IPA survey of brief cognitive screening instruments
Identifieur interne : 009E80 ( Main/Exploration ); précédent : 009E79; suivant : 009E81IPA survey of brief cognitive screening instruments
Auteurs : Kenneth I. Shulman [Canada] ; Nathan Herrmonn [Canada] ; Henry Brodaty [Australie] ; Helen Chiu [Hong Kong] ; Brian Lawlor [Irlande (pays)] ; Karen Ritchie [France] ; James M. Sconlan [États-Unis]Source :
- International psychogeriatrics [ 1041-6102 ] ; 2006.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Personne âgée.
English descriptors
- KwdEn :
Abstract
Background and objectives: Cognitive screening is a "first step" in detecting dementia and other neuropsychiatric syndromes and hence represents an important public health and clinical initiative. A plethora of cognitive screening instruments has been advocated in recent years, but the extent to which these instruments are used or their effectiveness is not well known. An International Psychogeriatric Association (IPA) survey was designed to determine which cognitive screening instruments were used most frequently by clinicians with special expertise in the neuropsychiatric aspects of old age and also to determine the ones considered most useful by these specialists. Method: Under the auspices of the IPA, the survey was mailed in the fall of 2004 to all IPA members as well as members of the American and Canadian Associations of Geriatric Psychiatry. The survey inquired about demographic information, the frequency of use of cognitive screening instruments, and the value attributed to the cognitive screening instruments. Participants also had an opportunity to provide written commentary. Results: A total of 334 completed surveys were processed. The majority of respondents were geriatric psychiatrists (58%). Of the 20 different instruments that were listed on the survey, only six were selected as "routinely" or "often used" by the survey respondents. These instruments in declining order were: (1) the Folstein Mini-mental State Examination; (2) the Clock Drawing Test; (3) Delayed Word Recall; (4) the Verbal Fluency Test; (5) Similarities; and (6) the Trail Making Test. "Effectiveness" and "ease of administration" were the test characteristics most highly predictive of frequency of use. Open-ended comments highlighted patient factors that continue to provide challenges, including ethnicity/culture, language, education/literacy, and sensory impairment. Respondents concluded that "no single test is adequate." Conclusions: Psychogeriatricians worldwide routinely use a relatively small number of brief cognitive screening instruments. Further evaluation is necessary as the need increases for cognitive screening guidelines that inform public health initiatives related to dementia and neuropsychiatric syndromes.
Affiliations:
- Australie, Canada, France, Hong Kong, Irlande (pays), États-Unis
- Languedoc-Roussillon, Nouvelle-Galles du Sud, Occitanie (région administrative), Ontario
- Montpellier, Sha Tin, Sydney, Toronto
- Université chinoise de Hong Kong, Université de Toronto
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Shulman</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Deportment of Psychiatry, Sunnybrook & Women's, Faculty of Medicine, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Herrmonn, Nathan" sort="Herrmonn, Nathan" uniqKey="Herrmonn N" first="Nathan" last="Herrmonn">Nathan Herrmonn</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Deportment of Psychiatry, Sunnybrook & Women's, Faculty of Medicine, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Brodaty, Henry" sort="Brodaty, Henry" uniqKey="Brodaty H" first="Henry" last="Brodaty">Henry Brodaty</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>University of New South Wales, Academic Department for Old Age Psychiatry, Prince of Wales Hospital</s1><s2>Randwick, Sydney</s2><s3>AUS</s3><sZ>3 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Chiu, Helen" sort="Chiu, Helen" uniqKey="Chiu H" first="Helen" last="Chiu">Helen Chiu</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Psychiatry, Chinese University of Hong Kong</s1><s2>Shatin NT</s2><s3>HKG</s3><sZ>4 aut.</sZ></inist:fA14><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName><orgName type="university">Université chinoise de Hong Kong</orgName></affiliation></author><author><name sortKey="Lawlor, Brian" sort="Lawlor, Brian" uniqKey="Lawlor B" first="Brian" last="Lawlor">Brian Lawlor</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>St. James's Hospital and Trinity College, James's Street</s1><s2>Dublin</s2><s3>IRL</s3><sZ>5 aut.</sZ></inist:fA14><country>Irlande (pays)</country><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Ritchie, Karen" sort="Ritchie, Karen" uniqKey="Ritchie K" first="Karen" last="Ritchie">Karen Ritchie</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>French National Institute of Medical Research (INSERM), La Colombière Hospital</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>6 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Sconlan, James M" sort="Sconlan, James M" uniqKey="Sconlan J" first="James M." last="Sconlan">James M. 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Shulman</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Deportment of Psychiatry, Sunnybrook & Women's, Faculty of Medicine, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Herrmonn, Nathan" sort="Herrmonn, Nathan" uniqKey="Herrmonn N" first="Nathan" last="Herrmonn">Nathan Herrmonn</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Deportment of Psychiatry, Sunnybrook & Women's, Faculty of Medicine, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Brodaty, Henry" sort="Brodaty, Henry" uniqKey="Brodaty H" first="Henry" last="Brodaty">Henry Brodaty</name><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>University of New South Wales, Academic Department for Old Age Psychiatry, Prince of Wales Hospital</s1><s2>Randwick, Sydney</s2><s3>AUS</s3><sZ>3 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName></affiliation></author><author><name sortKey="Chiu, Helen" sort="Chiu, Helen" uniqKey="Chiu H" first="Helen" last="Chiu">Helen Chiu</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>Department of Psychiatry, Chinese University of Hong Kong</s1><s2>Shatin NT</s2><s3>HKG</s3><sZ>4 aut.</sZ></inist:fA14><country>Hong Kong</country><placeName><settlement type="city">Sha Tin</settlement></placeName><orgName type="university">Université chinoise de Hong Kong</orgName></affiliation></author><author><name sortKey="Lawlor, Brian" sort="Lawlor, Brian" uniqKey="Lawlor B" first="Brian" last="Lawlor">Brian Lawlor</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>St. James's Hospital and Trinity College, James's Street</s1><s2>Dublin</s2><s3>IRL</s3><sZ>5 aut.</sZ></inist:fA14><country>Irlande (pays)</country><wicri:noRegion>Dublin</wicri:noRegion></affiliation></author><author><name sortKey="Ritchie, Karen" sort="Ritchie, Karen" uniqKey="Ritchie K" first="Karen" last="Ritchie">Karen Ritchie</name><affiliation wicri:level="3"><inist:fA14 i1="05"><s1>French National Institute of Medical Research (INSERM), La Colombière Hospital</s1><s2>Montpellier</s2><s3>FRA</s3><sZ>6 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region">Occitanie (région administrative)</region><region type="old region">Languedoc-Roussillon</region><settlement type="city">Montpellier</settlement></placeName></affiliation></author><author><name sortKey="Sconlan, James M" sort="Sconlan, James M" uniqKey="Sconlan J" first="James M." last="Sconlan">James M. Sconlan</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine</s1><s2>Seattle, WA</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Seattle, WA</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">International psychogeriatrics</title><title level="j" type="abbreviated">Int. psychogeriatr.</title><idno type="ISSN">1041-6102</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International psychogeriatrics</title><title level="j" type="abbreviated">Int. psychogeriatr.</title><idno type="ISSN">1041-6102</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cognition</term><term>Elderly</term><term>Medical screening</term><term>Senile dementia</term><term>Survey</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Enquête</term><term>Cognition</term><term>Dépistage</term><term>Démence sénile</term><term>Personne âgée</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background and objectives: Cognitive screening is a "first step" in detecting dementia and other neuropsychiatric syndromes and hence represents an important public health and clinical initiative. A plethora of cognitive screening instruments has been advocated in recent years, but the extent to which these instruments are used or their effectiveness is not well known. An International Psychogeriatric Association (IPA) survey was designed to determine which cognitive screening instruments were used most frequently by clinicians with special expertise in the neuropsychiatric aspects of old age and also to determine the ones considered most useful by these specialists. Method: Under the auspices of the IPA, the survey was mailed in the fall of 2004 to all IPA members as well as members of the American and Canadian Associations of Geriatric Psychiatry. The survey inquired about demographic information, the frequency of use of cognitive screening instruments, and the value attributed to the cognitive screening instruments. Participants also had an opportunity to provide written commentary. Results: A total of 334 completed surveys were processed. The majority of respondents were geriatric psychiatrists (58%). Of the 20 different instruments that were listed on the survey, only six were selected as "routinely" or "often used" by the survey respondents. These instruments in declining order were: (1) the Folstein Mini-mental State Examination; (2) the Clock Drawing Test; (3) Delayed Word Recall; (4) the Verbal Fluency Test; (5) Similarities; and (6) the Trail Making Test. "Effectiveness" and "ease of administration" were the test characteristics most highly predictive of frequency of use. Open-ended comments highlighted patient factors that continue to provide challenges, including ethnicity/culture, language, education/literacy, and sensory impairment. Respondents concluded that "no single test is adequate." Conclusions: Psychogeriatricians worldwide routinely use a relatively small number of brief cognitive screening instruments. Further evaluation is necessary as the need increases for cognitive screening guidelines that inform public health initiatives related to dementia and neuropsychiatric syndromes.</div></front></TEI><affiliations><list><country><li>Australie</li><li>Canada</li><li>France</li><li>Hong Kong</li><li>Irlande (pays)</li><li>États-Unis</li></country><region><li>Languedoc-Roussillon</li><li>Nouvelle-Galles du Sud</li><li>Occitanie (région administrative)</li><li>Ontario</li></region><settlement><li>Montpellier</li><li>Sha Tin</li><li>Sydney</li><li>Toronto</li></settlement><orgName><li>Université chinoise de Hong Kong</li><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Shulman, Kenneth I" sort="Shulman, Kenneth I" uniqKey="Shulman K" first="Kenneth I." last="Shulman">Kenneth I. Shulman</name></region><name sortKey="Herrmonn, Nathan" sort="Herrmonn, Nathan" uniqKey="Herrmonn N" first="Nathan" last="Herrmonn">Nathan Herrmonn</name></country><country name="Australie"><region name="Nouvelle-Galles du Sud"><name sortKey="Brodaty, Henry" sort="Brodaty, Henry" uniqKey="Brodaty H" first="Henry" last="Brodaty">Henry Brodaty</name></region></country><country name="Hong Kong"><noRegion><name sortKey="Chiu, Helen" sort="Chiu, Helen" uniqKey="Chiu H" first="Helen" last="Chiu">Helen Chiu</name></noRegion></country><country name="Irlande (pays)"><noRegion><name sortKey="Lawlor, Brian" sort="Lawlor, Brian" uniqKey="Lawlor B" first="Brian" last="Lawlor">Brian Lawlor</name></noRegion></country><country name="France"><region name="Occitanie (région administrative)"><name sortKey="Ritchie, Karen" sort="Ritchie, Karen" uniqKey="Ritchie K" first="Karen" last="Ritchie">Karen Ritchie</name></region></country><country name="États-Unis"><noRegion><name sortKey="Sconlan, James M" sort="Sconlan, James M" uniqKey="Sconlan J" first="James M." last="Sconlan">James M. 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