Instructions for Administration of

Modified Interview for Deterioration in

Daily Living Activities in Dementia
(IDDD)
Patient’s Initials: Patient ID #: Date:
F M L D M Y

The IDDD is not commonly used in clinical practice, and is included for your information only.
This scale examines both self-care and complex instrumental activities and has been shown to correlate with
scores on the CAMCOG — a comprehensive performance-based instrument similar to the ADAS-cog.
This version of the IDDD was modified from the original published scale which evaluated only the severity
of functional impairment. The modification was conducted with the permission and approval of the author,
Dr. Saskia Teunisse. The IDDD now contains the original “severity” scale for use at Baseline, and a “change”
scale for use at subsequent assessments.

Instructions:
This section should be answered on the basis of a structured interview with the Caregiver. The Interviewer is
reminded to review the Patient’s Baseline Severity rating prior to conducting this evaluation. It may be helpful to
use comments recorded from the Baseline assessment to prompt discussion and evaluation of functional activities
specific to this Patient. The Interviewer should encourage the Caregiver to provide concrete descriptions of any
changes noted. Each item should be rated according to the degree of change from the Patient’s level of disability
at Baseline. A seven-point scale is used.

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 B A S E L I N E
Modified Interview for Deterioration in
Daily Living Activities in Dementia
IDDD
Patient’s Initials: Patient ID #: Date:
F M L D M Y

Please tick () the box(es) where appropriate

NONE MILD MODERATE SEVERE
Self-Care Activities 1 2 3 4 5 6 7

1. Initiative to washing       
2. Washing       
3. Initiative to drying       
4. Drying       
5. Initiative to dressing       
6. Dressing       
7. Doing up one’s shoes, buttons       
8. Initiative to brushing one’s       
teeth, combing one’s hair

9. Brushing one’s teeth       

10. Combing one’s hair       
11. Initiative to eating       
12. Preparing a slice of bread       
13. Carving meat       
14. Eating       
15. Initiative to using lavatory       
16. Using lavatory       
Please record any additional comments in the Investigator’s Comment Log. Reference those additional comments
under the appropriate Self-Care Activity.

—2—
 B A S E L I N E
Modified Interview for Deterioration in
Daily Living Activities in Dementia
IDDD
Patient’s Initials: Patient ID #: Date:
F M L D M Y

Please tick () the box(es) where appropriate

NONE MILD MODERATE SEVERE
Complex Activities 1 2 3 4 5 6 7

17. Finding way inside the home       

18. Finding way outside the home       
19. Initiative to shopping       
20. Shopping       
21. Initiative to paying       
22. Paying, making change       
23. Initiative to reading/writing       
24. Reading       
25. Writing       
26. Initiating conversation       
27. Verbal expression       
28. Listening/attention       
29. Language understanding       
30. Initiative to using the telephone       
31. Using the telephone       
32. Finding things       
33. Initiative to putting out gas       
or coffee machine

Please record any additional comments in the Investigator’s Comment Log. Reference those additional comments
under the appropriate Self-Care Activity.

—3—
 Modified Interview for Deterioration in
Daily Living Activities in Dementia
IDDD
Patient’s Initials: Patient ID #: Date:
F M L D M Y

Please tick () the box(es) where appropriate

IMPROVEMENT NO DETERIORATION
Self-Care Activities Marked Moderate Mild CHANGE Mild Moderate Marked

1. Initiative to washing       
2. Washing       
3. Initiative to drying       
4. Drying       
5. Initiative to dressing       
6. Dressing       
7. Doing up one’s shoes, buttons       
8. Initiative to brushing one’s       
teeth, combing one’s hair

9. Brushing one’s teeth       

10. Combing one’s hair       
11. Initiative to eating       
12. Preparing a slice of bread       
13. Carving meat       
14. Eating       
15. Initiative to using lavatory       
16. Using lavatory       
Please record any additional comments in the Investigator’s Comment Log. Reference those additional comments
under the appropriate Self-Care Activity.

—4—
 Modified Interview for Deterioration in
Daily Living Activities in Dementia
IDDD
Patient’s Initials: Patient ID #: Date:
F M L D M Y

Please tick () the box(es) where appropriate

IMPROVEMENT NO DETERIORATION
Complex Activities Marked Moderate Mild CHANGE Mild Moderate Marked

17. Finding way inside the home       

18. Finding way outside the home       
19. Initiative to shopping       
20. Shopping       
21. Initiative to paying       
22. Paying, making change       
23. Initiative to reading/writing       
24. Reading       
25. Writing       
26. Initiating conversation       
27. Verbal expression       
28. Listening/attention       
29. Language understanding       
30. Initiative to using the telephone       
31. Using the telephone       
32. Finding things       
33. Initiative to putting out gas       
or coffee machine

Please record any additional comments in the Investigator’s Comment Log. Reference those additional comments
under the appropriate Self-Care Activity.

—5—