The applicability of the cognitive abilities screening instrument–short (CASI-S) in primary care in Brazil

Oliveira, Glaúcia Martins de; Yokomizo, Juliana Emy; Silva, Laís dos Santos Vinholi e; Saran, Laura; Bottino, Cássio M.C.; Yassuda, Mônica Sanches

doi:10.1017/s1041610215000642

Cited by 16 publications

(14 citation statements)

References 16 publications

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“…Besides benefits for physical health and psychological well-being, 33 recent studies have shown that engagement in physical activity can play a key role in relation to cognitive decline and dementia. 8 , 34 Wang et al 15 assessed engagement in AADLs and cognitive decline in 1,463 elderly without cognitive or physical impairment. The sample was followed for a mean of 2.4 years, and a significant relationship between engagement in physical AADLs and lower decline in episodic memory and language was noted.…”

Section: Discussionmentioning

confidence: 99%

“…In aging, it is necessary to differentiate normal from pathological cognitive decline, as early diagnosis of significant changes in cognitive performance allows better treatment, management and therapeutic planning for the elderly patient and their family members, as well as enabling interventions for prevention and for promotion of mental health in the elderly. 7 , 8 Recent studies have explored the relationship between engagement in advanced activities of daily living (AADLs) and cognitive performance, as a means of favoring successful healthy aging. 9 , 10 AADLs are part of the competencies related to daily functioning, but considered more complex as they depend on motivation and preservation of a group of physical and cognitive competencies enabling independent functioning and social participation in broader settings.…”

Section: Introductionmentioning

confidence: 99%

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Cognitive performance and engagement in physical, social and intellectual activities in older adults: The FIBRA study

Sposito

Néri

Yassuda

2015

Dement. neuropsychol.

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Cognitive decline in aging can negatively impact quality of life in the elderly. However, studies have shown that elderly engaged in advanced activities of daily living (AADLs) can maintain or enhance global cognitive function or specific domains.ObjectiveTo investigate the relationship between engagement in AADLs and domains of cognition in elderly from seven different locations in Brazil.MethodsA cross-sectional study involving 2,549 elderly without cognitive deficits suggestive of dementia was conducted. Data were collected on sociodemographic characteristics, health status, the Mini-Mental State Exam (MMSE) by subdomain (orientation, memory, attention/calculus, language and constructional praxis), and engagement in AADL grouped under physical, social and intellectual activities.ResultsMultivariate linear regression analysis revealed an association, albeit modest, between intellectual AADLs and the domains orientation, attention/calculus, language and constructional praxis (R2=0.005, 0.008, 0.021, and 0.021 respectively). Social AADLs were correlated with memory (R2=0.002) and language (R2=0.004) domains. No association was found between physical AADLs and MMSE domains. Schooling and family income were the sociodemographic variables exhibiting the strongest relationship with cognitive domains.ConclusionThe study found associations between intellectual and social AADLs with higher cognitive performance, suggesting that active aging can provide opportunities to attenuate cognitive decline in aging.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Cognitive performance and engagement in physical, social and intellectual activities in older adults: The FIBRA study

Sposito

Néri

Yassuda

2015

Dement. neuropsychol.

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“…Also discussed in the Cullen et al review, [5] however, was an example of low specificity in some random samples [14]. While there is currently not a significant amount of literature devoted solely to its evaluation relative to the other screening tools discussed, [5,[13][14][15][16] those investigators anticipating the need for cross-cultural applicability may wish to consider utilizing the CASI. It is worth noting that the CASI incorporates elements of the MMSE and the 3MS, thus the convergent validity between these measures can be quite high.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Cognitive Impairment in Older Research Participants

Ingram¹

2017

BJSTR

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In any clinical trial or observational study, a certain level of cognitive function is required in order to ensure participant safety and ability to comply with the study protocol. Participants should adequately understand what is involved in their participation, as well as any potential risks or benefits of participation. The costs of using a specific screening method, however, need to be weighed against the information obtained. This prevents the inefficient use of available resources, such as avoiding assessments that require an extremely long administration time and unnecessarily increase participant burden. Due to the inherent challenges in obtaining a valid assessment of cognitive function in a time efficient manner, all potential assessment measures should be evaluated with a "best fit" approach. Keeping this "best fit" approach in mind, we reviewed and evaluated a number of screening tests for assessing cognitive impairment based on recommendations provided by experts in the field. Based on our review, we provide recommendations about existing methods for screening cognitive function in older research participants. Using the "best fit" approach, we would recommend the Mini-Mental State Examination (MMSE) to screen for cognitive impairment in older research participants. Other measures, such as the Cognitive Abilities Screening Instrument (CASI) and Modified Mini-Mental State (3MS), are indeed promising, but the MMSE can be administered in a time efficient manner and has the highest amount of supporting literature.

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“…No Brasil, há quatro estudos realizados com o CASI-S (Damasceno et al, 2005;de Oliveira et al, 2015;Martinelli et al, 2013;Rezende et al, 2013 (Damasceno et al, 2005).…”

Section: Instrumentos De Rastreio Recomendados Para Atenção Primáriaunclassified

“…A nota de corte sugerida para o CASI-S foi diferente da apresentada em outro estudo derivado de amostra parcialmente compartilhada (de Oliveira et al, 2015 (Gibbons et al, 2009;Lin et al, 2012;McCurry et al, 1999) e gênero (McCurry et al, 1999). O estudo brasileiro com o CASI-S (versão reduzida) encontrou correlação positiva com os anos de escolaridade e negativa com a idade (Damasceno et al, 2005).…”

Section: Casi-sunclassified

Rastreio cognitivo para idosos em atenção primára

Yokomizo¹

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AGRADECIMENTOSDedico este trabalho ao querido Professor Cássio Machado de Campos Bottino, de quem recebi generosidade, paciência, ensinamentos, sabedoria. Engrandeceu o lado mais humano de minha carreira, pois ser uma boa profissional envolve ter o conhecimento atualizado para trabalhar com responsabilidade e a máxima qualidade, sem jamais esquecer da complexidade da pessoa à nossa frente, disponível e confiante de nossa ajuda. Saudades e muita, muita gratidão. Agradeço imensamente aos mestres Professor Ivan Aprahamian e Professora MônicaSanches Yassuda, igualmente generosos, pacientes, humanos, com quem certamente adquiri conhecimento técnico e algumas lições sobre como ser, um dia, uma boa professora.Agradeço aos pacientes e informantes que aceitaram participar desta pesquisa, bem como às equipes das Unidades Básicas de Saúde Cidade Nova São Miguel e Vila Jacuí, especialmente as agentes comunitárias de saúde pela abertura em nos receber.Sou incansavelmente grata à minha família: meus pais, João Takayoshi e Filomena Satiko, que sempre confiaram mais em mim do que eu mesma e que me fizeram, por tanto amor, acreditar que podia muitas coisas. Aos Yokomizo maternos, de cuja união nos fins de semana eu senti muita falta nas vésperas de terminar esta tese. Aos Yokomizo paternos, por toda a inspiração e serenidade que me inspiram em todos os nossos encontros.Agradeço particularmente aos meus avós, Kazuyoshi Yokomizo e Yoneko Yokomizo, inspiradores de trabalho duro e resiliência sem perder a ternura. Aos tios-avós e aos antepassados, que certamente influenciaram em minha escolha de trabalhar com idosos.

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The applicability of the cognitive abilities screening instrument–short (CASI-S) in primary care in Brazil

Abstract: The CASI-S can be useful for dementia screening in primary care in Brazil.

Cited by 16 publications

References 16 publications

Cognitive performance and engagement in physical, social and intellectual activities in older adults: The FIBRA study

Cognitive performance and engagement in physical, social and intellectual activities in older adults: The FIBRA study

Assessment of Cognitive Impairment in Older Research Participants

Rastreio cognitivo para idosos em atenção primára

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