TY - JOUR
T1 - Canadian indigenous cognitive assessment (Cica)
T2 - Inter-rater reliability and criterion validity in anishinaabe communities on Manitoulin Island, Canada
AU - Walker, Jennifer D.
AU - O’connell, Megan E.
AU - Pitawanakwat, Karen
AU - Blind, Melissa
AU - Warry, Wayne
AU - Lemieux, Andrine
AU - Patterson, Christopher
AU - Allaby, Cheryl
AU - Valvasori, Meghan
AU - Zhao, Yantao
AU - Jacklin, Kristen
N1 - Publisher Copyright:
© 2021 The Authors.
PY - 2021
Y1 - 2021
N2 - Introduction: Despite increasing dementia rates, few culturally informed cognitive assessment tools exist for Indigenous populations. The Canadian Indigenous Cognitive Assessment (CICA) was adapted with First Nations on Manitoulin Island, Canada, and provides a brief, multi-domain cognitive assessment in English and Anishinaabemowin. Methods: Using community-based participatory research (CBPR) methods, we assessed the CICA for inter-rater and test–retest reliability in 15 individuals. We subsequently evaluated validity and established meaningful CICA cut-off scores in 55 individuals assessed by a geriatrician. Results: The CICA demonstrated strong reliability (intra-class coefficient = 0.95 [0.85,0.98]). The area under the curve (AUC) was 0.98 (0.94, 1.00), and the ideal cut-point to identify likely cases of dementia was a score of less than or equal to 34 with sensitivity of 100% and specificity of 85%. Discussion: When used with older First Nations men and women living in First Nations communities, the CICA offers a culturally safe, reliable, and valid assessment to support dementia case-finding.
AB - Introduction: Despite increasing dementia rates, few culturally informed cognitive assessment tools exist for Indigenous populations. The Canadian Indigenous Cognitive Assessment (CICA) was adapted with First Nations on Manitoulin Island, Canada, and provides a brief, multi-domain cognitive assessment in English and Anishinaabemowin. Methods: Using community-based participatory research (CBPR) methods, we assessed the CICA for inter-rater and test–retest reliability in 15 individuals. We subsequently evaluated validity and established meaningful CICA cut-off scores in 55 individuals assessed by a geriatrician. Results: The CICA demonstrated strong reliability (intra-class coefficient = 0.95 [0.85,0.98]). The area under the curve (AUC) was 0.98 (0.94, 1.00), and the ideal cut-point to identify likely cases of dementia was a score of less than or equal to 34 with sensitivity of 100% and specificity of 85%. Discussion: When used with older First Nations men and women living in First Nations communities, the CICA offers a culturally safe, reliable, and valid assessment to support dementia case-finding.
KW - Aging
KW - Cognitive assessment
KW - Cross-cultural
KW - Dementia
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U2 - 10.1002/dad2.12213
DO - 10.1002/dad2.12213
M3 - Article
C2 - 34136637
AN - SCOPUS:85108288044
SN - 2352-8729
VL - 13
JO - Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
JF - Alzheimer's and Dementia: Diagnosis, Assessment and Disease Monitoring
IS - 1
M1 - e12213
ER -