Appropriate Dementia Screening Tool for Thai Older Peoples
Keywords:
screening tool, dementia, older peoplesAbstract
Descriptive research to determine the appropriate tool for dementia screening in older people. The sample was people aged 60 years and over and living in communities in Chachoengsao and Nakhon Ratchasima provinces. Data collection between January - June 2018. The research instruments included (1) 14 questions, Mini-Cog, IQCODE-Modified screening by public health volunteers (2) AMT, Mini-Cog (S.Borson) set 1 and set 2, MMSE Thai-2002 and MoCA test by health personnel and (3) Clinical diagnosis by physicians. Results show that in 765 older people were screened for dementia, 5.5% were diagnosed with dementia, 85.9% were mild cognitive impairment, and 8.6% did not have memory problems. The screening 14 questions had the highest reliability of 0.928. The Mini cog had the lowest reliability of 0.340, while the IQCODE had the highest sensitivity of 0.579. The Mini-Cog (S.Borson) set 2 had the highest sensitivity was 0.968. In conclusion, the selection of dementia screening tools should be considered appropriate for the area. Professional users and community health volunteers are required to receive training and practical skills in the use of the tools before using them in the area.
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References
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