Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6522
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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