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Screening for cognitive impairment among older people in black and minority ethnic groups
Author(s)Chris Parker, Ian Philp
Journal titleAge and Ageing, vol 33, no 5, September 2004
Pagespp 447-452
Sourcehttp://www.ageing.oupjournals.org
KeywordsEthnic groups ; Assessment procedures for mental patients ; Dementia ; Screening.
AnnotationThere is a well-documented tendency for cognitive tests to underestimate the abilities of older people in black and minority ethnic groups. This gives rise to a subsantially higher risk of mistaken diagnosis of dementia. Reasons include differences in extent or focus of formal education, lack of familiarity with English, lack of literacy in own first language, and culture-specific factors related to individual test items. Translated and/or adapted versions exist for several standardised tests. This article summarises cultural modification and evidence of cross-cultural performance for traditional tests: the Mini-Mental State Examination (MMSE), Short Portable Mental Status Questionnaire (SPMSQ), Short Orientation-Memory-Concentration Test (OMC), Abbreviated Mental Test Score (AMTS), Clifton Assessment Procedures for the Elderly (CAPE), Clock Drawing Test (CDT), Mini-Cog, 7-minute screening battery, and Time and Change Test (T&C). There are promising results on such "culture free" tests, which are seen as less threatening and require little language interpretation; however, more evidence is needed. (RH).
Accession NumberCPA-041115001 A
ClassmarkTK: DA:4C: EA: 3V

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