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Assessing everyday action in dementia: A response to de Jonghe (2006)

The Cognitive Neuropsychology Laboratory at Temple University applies neuropsychological models of action processes to the study of everyday action (EA) in dementia. Our ultimate goals are to develop models of EA impairment and inform interventions that promote EA in the home. Our recent paper (Giovannetti et al., 2006b) was an initial step in this overarching plan. We examined differences in EA between participants with Alzheimer's disease (AD) versus Vascular dementia (VaD), two distinct neurocognitive syndromes (see Libon et al., 2004). The groups obtained comparable overall accomplishment scores, but VaD participants made more commissions and accomplished fewer steps when distractor objects were in the workspace. Thus, VaD participants demonstrated a different pattern of EA impairment than AD participants.