The assessment tools for Thai dementia in and above primary care

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Orawan Silpakit
Rossukon Chomcheun
Somsri Kittipongpisarn

Abstract

           Objectives To develop screening tools for Thai dementia in the primary setting and the cognitive assessment in and above secondary level.
           Materials and methods First, the meeting for 11 experts was held to conclude the concept for the assessment tools development. Second, the fi rst draft was designed and the standard neuropsychobattery tests were selected. Finally the tools were applied and revised in two groups of elderly at Srithanya Hospital. The study was conducted from June to July 2016.
           Results Experts advised to develop the new tools which congruence with Thai culture, no copyright and should derive items from previous data. The fi rst draft consisted of “What is the day of today”, recall 3 words for the primary level. Secondary level, there were 12-words list, 14 fi gures and other standard battery such as stroop color and word test, digit symbol learning. Experts suggested to revise the word list before testing in seven normal and two demented elderly. However, the word list and fi gures couldn’t classify between groups. Then fi gures and word list were changed both levels prior to testing in seven others elderly. Finally, the word list and fi gures gave positive results.
           Conclusion The assessment tools for Thai dementia consisted of memory domain for primary level and other domains by other standard tests for the secondary level and above, which should be further validated in the clinical setting.

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