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巴西土著社区的文化适应的认知评估工具:内容,构造和标准有效性
Camila Carlos Bezerra1,2, Noeli das Neves Toledo2, Diego Ferreira da Silva1
1Department of Medical-Surgical Nursing School of Nursing University of São Paulo São Paulo Brazil.
Alzheimer's & dementia (Amsterdam, Netherlands)
|May 6, 2024
概括
巴西土著认知评估 (BRICA) 工具是为城市土著巴西人进行文化调整的. 这种经过验证的工具改善了土著社区的痴呆症查和管理.
科学领域:
- 神经科学与公共卫生
- 跨文化心理学 跨文化心理学
- 老年学是一门学科.
背景情况:
- 痴呆症在巴西亚马逊地区的土著社区造成了严重的健康负担.
- 这些人群缺乏文化上适当的认知评估工具.
- 这项研究解决了土著社区对文化适应的认知工具的需求.
研究的目的:
- 为巴西马纳乌斯的一个城市多民族土著社区在文化上适应巴西土著认知评估 (BRICA) 工具.
- 为适应的BRICA工具提供有效性指标.
- 提高认知评估的准确性,减少土著人口中的偏见.
主要方法:
- 在BRICA工具的文化适应方面,采用了三阶段的,利益相关方参与的方法.
- 内容有效性使用内容有效性指数 (CVI) 和专家评审者之间的一致性进行了评估.
- 在141名土著参与者 (年龄≥50岁) 中,使用诊断共识标准评估了标准和并发有效性.
主要成果:
- 经过调整的BRICA工具显示出强大的内容有效性,CVI (S-CVI) 评分为0.93的等价性和0.85的相关性.
- 在BRICA的切线分数≤33/39显示出高诊断准确度:94.4%的灵敏度和99.2%的痴呆特异性.
- 积极和负预测值也很高,分别为94.4%和99.2%.
结论:
- 文化适应的BRICA工具显示了城市巴西土著社区的内容,构造和标准有效性的有利指标.
- 布里卡 (BRICA) 工具在解决土著人口认知评估偏见方面取得了重大进展.
- 实施BRICA工具有可能改善土著群体中早期痴呆症的检测和管理.
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