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Educational effects on ascertain dementia 8-item informant questionnaire to detect dementia in the Taiwanese population

Published online by Cambridge University Press:  10 December 2017

Sz-Fan Chen ,
Ming-Hsiung Liu ,
Nai-Ching Chen ,
Horng-Dean Horng ,
Wen-Lung Tsao ,
Chiung-Chih Chang  and
Ya-Ting Chang
Sz-Fan Chen
Affiliation:
Departments of Neurology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan
Ming-Hsiung Liu
Affiliation:
Department of Psychiatry, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan
Nai-Ching Chen
Affiliation:
Departments of Neurology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan
Horng-Dean Horng
Affiliation:
Dalin Tzu chi Dementia Center, Department of Neurology, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan
Wen-Lung Tsao
Affiliation:
Dalin Tzu chi Dementia Center, Department of Neurology, Buddhist Dalin Tzu Chi Hospital, Chiayi, Taiwan
Chiung-Chih Chang
Affiliation:
Departments of Neurology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan
Ya-Ting Chang*
Affiliation:
Departments of Neurology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan
*
Correspondence should be addressed to: Dr Ya-Ting Chang, Department of Neurology, Kaohsiung Chang Gung Memorial Hospital, 123, Ta-Pei Road, Niaosung, Kaohsiung 833, Taiwan. Phone: +886-7-731-7123, ext.: 3389; Fax: +886-7-735-1334. Email: emily0606@adm.cgmh.org.tw.
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Abstract

Background:

Dementia screening is a public health priority in Taiwan, where the prevalence of dementia is increasing because of an aging population. However, the reasons affect community-dwelling people to accept a referral to memory specialist clinic after dementia screening was still unclear. To investigate the feasibility, acceptability, sensitivity, and specificity of the ascertain dementia 8-item informant questionnaire (AD8) to screen for patients with cognitive impairments in Taiwan's primary healthcare system.

Methods:

Researchers invited community-dwelling people whose age was above 50-year-old to attend the Memory Screening Project. AD8 was used to perform the informant interview with adult patients who were attending the Memory Screening Project in Taiwan. Individuals who scored ≥2 on the AD8 was suggested to accept referral for further cognitive performance evaluation tests, which included three validated dementia tests, i.e. the Mini-Mental Screening Examination (MMSE), the Cognitive Abilities Screening Instrument (CASI), and the Clinical Dementia Rating (CDR).

Results:

Of the 102 participants who scored ≥2 on the AD8, only 25.5% attended the referral appointment. In participants who had achieved six or more years of education, AD8 scores were not significantly different between groups and could not differentiate between the non-dementia and patients with dementia in the receiver-operator characteristics curve analysis. In contrast, in those participants who had received less than six years of education, the AD8 scores significantly differentiated between non-dementia and patients with dementia (p = 0.03).

Conclusions:

There was a low rate of attendance at a specialist memory clinic following referral after the AD8 interview. Higher levels of education facilitated individuals to make a decision to accept the recommended referral appointment, while the AD8 showed a higher rate of differentiation between individuals who had received an education of less than six years.

Keywords

CASIdementiamemoryMMSEscreening
Type
Original Research Article
Information
International Psychogeriatrics , Volume 30 , Issue 8: Issue Theme: Caregiver Stress , August 2018 , pp. 1189 - 1197
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

Boustani, M., Peterson, B., Hanson, L., Harris, R. and Lohr, K. N. (2003). Screening for dementia in primary care: a summary of the evidence for the U.S. preventive services task force. Annals of Internal Medicine, 138, 927–937.Google Scholar
Carnero Pardo, C., ., .., ., ., . et al. (2013). Assessing the diagnostic accuracy (DA) of the Spanish version of the informant-based AD8 questionnaire. Neurologia, 28, 88–94.Google Scholar
Chang, Y. T. et al. (2016). Hippocampal amyloid burden with downstream fusiform gyrus atrophy correlate with face matching task scores in early stage Alzheimer's disease. Frontiers in Aging Neuroscience, 8, 145.Google Scholar
Chen, C. H., Wang, L. C., Ma, T. C. and Yang, Y. H. (2014). A walk-in screening of dementia in the general population in Taiwan. Scientific World Journal, 2014, 243738.Google Scholar
Correia, C. C. et al. (2011). AD8-Brazil: cross-cultural validation of the ascertaining dementia interview in Portuguese. Journal of Alzheimers Disease, 27, 177–185.Google Scholar
Crum, R. M., Anthony, J. C., Bassett, S. S. and Folstein, M. F. (1993). Population-based norms for the mini-mental state examination by age and educational level. JAMA, 269, 2386–2391.Google Scholar
Dong, Y., Cheng, T. S., Tsou, K. Y., Chan, Q. L. and Chen, C. L. (2014). Feasibility and acceptability of the informant AD8 for cognitive screening in primary healthcare: a pilot study. Scientific World Journal, 2014, 302834.Google Scholar
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.Google Scholar
Fowler, N. R. et al. (2012). Effect of patient perceptions on dementia screening in primary care. Journal of American Geriatrics Society, 60, 1037–1043.Google Scholar
Galvin, J. E. et al. (2005). The AD8: a brief informant interview to detect dementia. Neurology, 65, 559–564.Google Scholar
Galvin, J. E., Roe, C. M., Xiong, C. and Morris, J. C. (2006). Validity and reliability of the AD8 informant interview in dementia. Neurology, 67, 1942–1948.Google Scholar
Li, T., Wang, H. L., Yang, Y. H., Galvin, J. E., Morris, J. C. and Yu, X. (2012). The reliability and validity of Chinese version of AD8. Zhonghua Nei Ke Za Zhi, 51, 777–780.Google Scholar
Lin, K. N., Wang, P. N., Liu, C. Y., Chen, W. T., Lee, Y. C. and Liu, H. C. (2002). Cutoff scores of the cognitive abilities screening instrument, Chinese version in screening of dementia. Dementia and Geriatric Cognitive Disorders, 14, 176–182.Google Scholar
Lin, K. N., Wang, P. N., Liu, H. C. and Teng, E. L. (2012). Cognitive abilities screening instrument, Chinese Version 2.0 (CASI C-2.0): administration and clinical application. Acta Neurologica Taiwanica, 21, 180–189.Google Scholar
Lin, R. T., Lai, C. L., Tai, C. T., Liu, C. K., Yen, Y. Y. and Howng, S. L. (1998). Prevalence and subtypes of dementia in southern Taiwan: impact of age, sex, education, and urbanization. Journal of the Neurological Sciences, 160, 67–75.Google Scholar
Liu, C. K., Lin, R. T., Chen, Y. F., Tai, C. T., Yen, Y. Y. and Howng, S. L. (1996). Prevalence of dementia in an urban area in taiwan. Journal of the Formosan Medical Association, 95, 762–768.Google Scholar
Liu, H. C. et al. (1994). Assessing cognitive abilities and dementia in a predominantly illiterate population of older individuals in Kinmen. Psychological Medicine, 24, 763–770.Google Scholar
Liu, H. C. et al. (1995). Prevalence and subtypes of dementia in Taiwan: a community survey of 5297 individuals. Journal of the American Geriatrics Society, 43, 144–149.Google Scholar
Martin, S. et al. (2015). Attitudes and preferences towards screening for dementia: a systematic review of the literature. BMC Geriatrics, 15, 66.Google Scholar
Meguro, K., Kasai, M., Nakamura, K. and Kurihara, Project m. (2015). Reliability and validity of the Japanese version of the AD8. Nihon Ronen Igakkai Zasshi, 52, 61–70.Google Scholar
Meng, X. and D'Arcy, C. (2012). Education and dementia in the context of the cognitive reserve hypothesis: a systematic review with meta-analyses and qualitative analyses. PLoS One, 7, e38268.Google Scholar
Ng, T. P., Niti, M., Chiam, P. C. and Kua, E. H. (2007). Ethnic and educational differences in cognitive test performance on mini-mental state examination in Asians. The American Journal of Geriatric Psychiatry, 15, 130–139.Google Scholar
Phillipson, L., Magee, C., Jones, S., Reis, S. and Skaldzien, E. (2015). Dementia attitudes and help-seeking intentions: an investigation of responses to two scenarios of an experience of the early signs of dementia. Aging & Mental Health, 19, 968–977.Google Scholar
Ryu, H. J., Kim, H. J. and Han, S. H. (2009). Validity and reliability of the Korean version of the AD8 informant interview (K-AD8) in dementia. Alzheimer Disease & Associated Disorders, 23, 371–376.Google Scholar
Wu, Y. T. et al. (2013). Prevalence studies of dementia in mainland china, Hong Kong and taiwan: a systematic review and meta-analysis. PLoS One, 8, e66252.Google Scholar
Xu, G., Meyer, J. S., Huang, Y., Du, F., Chowdhury, M. and Quach, M. (2003). Adapting mini-mental state examination for dementia screening among illiterate or minimally educated elderly Chinese. International Journal of Geriatric Psychiatry, 18, 609–616.Google Scholar
Yang, Y. H., Galvin, J. E., Morris, J. C., Lai, C. L., Chou, M. C. and Liu, C. K. (2011). Application of AD8 questionnaire to screen very mild dementia in Taiwanese. American Journal of Alzheimers Disease & Other Dementias, 26, 134–138.Google Scholar