Development of the Thai version of Mini-Cog, a brief cognitive screening test

Development of the Thai version of Mini-Cog, a brief cognitive screening test
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DOI:
10.1111/ggi.12318
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发表时间:
2015-05-01
影响因子:
3.3
通讯作者:
Cross, Jane
Cross, Jane
中科院分区:
医学3区
文献类型:
--
作者:
Trongsakul, Supaporn;Lambert, Rod;Cross, Jane

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目的:认知障碍,如痴呆症,已成为老年人的主要公共健康问题。因此,早期发现糖尿病并提供适当的保健和管理是很重要的,特别是对于需要长期治疗策略的合并糖尿病患者。在泰国,由于大量老年糖尿病患者,以及初级保健环境中的时间限制,需要进行一项简短而有效的认知筛查测试。Mini-Cog是一种短而有效的认知筛查测试,专门为初级保健环境而设计。本研究将英语版翻译成泰语版,然后对评价者之间的信度和同时效度进行了测量。在泰国的一家初级保健中心,21名平均年龄69+/-7岁的泰国老年2型糖尿病患者被招募到一项研究中,调查了Mini-Cog泰语版的评价者间信度和同时效度。0.001,95%CI为0.50~1.00),与2002年泰国简易精神状态检查量表有较好的一致性(r=0.47,P=0.007,95%CI 0.37,0.55)。结论:泰国版Mini-Cog在泰国初级保健机构的认知功能筛查中具有较高的信度和效度。建议将其作为泰国社区老年人口的一种新的认知筛查测试。
Aims: Cognitive impairment, such as dementia, has emerged as the leading public health problem among the elderly. Therefore, early detection of the disorder and providing appropriate healthcare and management is important, particularly, for the patients with comorbid diabetes who require long-term treatment strategies. In Thailand, because of a large number of elderly patients with diabetes, and time constraints in primary care settings, a short and effective cognitive screening test is required. The Mini-Cog is a short and valid cognitive screening test that was specifically designed for use in primary care settings. The present study translated the English language version into a Thai language version, and then measured the interrater reliability and concurrent validity.Methods: The processes of cross-language translation were carried out to develop a Thai language version of the Mini-Cog. A total of 21 Thai older adults with type 2 diabetes with a mean aged of 69 +/- 7 years were recruited into a study investigating the interrater reliability and concurrent validity of the Mini-Cog Thai version in one primary care center in Thailand.Results: The Mini-Cog Thai version showed a good interrater reliability (K = 0.80, P < 0.001, 95% CI 0.50-1.00) and a positive concurrent validity (r = 0.47, P = 0.007, 95% CI 0.37,0.55) with the Mini-Mental State Examination Thai 2002.Conclusions: The findings show that the Thai version of the Mini-Cog is a reliable, performance-based tool in the screening for cognitive function in primary care settings in Thailand. It is recommended that it could be used as a new cognitive screening test for the aging population in the Thai community.