9508196720,98360655740,3330,0566-24 (for each scale)Patients with dementia2482.4 ± 7.0 NurseObservationalEnglishYesNoNoNoNoNoNoNoNoEnglishNot specifiedNursing homeNPI-apathy0.71 (PEAR-apathy)0.84 (PEAR-environment), 0.85 (PEAR-apathy)Also includes a subscale for environmental stimuli (problem-oriented)Narrow6NoNoNoNoNoYes (6)NoNoNoNoNoNoNoNoNoNoNoAlso includes a subscale for environmental stimuli
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RAGERating Scale for Aggressive Behavior in the ElderlyPatel 1992199210.1017/s0033291700032876135154,4850498340,49833887040,1110,0040-61ElderlyNurseObservationalEnglish, Chinese, French, Spanish, JapaneseYesYesNoYesYesNoNoNoJapaneseEnglish and other few (< 5)3 daysNursing home0,89Mixes frequency (first 20 items), seveity (item 18 and 21) and treament (item 19)Broad21NoYes (2)Yes (7)Yes (2)NoNoNoNoNoNoNoNoYes (2)NoYes (2)Yes (1)Yes (4 - critical, antisocial acts, angry with self, global impression)
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RAIDRating Anxiety in DementiaShankar 1999199910.1080/13607869956424160236,9264069260,99567099570,1440,0060-54Patients with dementia8379.1 ± 7.0ClinicianInterview with patient and caregiverEnglish, Persian, Norwegian, Arabic, Spanish, ChineseYesYesNoYesNoYesNoNoPersian, NorwegianEnglish and many others (>5)2 weeksOutpatient clinic0,83YesPSE, Geriatric Mental State, Generalized Anxiety ScaleOnly focusing on anxiety, only evaluates severity (but also include "intermittent" with mild, which is confusing)Narrow18NoYes (3)NoNoYes (6)NoNoNoNoNoNoNoYes (1)Yes (1)NoNoYes (7 - items related to autonomic correlates of anxiety, but aspecific)
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RASRyden Aggression ScaleRyden 1988198810.1097/00002093-198802040-0000325167,3607038120,17595307920,0240,0010-125Patients with dementia18371.1 [45-87]CaregiverEnglishYesNoNoNoNoNoNoNoNoEnglishNot statedHome 0.74-0.90 (for subscales)Only evaluates frequencyNarrow25NoNoYes (16)Yes (4)NoNoNoNoYes (5)NoNoNoNoNoNoNoNo
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RMBPCRevised Memory and Behavior Problems ChecklistTeri 1992199210.1037/0882-7974.7.4.6228988529,833887042,8239202660,0950,0030-96 (for both scales)Patients with dementia20174 ± 8.1Caregiver54 ± 13.1English, German, Spanish, Italian, Thai, Chinese, DutchYesYesNoYesNoNoNoNoItalian, German, Thai, DutchEnglish and many others (>5)Not statedOutpatient clinic, hospital or NH0.67-0.84 (frequency), 0.84-0.90 (caregiver reaction)Also includes memoryBroad24NoNoYes (2)Yes (2)Yes (1)NoNoYes (8)Yes (1)NoNoNoYes (1)Yes (1)NoNoYes (8 - memory (x7), hiding things)
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RTC-DATResistiveness to Care ScaleMahoney 1999199910.1002/(sici)1098-240x(199902)22:1<27::aid-nur4>3.0.co;2-t119115,1515151520,47619047620,0920,0040-156 Patients with dementia6872.8 ± 7.712.2 ± 3.8NurseObservationalEnglish, SwedishYesNoNoNoNoNoNoNoSwedishEnglish and other few (< 5)5 minutesNursing home0,87Evaluates duration and severityNarrow13NoNoNoNoNoNoNoNoNoNoNoNoNoNoYes (13)NoNoSome items overlap (kicking, screaming) with other BPSDs
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SDISleep Disorders InventoryTractenberg 2003200310.1046/j.0962-1105.2003.00374.x135137,0680628270,68062827230,0960,0050-12 (average of severity x frequency)AD patients10475.5 ± 8.612.6 ± 3.8CaregiverEnglish, Japanese, German, French, Spanish, Korean, NorwegianYesNoNoYesYesNoNoNoJapanese, German, Korean, NorwegianEnglish and many others (>5)2 weeksOutpatient clinicNPI0,341YesNPIIncludes caregiver distressNarrow8NoNoNoNoNoNoNoNoNoNoNoNoNoYes (8)NoNoNo
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SOAPDScale for the Observation of Agitation in Persons with Dementia of the Alzheimer typeHurley 19991999no doi4722,0346320350,086580086580,0430,002Weighted coefficientsAD patients5782.7 ± 7.5NurseObservationalEnglish, KoreanYesNoNoNoNoNoNoNoKoreanEnglish and other few (< 5)3 days Nursing home0,7Extremely complicated scoring system, only focusing on agitationNarrow7NoYes (7)NoNoNoNoNoNoNoNoNoNoNoNoNoNoNo
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SSADESigns and Symptoms Accompanying Dementia while EatingTakada 2017201710.1111/opn.12149400,784313725500,0000,00011-55 (both for frequency and severity)Patients with dementia25885.7 ± 7.2DieticiansObservationalEnglish, JapaneseYesNoNoNoNoNoNoNoJapaneseEnglish and other few (< 5)One monthNursing home0,24-0,91 (single items)Only evaluates eating; some items may pertain more to cognitive aspects than behavioral disordersNarrow11Yes (1*)Yes (1*)NoNoNoNoYes (1*)NoNoYes (9*)NoNoNoNoYes (1*)NoYes (2 - dietary agnosia and eating apraxia)
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TBSTroublesome Behavior ScaleAsada 1999199910.1097/00002093-199910000-0000539121,6883116880,51948051950,3080,0130-56AD patients10779.4 ± 8.711.3 ± 3.5CaregiverEnglish, JapaneseYesNoNoNoNoNoNoNoJapaneseEnglish and other few (< 5)Not statedOutpatient clinic or hospital NoPossibly useful to identify issues at homeNot validated, includes items that are not easy to generalize to other cultural contexts.Broad14Yes (2)Yes (2)Yes (1*)Yes (2*)NoNoYes (2)NoNoYes (1)NoNoNoYes (1)NoYes (1)Yes (3 - interfering with a happy home circle, making the dwelling dirty, hiding)
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WCAWeCareAdvisorKales 2016201610.1097/WAD.00000000000001772203,60655737700,0000,000NAPatients with dementiaCaregiverEnglishYesNoNoNoNoNoNoNoNoEnglishNot specified (evaluation after 1 week)HomeInput from users, customizable, treatment-oriented (with an algorithm), allows for notes and feedback, includes a glossary and educational tools, evaluate adherenceLong, it's to be paid, required a computer, still studied (NCT05012410)Yes YesYesYesYesYesYesYesYesYesNoYesYesYesNoNoYes, toiletingDICE approach to assess and manage BPSD
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