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Culture-Fair Cognitive Screening Tools for Assessment of Cognitive Impairment: A Systematic Review

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posted on 2024-03-20, 09:18 authored by T Chithiramohan, S Santhosh, G Threlfall, L Hull, EB Mukaetova-Ladinska, H Subramaniam, Lucy BeishonLucy Beishon
Background: Cognitive screening tools are important in the detection of dementia, including Alzheimer’s disease; however, they may contain cultural biases. Objective: This review examines culture-fair cognitive screening tools and evaluates their screening accuracy, strengths, and limitations. Methods: Medline, Embase, PsychINFO and CINAHL were searched. The protocol was registered on PROSPERO (CRD42021288776). Included studies used a culture-fair tool to assess cognition in older adults from varying ethnicities. Narrative synthesis was conducted. Results: 28 studies were included assessing eleven different tools. The Rowland Universal Dementia Assessment Scale (RUDAS) was as accurate as the Mini-Mental State Examination (MMSE) (AUC 0.62-0.93), with a similar sensitivity (52–94%) and better specificity (70–98%), and the Multicultural Cognitive Examination (MCE) had improved screening accuracy (AUC 0.99) compared to RUDAS (AUC 0.92). The Visual Cognitive Assessment Test (VCAT) was equivalent to MMSE (AUC 0.84–0.91). The Kimberley Indigenous Cognitive Assessment tool (KICA) had AUC of 0.93–0.95; sensitivity of 90.6%, specificity 92.6%. Conclusions: The RUDAS, KICA and VCAT were superior to MMSE for screening dementia in ethnic minorities. Other tools also showed good screening accuracy. Further research should be done to validate tools in different populations.

History

Author affiliation

College of Life Sciences/Cardiovascular SciencesCollege of Life Sciences/Psychology & Vision Sciences

Version

  • VoR (Version of Record)

Published in

Journal of Alzheimer's Disease Reports

Volume

8

Issue

1

Pagination

289 - 306

Publisher

IOS

eissn

2542-4823

Copyright date

2024

Available date

2024-03-20

Language

en

Deposited by

Dr Lucy Beishon

Deposit date

2024-03-19

Data Access Statement

Data sharing is not applicable to this article as no datasets were generated or analyzed during this study.

Rights Retention Statement

  • No

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