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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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