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Clinical Manifestations.

Isabell Ballasch1, Josef Kessler1, Oezguer A Onur1

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Summary
This summary is machine-generated.

The KINO-MCI, a new picture-based tool, effectively screens for cognitive and daily living difficulties in individuals with suspected dementia or mild cognitive impairment (MCI). It offers a low-linguistic alternative to traditional assessments, proving reliable and valid.

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Area of Science:

  • Neuroscience
  • Gerontology
  • Psychology

Background:

  • Subjective cognitive deficits and activities of daily living (ADL) are critical for diagnosing neurocognitive disorders.
  • Traditional assessment tools often present high linguistic demands, posing challenges for individuals with language impairments or limited literacy.
  • Existing tools are outdated and do not account for digital media usage.

Purpose of the Study:

  • To develop a screening questionnaire with minimal linguistic demands for subjective changes in cognition and ADL.
  • To create a picture-based instrument to overcome limitations of traditional language-heavy assessments.

Main Methods:

  • Developed the Cologne instrument for the non-verbal assessment of subjective impairments in cognition and ADL (KINO-MCI), a picture-based tool.
  • Assessed subjective changes in cognition and ADL using a 0-4 scale across nine domains, comprising 48 items.
  • Included usability/feasibility questionnaires, neuropsychological tests, and language-based questionnaires in the study.

Main Results:

  • The KINO-MCI was assessed in 261 controls and 45 neurological patients; patients reported significantly greater difficulties in most domains.
  • The KINO-MCI showed high user satisfaction regarding graphics, content, instructions, and completion time.
  • The instrument demonstrated significant correlations with language-based questionnaires and external reports, indicating good convergent validity, internal consistency (Cronbach's alpha = .82), and retest reliability (.43-.78).

Conclusions:

  • The picture-based KINO-MCI is effective for assessing subjective cognitive and ADL deficits, comparable to language-based tools.
  • The KINO-MCI exhibits high reliability and validity, aiding in the diagnosis of mild cognitive impairment (MCI) and dementia.
  • This tool is particularly beneficial for individuals with language impairments or barriers, enhancing diagnostic accessibility.