Movement Disorders (revue)

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Validity of a modified parkinson's disease screening questionnaire in India : Effects of literacy of participants and medical training of screeners and implications for screening efforts in developing countries

Identifieur interne : 001C40 ( PascalFrancis/Corpus ); précédent : 001C39; suivant : 001C41

Validity of a modified parkinson's disease screening questionnaire in India : Effects of literacy of participants and medical training of screeners and implications for screening efforts in developing countries

Auteurs : Nagaraja Sarangmath ; Rohini Rattihalli ; Mona Ragothaman ; Gururaj Gopalkrishna ; Subbakrishna Doddaballapur ; Elan D. Louis ; Uday B. Muthane

Source :

RBID : Pascal:06-0191519

Descripteurs français

English descriptors

Abstract

The prevalence of Parkinson's disease (PD) is low among Indians, except in the Parsis. Data for Indians come from studies using different screening tools and criteria to detect PD. An epidemiological study in India, which has nearly a billion people, more than 18 spoken languages, and varying levels of literacy, requires development and validation of a screening tool for PD. The objectives of this study are to (1) validate a modified version of a widely used screening questionnaire for PD to suit the needs of the Indian population; (2) compare the use of a nonmedical assistant (NMA) with the use of a medical person during screening; and (3) compare the effect of literacy of participants on the validity of the screening tool. The validity of the questionnaire was tested on 125 participants from a home for the elderly. NMAs of similar background and medical personnel administered the modified screening questionnaire. A movement disorder neurologist blind to the responses on the questionnaire, examined participants independently and diagnosed if participants had PD. The questionnaire was validated in the movement disorders clinic. on known PD patients and their family members without PD. In the movement disorders clinic, sensitivity and specificity of the questionnaire were 100% and 89%, respectively. Fifty-seven participants were included for analysis. The questionnaire had a higher sensitivity when NMAs (75%) rather than the medical personnel (61%) administered it, and its specificity was higher with the medical personnel (61%) than with NMAs (55% and 25%). The questionnaire had a higher specificity in literates than illiterates, whereas sensitivity varied considerably. The modified questionnaire translated in a local Indian language had reasonable sensitivity and can be used to screen individuals for PD in epidemiological studies in India. This questionnaire can be administered by NMAs to screen PD and this strategy would reduce manpower costs. Literacy may influence epidemiological estimates when screening PD.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

pA  
A01 01  1    @0 0885-3185
A03   1    @0 Mov. disord.
A05       @2 20
A06       @2 12
A08 01  1  ENG  @1 Validity of a modified parkinson's disease screening questionnaire in India : Effects of literacy of participants and medical training of screeners and implications for screening efforts in developing countries
A11 01  1    @1 SARANGMATH (Nagaraja)
A11 02  1    @1 RATTIHALLI (Rohini)
A11 03  1    @1 RAGOTHAMAN (Mona)
A11 04  1    @1 GOPALKRISHNA (Gururaj)
A11 05  1    @1 DODDABALLAPUR (Subbakrishna)
A11 06  1    @1 LOUIS (Elan D.)
A11 07  1    @1 MUTHANE (Uday B.)
A14 01      @1 Department of Neurology, National Institute of Mental Health and Neurosciences @2 Bangalore @3 IND @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 7 aut.
A14 02      @1 Departments of Epidemiology, National Institute of Mental Health and Neurosciences @2 Bangalore @3 IND @Z 4 aut.
A14 03      @1 Department of Biostatistics, National Institute of Mental Health and Neurosciences @2 Bangalore @3 IND @Z 5 aut.
A14 04      @1 Gertrude H. Sergievsky Center and Department of Neurology, College of Physicians and Surgeons, Columbia University @2 New York, New York @3 USA @Z 6 aut.
A20       @1 1550-1556
A21       @1 2005
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000153322170040
A44       @0 0000 @1 © 2006 INIST-CNRS. All rights reserved.
A45       @0 23 ref.
A47 01  1    @0 06-0191519
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 The prevalence of Parkinson's disease (PD) is low among Indians, except in the Parsis. Data for Indians come from studies using different screening tools and criteria to detect PD. An epidemiological study in India, which has nearly a billion people, more than 18 spoken languages, and varying levels of literacy, requires development and validation of a screening tool for PD. The objectives of this study are to (1) validate a modified version of a widely used screening questionnaire for PD to suit the needs of the Indian population; (2) compare the use of a nonmedical assistant (NMA) with the use of a medical person during screening; and (3) compare the effect of literacy of participants on the validity of the screening tool. The validity of the questionnaire was tested on 125 participants from a home for the elderly. NMAs of similar background and medical personnel administered the modified screening questionnaire. A movement disorder neurologist blind to the responses on the questionnaire, examined participants independently and diagnosed if participants had PD. The questionnaire was validated in the movement disorders clinic. on known PD patients and their family members without PD. In the movement disorders clinic, sensitivity and specificity of the questionnaire were 100% and 89%, respectively. Fifty-seven participants were included for analysis. The questionnaire had a higher sensitivity when NMAs (75%) rather than the medical personnel (61%) administered it, and its specificity was higher with the medical personnel (61%) than with NMAs (55% and 25%). The questionnaire had a higher specificity in literates than illiterates, whereas sensitivity varied considerably. The modified questionnaire translated in a local Indian language had reasonable sensitivity and can be used to screen individuals for PD in epidemiological studies in India. This questionnaire can be administered by NMAs to screen PD and this strategy would reduce manpower costs. Literacy may influence epidemiological estimates when screening PD.
C02 01  X    @0 002B17
C02 02  X    @0 002B17G
C02 03  X    @0 002B17A03
C03 01  X  FRE  @0 Système nerveux pathologie @5 01
C03 01  X  ENG  @0 Nervous system diseases @5 01
C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Parkinson maladie @5 02
C03 02  X  ENG  @0 Parkinson disease @5 02
C03 02  X  SPA  @0 Parkinson enfermedad @5 02
C03 03  X  FRE  @0 Validité @5 09
C03 03  X  ENG  @0 Validity @5 09
C03 03  X  SPA  @0 Validez @5 09
C03 04  X  FRE  @0 Dépistage @5 10
C03 04  X  ENG  @0 Medical screening @5 10
C03 04  X  SPA  @0 Descubrimiento @5 10
C03 05  X  FRE  @0 Questionnaire @5 11
C03 05  X  ENG  @0 Questionnaire @5 11
C03 05  X  SPA  @0 Cuestionario @5 11
C03 06  X  FRE  @0 Inde @2 NG @5 12
C03 06  X  ENG  @0 India @2 NG @5 12
C03 06  X  SPA  @0 India @2 NG @5 12
C03 07  X  FRE  @0 Effort @5 13
C03 07  X  ENG  @0 Effort @5 13
C03 07  X  SPA  @0 Esfuerzo @5 13
C03 08  X  FRE  @0 Pays en développement @5 14
C03 08  X  ENG  @0 Developing countries @5 14
C03 08  X  SPA  @0 Países en desarrollo @5 14
C03 09  X  FRE  @0 Epidémiologie @5 15
C03 09  X  ENG  @0 Epidemiology @5 15
C03 09  X  SPA  @0 Epidemiología @5 15
C07 01  X  FRE  @0 Asie @2 NG
C07 01  X  ENG  @0 Asia @2 NG
C07 01  X  SPA  @0 Asia @2 NG
C07 02  X  FRE  @0 Encéphale pathologie @5 37
C07 02  X  ENG  @0 Cerebral disorder @5 37
C07 02  X  SPA  @0 Encéfalo patología @5 37
C07 03  X  FRE  @0 Extrapyramidal syndrome @5 38
C07 03  X  ENG  @0 Extrapyramidal syndrome @5 38
C07 03  X  SPA  @0 Extrapiramidal síndrome @5 38
C07 04  X  FRE  @0 Maladie dégénérative @5 39
C07 04  X  ENG  @0 Degenerative disease @5 39
C07 04  X  SPA  @0 Enfermedad degenerativa @5 39
C07 05  X  FRE  @0 Système nerveux central pathologie @5 40
C07 05  X  ENG  @0 Central nervous system disease @5 40
C07 05  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 114
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 06-0191519 INIST
ET : Validity of a modified parkinson's disease screening questionnaire in India : Effects of literacy of participants and medical training of screeners and implications for screening efforts in developing countries
AU : SARANGMATH (Nagaraja); RATTIHALLI (Rohini); RAGOTHAMAN (Mona); GOPALKRISHNA (Gururaj); DODDABALLAPUR (Subbakrishna); LOUIS (Elan D.); MUTHANE (Uday B.)
AF : Department of Neurology, National Institute of Mental Health and Neurosciences/Bangalore/Inde (1 aut., 2 aut., 3 aut., 7 aut.); Departments of Epidemiology, National Institute of Mental Health and Neurosciences/Bangalore/Inde (4 aut.); Department of Biostatistics, National Institute of Mental Health and Neurosciences/Bangalore/Inde (5 aut.); Gertrude H. Sergievsky Center and Department of Neurology, College of Physicians and Surgeons, Columbia University/New York, New York/Etats-Unis (6 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2005; Vol. 20; No. 12; Pp. 1550-1556; Bibl. 23 ref.
LA : Anglais
EA : The prevalence of Parkinson's disease (PD) is low among Indians, except in the Parsis. Data for Indians come from studies using different screening tools and criteria to detect PD. An epidemiological study in India, which has nearly a billion people, more than 18 spoken languages, and varying levels of literacy, requires development and validation of a screening tool for PD. The objectives of this study are to (1) validate a modified version of a widely used screening questionnaire for PD to suit the needs of the Indian population; (2) compare the use of a nonmedical assistant (NMA) with the use of a medical person during screening; and (3) compare the effect of literacy of participants on the validity of the screening tool. The validity of the questionnaire was tested on 125 participants from a home for the elderly. NMAs of similar background and medical personnel administered the modified screening questionnaire. A movement disorder neurologist blind to the responses on the questionnaire, examined participants independently and diagnosed if participants had PD. The questionnaire was validated in the movement disorders clinic. on known PD patients and their family members without PD. In the movement disorders clinic, sensitivity and specificity of the questionnaire were 100% and 89%, respectively. Fifty-seven participants were included for analysis. The questionnaire had a higher sensitivity when NMAs (75%) rather than the medical personnel (61%) administered it, and its specificity was higher with the medical personnel (61%) than with NMAs (55% and 25%). The questionnaire had a higher specificity in literates than illiterates, whereas sensitivity varied considerably. The modified questionnaire translated in a local Indian language had reasonable sensitivity and can be used to screen individuals for PD in epidemiological studies in India. This questionnaire can be administered by NMAs to screen PD and this strategy would reduce manpower costs. Literacy may influence epidemiological estimates when screening PD.
CC : 002B17; 002B17G; 002B17A03
FD : Système nerveux pathologie; Parkinson maladie; Validité; Dépistage; Questionnaire; Inde; Effort; Pays en développement; Epidémiologie
FG : Asie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie
ED : Nervous system diseases; Parkinson disease; Validity; Medical screening; Questionnaire; India; Effort; Developing countries; Epidemiology
EG : Asia; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD : Sistema nervioso patología; Parkinson enfermedad; Validez; Descubrimiento; Cuestionario; India; Esfuerzo; Países en desarrollo; Epidemiología
LO : INIST-20953.354000153322170040
ID : 06-0191519

Links to Exploration step

Pascal:06-0191519

Le document en format XML

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<div type="abstract" xml:lang="en">The prevalence of Parkinson's disease (PD) is low among Indians, except in the Parsis. Data for Indians come from studies using different screening tools and criteria to detect PD. An epidemiological study in India, which has nearly a billion people, more than 18 spoken languages, and varying levels of literacy, requires development and validation of a screening tool for PD. The objectives of this study are to (1) validate a modified version of a widely used screening questionnaire for PD to suit the needs of the Indian population; (2) compare the use of a nonmedical assistant (NMA) with the use of a medical person during screening; and (3) compare the effect of literacy of participants on the validity of the screening tool. The validity of the questionnaire was tested on 125 participants from a home for the elderly. NMAs of similar background and medical personnel administered the modified screening questionnaire. A movement disorder neurologist blind to the responses on the questionnaire, examined participants independently and diagnosed if participants had PD. The questionnaire was validated in the movement disorders clinic. on known PD patients and their family members without PD. In the movement disorders clinic, sensitivity and specificity of the questionnaire were 100% and 89%, respectively. Fifty-seven participants were included for analysis. The questionnaire had a higher sensitivity when NMAs (75%) rather than the medical personnel (61%) administered it, and its specificity was higher with the medical personnel (61%) than with NMAs (55% and 25%). The questionnaire had a higher specificity in literates than illiterates, whereas sensitivity varied considerably. The modified questionnaire translated in a local Indian language had reasonable sensitivity and can be used to screen individuals for PD in epidemiological studies in India. This questionnaire can be administered by NMAs to screen PD and this strategy would reduce manpower costs. Literacy may influence epidemiological estimates when screening PD.</div>
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<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Department of Biostatistics, National Institute of Mental Health and Neurosciences</s1>
<s2>Bangalore</s2>
<s3>IND</s3>
<sZ>5 aut.</sZ>
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<fA14 i1="04">
<s1>Gertrude H. Sergievsky Center and Department of Neurology, College of Physicians and Surgeons, Columbia University</s1>
<s2>New York, New York</s2>
<s3>USA</s3>
<sZ>6 aut.</sZ>
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<fA20>
<s1>1550-1556</s1>
</fA20>
<fA21>
<s1>2005</s1>
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<s0>The prevalence of Parkinson's disease (PD) is low among Indians, except in the Parsis. Data for Indians come from studies using different screening tools and criteria to detect PD. An epidemiological study in India, which has nearly a billion people, more than 18 spoken languages, and varying levels of literacy, requires development and validation of a screening tool for PD. The objectives of this study are to (1) validate a modified version of a widely used screening questionnaire for PD to suit the needs of the Indian population; (2) compare the use of a nonmedical assistant (NMA) with the use of a medical person during screening; and (3) compare the effect of literacy of participants on the validity of the screening tool. The validity of the questionnaire was tested on 125 participants from a home for the elderly. NMAs of similar background and medical personnel administered the modified screening questionnaire. A movement disorder neurologist blind to the responses on the questionnaire, examined participants independently and diagnosed if participants had PD. The questionnaire was validated in the movement disorders clinic. on known PD patients and their family members without PD. In the movement disorders clinic, sensitivity and specificity of the questionnaire were 100% and 89%, respectively. Fifty-seven participants were included for analysis. The questionnaire had a higher sensitivity when NMAs (75%) rather than the medical personnel (61%) administered it, and its specificity was higher with the medical personnel (61%) than with NMAs (55% and 25%). The questionnaire had a higher specificity in literates than illiterates, whereas sensitivity varied considerably. The modified questionnaire translated in a local Indian language had reasonable sensitivity and can be used to screen individuals for PD in epidemiological studies in India. This questionnaire can be administered by NMAs to screen PD and this strategy would reduce manpower costs. Literacy may influence epidemiological estimates when screening PD.</s0>
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<s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B17G</s0>
</fC02>
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<s0>002B17A03</s0>
</fC02>
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<s0>Système nerveux pathologie</s0>
<s5>01</s5>
</fC03>
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<s5>01</s5>
</fC03>
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</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Validité</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Validity</s0>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Validez</s0>
<s5>09</s5>
</fC03>
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<s5>10</s5>
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<s5>10</s5>
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<s0>Descubrimiento</s0>
<s5>10</s5>
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<s5>11</s5>
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<fC03 i1="05" i2="X" l="ENG">
<s0>Questionnaire</s0>
<s5>11</s5>
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<s2>NG</s2>
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<s5>12</s5>
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<s5>13</s5>
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<s5>13</s5>
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<s0>Pays en développement</s0>
<s5>14</s5>
</fC03>
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<s0>Developing countries</s0>
<s5>14</s5>
</fC03>
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<s0>Países en desarrollo</s0>
<s5>14</s5>
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<s0>Epidémiologie</s0>
<s5>15</s5>
</fC03>
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<s0>Epidemiology</s0>
<s5>15</s5>
</fC03>
<fC03 i1="09" i2="X" l="SPA">
<s0>Epidemiología</s0>
<s5>15</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Asie</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Asia</s0>
<s2>NG</s2>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Encéphale pathologie</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>39</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Système nerveux central pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
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<fN21>
<s1>114</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
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<fN82>
<s1>OTO</s1>
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<ET>Validity of a modified parkinson's disease screening questionnaire in India : Effects of literacy of participants and medical training of screeners and implications for screening efforts in developing countries</ET>
<AU>SARANGMATH (Nagaraja); RATTIHALLI (Rohini); RAGOTHAMAN (Mona); GOPALKRISHNA (Gururaj); DODDABALLAPUR (Subbakrishna); LOUIS (Elan D.); MUTHANE (Uday B.)</AU>
<AF>Department of Neurology, National Institute of Mental Health and Neurosciences/Bangalore/Inde (1 aut., 2 aut., 3 aut., 7 aut.); Departments of Epidemiology, National Institute of Mental Health and Neurosciences/Bangalore/Inde (4 aut.); Department of Biostatistics, National Institute of Mental Health and Neurosciences/Bangalore/Inde (5 aut.); Gertrude H. Sergievsky Center and Department of Neurology, College of Physicians and Surgeons, Columbia University/New York, New York/Etats-Unis (6 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2005; Vol. 20; No. 12; Pp. 1550-1556; Bibl. 23 ref.</SO>
<LA>Anglais</LA>
<EA>The prevalence of Parkinson's disease (PD) is low among Indians, except in the Parsis. Data for Indians come from studies using different screening tools and criteria to detect PD. An epidemiological study in India, which has nearly a billion people, more than 18 spoken languages, and varying levels of literacy, requires development and validation of a screening tool for PD. The objectives of this study are to (1) validate a modified version of a widely used screening questionnaire for PD to suit the needs of the Indian population; (2) compare the use of a nonmedical assistant (NMA) with the use of a medical person during screening; and (3) compare the effect of literacy of participants on the validity of the screening tool. The validity of the questionnaire was tested on 125 participants from a home for the elderly. NMAs of similar background and medical personnel administered the modified screening questionnaire. A movement disorder neurologist blind to the responses on the questionnaire, examined participants independently and diagnosed if participants had PD. The questionnaire was validated in the movement disorders clinic. on known PD patients and their family members without PD. In the movement disorders clinic, sensitivity and specificity of the questionnaire were 100% and 89%, respectively. Fifty-seven participants were included for analysis. The questionnaire had a higher sensitivity when NMAs (75%) rather than the medical personnel (61%) administered it, and its specificity was higher with the medical personnel (61%) than with NMAs (55% and 25%). The questionnaire had a higher specificity in literates than illiterates, whereas sensitivity varied considerably. The modified questionnaire translated in a local Indian language had reasonable sensitivity and can be used to screen individuals for PD in epidemiological studies in India. This questionnaire can be administered by NMAs to screen PD and this strategy would reduce manpower costs. Literacy may influence epidemiological estimates when screening PD.</EA>
<CC>002B17; 002B17G; 002B17A03</CC>
<FD>Système nerveux pathologie; Parkinson maladie; Validité; Dépistage; Questionnaire; Inde; Effort; Pays en développement; Epidémiologie</FD>
<FG>Asie; Encéphale pathologie; Extrapyramidal syndrome; Maladie dégénérative; Système nerveux central pathologie</FG>
<ED>Nervous system diseases; Parkinson disease; Validity; Medical screening; Questionnaire; India; Effort; Developing countries; Epidemiology</ED>
<EG>Asia; Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
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