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Newly self-administered two-step tool for screening cognitive function in an ageing Chinese population: an
Jing Nie1, Yang Yang1, Yining Gao1
1Department of Geriatric Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
General Psychiatry
|February 10, 2023
Summary
The Thoven Cognitive Self-Assessment (TCSA) effectively identifies early cognitive impairment in older adults. This novel tool shows promise for widespread dementia screening in community settings.
Area of Science:
- Gerontology
- Neuroscience
- Medical Technology
Background:
- Early cognitive function screening is crucial for dementia care.
- Traditional cognitive tests face limitations like cost and in-person administration.
Purpose of the Study:
- To evaluate the Thoven Cognitive Self-Assessment (TCSA) for detecting early dementia-related cognitive impairment in older adults.
- To assess the efficacy of a novel touchscreen-based cognitive assessment tool.
Main Methods:
- The TCSA was administered to healthy controls (HCs), mild cognitive impairment (MCI) patients, and dementia patients.
- Two primary outcome measures were derived: TCSAprimary task score and TCSAsecondary task score.
Main Results:
- TCSA scores were significantly higher in HCs compared to MCI and dementia groups for both tasks (p<0.001).
- Receiver operating characteristic analysis identified TCSAprimary task < 7.5 and TCSAsecondary task < 22.5 as indicators of MCI.
Conclusions:
- The TCSA demonstrates efficacy in detecting cognitive impairment in older adults.
- The TCSA holds potential for large-scale cognitive screening in community health services.

