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Manifestaciones Clínicas

Justina P Tavana1, John Kauwe1, JoAnn T Tschanz2

  • 1Brigham Young University, Provo, UT, USA.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 26, 2025
PubMed
Resumen
Este resumen es generado por máquina.

Se validaron evaluaciones cognitivas adaptadas culturalmente para las poblaciones samoana y tongana. Estas herramientas mejoran la detección y el diagnóstico tempranos de la enfermedad de Alzheimer y demencias relacionadas (ADRD) en comunidades diversas.

Palabras clave:
evaluaciones cognitivasdemenciapoblaciones diversassamoanostonganosdetección tempranaADRD

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Área de la Ciencia:

  • Neurociencia
  • Gerontología
  • Salud Pública

Sus antecedentes:

  • La evaluación de la salud cognitiva y la investigación sobre demencia requieren herramientas cultural y lingüísticamente diversas.
  • La enfermedad de Alzheimer y las demencias relacionadas (ADRD) afectan a diversas poblaciones a nivel mundial.
  • Los isleños del Pacífico, incluidos los samoanos y tonganos, necesitan instrumentos de evaluación cognitiva adaptados debido a características culturales y lingüísticas distintas.

Objetivo del estudio:

  • Validar las versiones samoana y tongana de las herramientas de detección cognitiva AD8 y CDR.
  • Asegurar evaluaciones cognitivas culturalmente apropiadas y precisas para las comunidades samoana y tongana.
  • Abordar la brecha en la investigación de demencia para poblaciones minoritarias.

Principales métodos:

  • Se reclutaron 26 participantes samoanos y tonganos (mayores de 50 años) de comunidades diaspóricas.
  • Se emplearon entrevistadores bilingües para la recopilación de datos y las evaluaciones cognitivas.
  • Se utilizó una rigurosa traducción, retrotraducción, revisión de expertos y retroalimentación de grupos focales para la validación.

Principales resultados:

  • Se validaron las versiones samoana (AD8-SMN, CDR-SMN) y tongana (AD8-TNG, CDR-TNG) de AD8 y CDR.
  • Se demostró una fuerte confiabilidad interevaluador para AD8 (acuerdo perfecto) y CDR (acuerdo fuerte).
  • Se mostraron sólidas propiedades psicométricas con correlaciones significativas entre las evaluaciones samoana y tongana y el MoCA.

Conclusiones:

  • Las herramientas validadas AD8 y CDR en samoano y tongano proporcionan medios fiables para la detección y el diagnóstico tempranos de ADRD.
  • Estos instrumentos abordan una necesidad crítica de herramientas de investigación de demencia culturalmente apropiadas en poblaciones minoritarias.
  • Las herramientas validadas contribuyen a mejorar los resultados de salud cognitiva y a garantizar una atención equitativa para la demencia.