Chula mental test: A screening test for elderly people in less developed countries

Western instruments for assessing cognitive impairment perform badly in less developed countries, producing many false positives. This occurs because many items require literacy and a reasonable level of education. A cognitive impairment screening test for use in less developed countries with high l...

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Main Authors: Sutthichai Jitapunkul, Chanthong Lailert, Puangsoi Worakul, Anan Srikiatkhachorn, Shah Ebrahim
Other Authors: Chulalongkorn University
Format: Article
Published: 2018
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Online Access:https://repository.li.mahidol.ac.th/handle/123456789/17722
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spelling th-mahidol.177222018-07-04T14:28:53Z Chula mental test: A screening test for elderly people in less developed countries Sutthichai Jitapunkul Chanthong Lailert Puangsoi Worakul Anan Srikiatkhachorn Shah Ebrahim Chulalongkorn University Mahidol University UCL Medicine Western instruments for assessing cognitive impairment perform badly in less developed countries, producing many false positives. This occurs because many items require literacy and a reasonable level of education. A cognitive impairment screening test for use in less developed countries with high levels of illiteracy and low educational attainment is needed. The development of such an instrument was attempted. An initial instrument was derived from a review of existing instruments, selecting those items not requiring reading and writing ability. The 36 items obtained were then used with elderly people aged 60+ years who had no evidence of psychiatric, behavioural or psychological disturbance. Subjects were drawn from rural and urban clinical settings and a random sample from a Bangkok slum. Thirteen items showed no relationship with educational attainment and were then considered by an expert panel for utility and domain of cognition covered. The revised instrument, the Chula Mental Test (CMT), was then applied to 212 residents of an old people's home in Bangkok. The validity of the CMT was tested by comparison with a neurologist's independent diagnosis of dementia. Comparisons were made with the Mini-Mental State Examination and the Abbreviated Mental Test. The CMT at its optimal threshold had the best combination of sensitivity (100%) and specificity (90%) for detection of dementia. Test-retest repeatability and internal consistency were high. Translated versions of the CMT may have value in other south and southeast Asian countries. 2018-07-04T07:28:53Z 2018-07-04T07:28:53Z 1996-08-01 Article International Journal of Geriatric Psychiatry. Vol.11, No.8 (1996), 715-720 10.1002/(SICI)1099-1166(199608)11:8<715::AID-GPS374>3.0.CO;2-Q 08856230 2-s2.0-0029794352 https://repository.li.mahidol.ac.th/handle/123456789/17722 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0029794352&origin=inward
institution Mahidol University
building Mahidol University Library
continent Asia
country Thailand
Thailand
content_provider Mahidol University Library
collection Mahidol University Institutional Repository
topic Medicine
spellingShingle Medicine
Sutthichai Jitapunkul
Chanthong Lailert
Puangsoi Worakul
Anan Srikiatkhachorn
Shah Ebrahim
Chula mental test: A screening test for elderly people in less developed countries
description Western instruments for assessing cognitive impairment perform badly in less developed countries, producing many false positives. This occurs because many items require literacy and a reasonable level of education. A cognitive impairment screening test for use in less developed countries with high levels of illiteracy and low educational attainment is needed. The development of such an instrument was attempted. An initial instrument was derived from a review of existing instruments, selecting those items not requiring reading and writing ability. The 36 items obtained were then used with elderly people aged 60+ years who had no evidence of psychiatric, behavioural or psychological disturbance. Subjects were drawn from rural and urban clinical settings and a random sample from a Bangkok slum. Thirteen items showed no relationship with educational attainment and were then considered by an expert panel for utility and domain of cognition covered. The revised instrument, the Chula Mental Test (CMT), was then applied to 212 residents of an old people's home in Bangkok. The validity of the CMT was tested by comparison with a neurologist's independent diagnosis of dementia. Comparisons were made with the Mini-Mental State Examination and the Abbreviated Mental Test. The CMT at its optimal threshold had the best combination of sensitivity (100%) and specificity (90%) for detection of dementia. Test-retest repeatability and internal consistency were high. Translated versions of the CMT may have value in other south and southeast Asian countries.
author2 Chulalongkorn University
author_facet Chulalongkorn University
Sutthichai Jitapunkul
Chanthong Lailert
Puangsoi Worakul
Anan Srikiatkhachorn
Shah Ebrahim
format Article
author Sutthichai Jitapunkul
Chanthong Lailert
Puangsoi Worakul
Anan Srikiatkhachorn
Shah Ebrahim
author_sort Sutthichai Jitapunkul
title Chula mental test: A screening test for elderly people in less developed countries
title_short Chula mental test: A screening test for elderly people in less developed countries
title_full Chula mental test: A screening test for elderly people in less developed countries
title_fullStr Chula mental test: A screening test for elderly people in less developed countries
title_full_unstemmed Chula mental test: A screening test for elderly people in less developed countries
title_sort chula mental test: a screening test for elderly people in less developed countries
publishDate 2018
url https://repository.li.mahidol.ac.th/handle/123456789/17722
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