Diagnostic Accuracy of 10/66 Dementia Protocol in Fijian-Indian Elders Living in New Zealand

Martínez-Ruiz, Adrián; Krishnamurthi, Rita; Dahiya, Ekta Singh; Rai-Bala, Reshmi; Naicker, Sanjalin; Yates, Susan; Rivera-Rodriguez, Claudia; Cheung, Gary; Dudley, Makarena; Kerse, Ngaire; Cullum, Sarah

doi:10.3390/ijerph18094870

Cited by 4 publications

(5 citation statements)

References 60 publications

(76 reference statements)

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“…Means, standard deviations are reported for continuous variables, while rates, percentages and proportions were reported for categorical variables. Dementia diagnosis was made using the 10/66 dementia diagnostic algorithm described previously ( Martinez-Ruiz & Krishnamurthi et al, 2021 ). Deductive thematic analysis was used for textual data.…”

Section: Discussionmentioning

confidence: 99%

“…The 10/66 dementia protocol has a sensitivity of up to 94% and a specificity of up to 97% in diagnosing dementia as reported in a global cross-cultural validation study ( Prince et al, 2003 ). It has been translated and validated in multiple languages worldwide, including te reo Māori ( Martinez-Ruiz et al, 2022 ), Hindi and Fijian-Hindi ( Martinez-Ruiz & Krishnamurthi et al, 2021 ), Mandarin and Cantonese ( Prince et al, 2003 ; Subramaniam et al, 2015 ). The 10/66 dementia protocol interview takes approximately 90 minutes to complete, and its main sections are described in Table 2 .…”

Section: Methodsmentioning

confidence: 99%

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Living with Dementia in Aotearoa (LiDiA): A Feasibility Study for a Dementia Prevalence Study in Māori and Non-Māori Living in New Zealand

et al. 2023

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Introduction Recent estimations have projected a threefold increase in dementia prevalence in Aotearoa New Zealand (NZ) by 2050, particularly in Maori and Pacific peoples. However, to date, there are no national data on dementia prevalence, and overseas data are used to estimate the NZ dementia statistics. The aim of this feasibility study was to prepare the groundwork for the first full-scale NZ dementia prevalence study that is representative of Māori, European, Pacific and Asian peoples living in NZ. Methods The main feasibility issues were: (i) Sampling to ensure adequate community representation from the included ethnic groups, (ii) Preparing a workforce to conduct the fieldwork and developing quality control, (iii) Raising awareness of the study in the communities (iv) Maximizing recruitment by door-knocking, (v) Retaining those we have recruited to the study and (vi) Acceptability of study recruitment and assessment using adapted versions of the 10/66 dementia protocol in different ethnic groups living in South Auckland. Results We found that a probability sampling strategy using NZ Census data was reasonably accurate and all ethnic groups were sampled effectively. We demonstrated that we were able to train up a multi-ethnic workforce consisting of lay interviewers who were able to administer the 10/66 dementia protocol in community settings. The response rate (224/297, 75.5%) at the door-knocking stage was good but attrition at subsequent stages was high and only 75/297 (25.2%) received the full interview. Conclusions Our study showed that it would be feasible to conduct a population-based dementia prevalence study using the 10/66 dementia protocol in Māori, European and Asian communities living in NZ, utilizing a qualified, skilled research team representative of the families participating in the study. The study has demonstrated that for recruitment and interviewing in Pacific communities a different but culturally appropriate approach is required.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Living with Dementia in Aotearoa (LiDiA): A Feasibility Study for a Dementia Prevalence Study in Māori and Non-Māori Living in New Zealand

et al. 2023

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“…The same could be said of using these diagnostic tools with Samoan people. There has been work in the LiDiA project to validate the 10/66 diagnostic dementia tool (Martinez-Ruiz et al, 2022), translated into Samoan and Tongan languages, but the work is incomplete and the validity for assessing Pacific elders unclear (Martinez-Ruiz et al, 2021). Given the increasing number of Pacific elders diagnosed with dementia, there is a need for a Pacific theory of dementia and an appropriate care pathway informed by Pacific worldviews and understanding of mental health (Hughes, 2009).…”

Section: Discussionmentioning

confidence: 99%

Living with dementia in Aotearoa New Zealand: Samoan families’ perspectives

Fa’alau,

Peteru,

Fa’alili-Fidow

et al. 2024

AlterNative: An International Journal of Indigenous Peoples

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There is very little research about dementia in Aotearoa (New Zealand) New Zealand (NZ) Pacific communities, but information available suggests that Pacific people are presenting with dementia at a younger age and with more severe cognitive symptoms than do non-Pacific. The Samoan ethnic group is NZ’s largest Pacific population. This study explores experiences and understanding of dementia from family sessions with 25 people from 10 Samoan families living with dementia. Thematic analysis of the interviews showed there was no Samoan concept for dementia as a disease of the brain that required special medical attention; instead, Samoan elders spoke of memory loss as part of ageing, signifying the end to one’s purpose in life. A formal medical diagnosis saw family members honouring their obligations to care for their loved one at home, often at great cost. Culturally appropriate services, incorporating Samoan concepts of care and ageing, were rarely available.

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“… 5 To be able to cover this gap, nonspecialists are being proposed to be trained using newly developed instruments applicable in community. 10 11 12 …”

Section: Discussionmentioning

confidence: 99%

“…5 To be able to cover this gap, nonspecialists are being proposed to be trained using newly developed instruments applicable in community. [10][11][12] Since dementia is incurable at present, therefore, primary and secondary prevention of dementia by treating risk factors and promotion of protective lifestyle factors appears to be a feasible option. It goes without saying that for effective handling of dementia crises, we need to empower the primary healthcare workers (e.g., doctors and nurses) in screening and management of dementia.…”

Section: Discussionmentioning

confidence: 99%

Community Screening of Probable Dementia at Primary Care Center in Western India: A Pilot Project

Dhikav

Jadeja

Gupta

2022

JNRP

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Introduction Timely detecting dementia is an important goal of clinicians and public health professionals alike for better management and prevention of complications. Community screening of dementia could be a powerful strategy. Facilities for dementia screening at primary care level are virtually nonexistent and are a prominent implementation gap. Hence, a study was done to assess the feasibility of dementia screening at primary care using General Practitioner Assessment of Cognition (GPCoG) scale among older adults with subjective memory complaints. It was further aimed to assess the frequency of cardiovascular risk factors in those who met screening criteria for cognitive impairment. Materials and Methods Older adults coming to three urban primary care centers in western India for screening of noncommunicable diseases such as diabetes and hypertension (opportunistic screening) with subjective memory complaints were enrolled and screened for dementia using GPCoG. A Mini-Mental State Examination (MMSE) was done in patients who came alone for referral purpose in case the score levels in GPCoG examination met cutoff limits for informant interview. Written medical records were examined to assess status of comorbid vascular risk factors such as diabetes, hypertension, coronary artery disease, and cerebrovascular accidents. Results A total of 350 older adults (M:F = 276: 74; mean age ± 68 ± 6.7 years) were screened out of 3,000 older adults who reported during the study period. There were 161 older adults with GPCoG score less than or equal to 5 (56.14%) and 149 subjects with MMSE less than or equal to 24 indicating significant cognitive impairment (42.5%). There were very few (n = 11, 3.14%) out of 350 people who came with caregivers; hence, MMSE was done along with for referral to healthcare providers. A total of 142 had comorbid diabetes/and or hypertension (40.5%). A total of 86 had diabetes alone (24.5%) and a total of 128 had hypertension (36.5%). Conclusion Current study results indicate that using a simple screening tool such as GPCoG, community screening of probable dementia, is feasible in primary care settings, as is indicated by significant yield of probable dementia cases (42.5%). These cases can be referred to appropriate centers for further workup, confirmation of diagnosis, and treatment. Also, detection of comorbid cardiovascular conditions, for example, diabetes and hypertension, that can be managed along with cognitive impairment/dementia for potential prevention/further deterioration, which can strengthen noncommunicable disease screening.

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Diagnostic Accuracy of 10/66 Dementia Protocol in Fijian-Indian Elders Living in New Zealand

Cited by 4 publications

References 60 publications

Living with Dementia in Aotearoa (LiDiA): A Feasibility Study for a Dementia Prevalence Study in Māori and Non-Māori Living in New Zealand

Living with Dementia in Aotearoa (LiDiA): A Feasibility Study for a Dementia Prevalence Study in Māori and Non-Māori Living in New Zealand

Living with dementia in Aotearoa New Zealand: Samoan families’ perspectives

Community Screening of Probable Dementia at Primary Care Center in Western India: A Pilot Project

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