Title
A brief dementia screener suitable for use by non-specialists in resource poor settings-the cross-cultural derivation and validation of the brief Community Screening Instrument for Dementia
Date Issued
01 January 2011
Access level
open access
Resource Type
review
Author(s)
Prince M.
Acosta D.
Ferri C.P.
Huang Y.
Jacob K.S.
Llibre Rodriguez J.J.
Salas A.
Sosa A.L.
Williams J.D.
Hall K.S.
Publisher(s)
John Wiley and Sons Ltd
Abstract
Objective Brief screening tools for dementia for use by non-specialists in primary care have yet to be validated in non-western settings where cultural factors and limited education may complicate the task. We aimed to derive a brief version of cognitive and informant scales from the Community Screening Instrument for Dementia (CSI-D) and to carry out initial assessments of their likely validity. Methods We applied Mokken analysis to CSI-D cognitive and informant scale data from 15 022 participants in representative population-based surveys in Latin America, India and China, to identify a subset of items from each that conformed optimally to item response theory scaling principles. The validity coefficients of the resulting brief scales (area under ROC curve, optimal cutpoint, sensitivity, specificity and Youden's index) were estimated from data collected in a previous cross-cultural validation of the full CSI-D. Results Seven cognitive items (Loevinger H coefficient 0.64) and six informant items (Loevinger H coefficient 0.69) were selected with excellent hierarchical scaling properties. For the brief cognitive scale, AUROC varied between 0.88 and 0.97, for the brief informant scale between 0.92 and 1.00, and for the combined algorithm between 0.94 and 1.00. Optimal cutpoints did not vary between regions. Youden's index for the combined algorithm varied between 0.78 and 1.00 by region. Conclusion A brief version of the full CSI-D appears to share the favourable culture- and education-fair screening properties of the full assessment, despite considerable abbreviation. The feasibility and validity of the brief version still needs to be established in routine primary care. Copyright © 2010 John Wiley & Sons, Ltd.
Start page
899
End page
907
Volume
26
Issue
9
Language
English
OCDE Knowledge area
Geriatría, Gerontología Psicología (incluye terapias de aprendizaje, habla, visual y otras discapacidades físicas y mentales) Psiquiatría
Scopus EID
2-s2.0-80051868355
PubMed ID
Source
International Journal of Geriatric Psychiatry
ISSN of the container
08856230
Sources of information: Directorio de Producción Científica Scopus