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Title: | Validation of the Kimberley Cognitive Assessment (KICA-Cog) for Torres Strait Islander Peoples | Authors: | Russell, Sarah G Quigley, Rachel Thompson, Fintan Sagigi, Betty Miller, Gavin LoGiudice, Dina Smith, Kate Flicker, Leon Pachana, Nancy A Kordick, Sarah Strivens, Edward |
Issue Date: | 2024 | Source: | Russell SG, Quigley R, Thompson F, Sagigi B, Miller G, LoGiudice D, Smith K, Flicker L, Pachana NA, Kordick S, Strivens E. Validation of the Kimberley Cognitive Assessment (KICA-Cog) for Torres Strait Islander Peoples. Australas J Ageing. 2024 Sep;43(3):545-552. doi: 10.1111/ajag.13300. Epub 2024 Mar 18. PMID: 38497228. | Journal Title: | Australasian Journal on Ageing | Journal: | Australasian Journal on Ageing | Abstract: | The aim of this study was to validate the Kimberley Indigenous Cognitive Assessment-Cognitive Component (KICA-Cog) adapted for dementia screening in Torres Strait Islander Peoples. Data were obtained from a broader dementia prevalence study completed in the Torres Strait and Northern Peninsula Area between 2015 and 2018. Modifications were made to items from the original KICA-Cog to ensure they were culturally appropriate for the Torres Strait. All participants completed a KICA-Cog and had a comprehensive dementia assessment with a geriatrician experienced in cross-cultural assessment. A total of 255 Torres Strait residents aged 45 years and over completed a KICA-Cog and underwent geriatric assessment. The adapted KICA-Cog showed good validity for dementia diagnosis with a cut point of 33/34 associated with a sensitivity of 81% and specificity of 92% with an area under the ROC curve of 0.91. The KICA-Cog, when modified for the Torres Strait, is a valid cognitive screening tool for dementia. Caution is required when interpreting test scores, as the adapted KICA-Cog had slightly lower sensitivity (ability to detect people with dementia) than the original KICA-Cog. As with all short cognitive tests, individuals with a low KICA-Cog scores should undergo further medical investigations before a dementia diagnosis is considered. | Description: | Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Sarah G Russell, Rachel Quigley, Gavin Miller, Edward Strivens | DOI: | 10.1111/ajag.13300 | Keywords: | cognitive assessment screening instrument;culturally competent health care;dementia;indigenous peoples | Type: | Article |
Appears in Sites: | Cairns & Hinterland HHS Publications |
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File | Description | Size | Format | |
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Validation of the Kimberley Cognitive Assessment KICA‐Cog for Torres Strait.pdf | 521.85 kB | Adobe PDF | View/Open |
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