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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
IPA survey of brief cognitive screening instruments
Kenneth I Shulman1, Nathan Herrmann, Henry Brodaty
1Department of Psychiatry, Sunnybrook and Women's, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. ken.shulman@sw.ca
International Psychogeriatrics
|February 10, 2006
Summary
Psychogeriatricians worldwide use a limited number of cognitive screening tools. Effectiveness and ease of administration drive usage, but no single test is adequate for detecting dementia.
Area of Science:
- Geriatric Psychiatry
- Neuropsychology
- Public Health
Background:
- Cognitive screening is crucial for early detection of dementia and neuropsychiatric syndromes.
- Numerous cognitive screening instruments exist, but their usage and effectiveness are not well-documented.
- The International Psychogeriatric Association (IPA) initiated a survey to address this knowledge gap.
Purpose of the Study:
- To identify the most frequently used cognitive screening instruments by geriatric specialists.
- To determine which instruments are considered most useful by these experts.
- To understand the factors influencing the selection and utility of these tools.
Main Methods:
- A survey was distributed in 2004 to members of the IPA and associated geriatric psychiatry associations.
- The survey collected data on respondent demographics, frequency of cognitive screening instrument use, and perceived value.
- Participants could also provide qualitative feedback through written commentary.
Main Results:
- 334 completed surveys were analyzed, with 58% of respondents being geriatric psychiatrists.
- Six instruments were routinely or often used: Mini-mental State Examination, Clock Drawing Test, Delayed Word Recall, Verbal Fluency Test, Similarities, and Trail Making Test.
- Test effectiveness and ease of administration were key predictors of usage frequency; patient factors like culture and education presented challenges.
Conclusions:
- A select group of brief cognitive screening instruments are routinely employed globally by psychogeriatricians.
- Further research is needed to develop evidence-based guidelines for cognitive screening.
- Guidelines are essential for public health initiatives targeting dementia and related neuropsychiatric disorders.
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