Memory is a cognitive domain extensively evaluated in the neuropsychiatric setting. Assessment tools with appropriate norms for age and educational level are necessary for the proper interpretation of results.Objective:To present normative data for older adults stratified by age and education for the Rivermead Behavioral Memory Test (RBMT). The effect of age and education on the total and sub-test scores was also analyzed. Methods:A cross-sectional study involving a sample of 233 healthy elderly from a third-age group in Porto Alegre with an average age of 70 (SD 7.9) years and 10.7 (SD 4.8) years of education was carried out. The RBMT is considered an ecologically valid memory test, since it includes tasks similar to everyday situations. The sample was stratified into the following age groups: 60-69 years, 70-79 years and > 80 years. The sample was also divided into individuals with < 8 years and ≥ 8 years of education. Pearson's Chi-squared test and Spearman correlations were used. Results:The elderly participants with low educational level had worse performance on all sub-tests, except the Pictures, Messages, Belongings and Orientation. Older elderly performed worse for total RBMT score and on the Face Recognition, Immediate and Delayed Route, Messages and Belongings subtests (p ≤ 0.005). Conclusion:Education and age significantly influenced RBMT scores. Therefore, norms for this test should be stratified according to these factors.
Resumo objetivo: realizar a tradução e adaptação cultural para o português brasileiro do instrumento de rastreio de demência Vellore, para aplicação por não-especialistas, na comunidade de baixa escolaridade. método: a tradução e a adaptação cultural se desenvolveram em quatro passos e seguiram as diretrizes estabelecidas pela ISPOr. Inicialmente foi realizada a tradução do instrumento para o português de forma literal após as duas retrotraduções para a língua inglesa que foram realizadas de forma independente e comparadas com a versão original. Resultados: O instrumento final apresentou pequenas modificações em alguns termos usuais, com o intuito de serem facilmente compreendidos em uma população de baixa escolaridade, resultando em alterações semânticas para a adaptação cultural. Conclusão: O Vellore é um instrumento de rastreamento breve, com aplicabilidade em visitas domiciliares por agentes comunitários de saúde ou outro profissional da saúde para o acompanhamento de indivíduos em situação de risco para o desenvolvimento de declínio cognitivo junto a atenção primária. atualmente, o instrumento Vellore está disponível gratuitamente na versão em português brasileiro, e sua validação está em andamento.Palavras-chave: Vellore; Idosos; Cognição; Escolaridade; atenção primária.ABsTRACT objective: Conduct a translation and cultural adaptation of the dementia tracking instrument Vellore into Brazilian Portuguese, to be applied by non-specialists in low-education communities. methodology: The translation and cultural adaptation were developed in four steps and followed the guidelines established by ISPOr. Initially, a literal translation of the instrument into Brazilian Portuguese was done, followed by two independently conducted retro-translations into English, which were then compared to the original English version. Results: The finished instrument contains some small modifications to common terms, with the goal of making it easily comprehensible to a low-education population, resulting in semantic alterations for cultural adaptation.
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