Comparison of Three Cognitive Screening Tools in Older Urban and Regional Aboriginal Australians

被引:33
|
作者
Radford, Kylie [1 ,2 ]
Mack, Holly A. [1 ]
Draper, Brian [1 ,2 ,3 ]
Chalkley, Simon [1 ,2 ,3 ]
Delbaere, Kim [1 ,2 ]
Daylight, Gail [3 ]
Cumming, Robert G. [1 ,4 ]
Bennett, Hayley [1 ]
Broe, Gerald A. [1 ,2 ]
机构
[1] Neurosci Res Australia, Sydney, NSW, Australia
[2] Univ New S Wales, Fac Med, Sydney, NSW, Australia
[3] NSW Hlth, South Eastern Sydney Local Hlth Dist, Sydney, NSW, Australia
[4] Univ Sydney, Sch Publ Hlth, Sydney, NSW 2006, Australia
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
Dementia; Indigenous population; Cognitive impairment; Community sample; Neuropsychological assessment; Mini-Mental State Examination; Kimberley Indigenous Cognitive Assessment; Rowland Universal Dementia Assessment Scale; ROWLAND UNIVERSAL DEMENTIA; MINI-MENTAL-STATE; ASSESSMENT SCALE RUDAS; INDIGENOUS AUSTRALIANS; MULTICULTURAL COHORT; IMPAIRMENT; PERFORMANCE; MMSE; ASSOCIATION; BATTERY;
D O I
10.1159/000377673
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Validated cognitive screening tools for use in urban and regional Aboriginal populations in Australia are lacking. Methods: In a cross-sectional community-based study, 235 participants were assessed on the Mini-Mental State Examination (MMSE), the Rowland Universal Dementia Assessment Scale (RUDAS) and an urban modification of the Kimberley Indigenous Cognitive Assessment (mKICA). Performance on these cognitive screening tools was compared to dementia diagnosis by clinical consensus. Results: All tests were culturally acceptable with good psychometric properties. Receiver operating characteristic curve analyses revealed that the MMSE and mKICA were the most accurate. Conclusion: The MMSE is an effective cognitive screening tool in urban Aboriginal populations. The mKICA is a good alternative when illiteracy, language or cultural considerations deem it appropriate. The RUDAS also has adequate validity in this population. (C) 2015 S. Karger AG, Basel
引用
收藏
页码:22 / 32
页数:11
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