公共卫生 公共卫生
Alicia Boluarte Carbajal1, Arantxa Sánchez Boluarte2,3, Danilo A Sanchez Coronel4
1Universidad Cesar Vallejo, Los Olivos, Lima, Peru.
文化适应认知测试,如修改的迷你精神状态考试 (3MS) 和罗兰普世痴呆症评估量表 (RUDAS),对于准确评估单语,文盲亚马逊社区的痴呆症至关重要. 这种适应确保了早期检测和有针对性的干预.
科学领域:
- 神经科学是一个神经科学.
- 人类学是人类学.
- 公共卫生 公共卫生
背景情况:
- 亚马逊本土社区的痴呆症患病率估计为1-4%.
- 秘鲁的Shawi社区面临着由于单语,低社会经济地位和高文盲率的挑战.
- 现有的认知评估可能不适合文化多样化的土著人口.
研究的目的:
- 为沙维亚马逊社区在文化上适应修改后的迷你精神状态考试 (3MS) 和罗兰普世痴呆症评估尺度 (RUDAS).
- 确保认知评估对土著群体来说是准确和文化相关的.
- 促进在服务不足的人群中早期发现认知障碍.
主要方法:
- 遵守国际测试委员会的文化适应指南.
- 集成聚焦小组讨论 (FGD) 与社区成员以及与利益相关者的认知访谈.
- 专家判断,由母语双语者进行前向后向翻译,并与20名参与者进行试点测试.
主要成果:
- 来自FGD和采访的文化见解为测试项目和管理协议的调整提供了信息.
- 测试项目被调整以反映Shawi的日常生活,包括对文盲个体的替代问题.
- 试点研究解决了理解问题,标准化了管理,并为现场手册提供了信息.
结论:
- 适应的3MS和RUDAS能够在高文盲的单语土著社区中进行准确的认知评估.
- 文化定制的工具对于早期发现认知障碍至关重要.
- 这种适应支持土著社区内的有针对性的干预.
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