LoGiudice Dina, Strivens Edward, Smith Kate, Stevenson Margaret, Atkinson David, Dwyer Anna, Lautenschlager Nicola, Almeida Osvaldo A, Flicker Leon
National Ageing Research Institute, Victoria and Melbourne Health, Melbourne, Victoria, Australia.
Australas J Ageing. 2011 Dec;30(4):215-9. doi: 10.1111/j.1741-6612.2010.00486.x. Epub 2010 Dec 28.
To describe the development and psychometric properties of the KICA (Kimberley Indigenous Cognitive Assessment) Screen.
A short 10-item version of the KICA, the KICA screen was developed from original data of 363 Aboriginal people. The KICA Screen was subsequently independently validated in a non-random sample of 55 people living in Northern Queensland.
In the original sample the KICA Screen showed an optimal cut-point score of 21/22 (out of a score of 25), and resulted in a sensitivity of 95.6% and specificity of 88.6% with AUC of 0.95 (95% CI 0.91-0.98). This cut point was subsequently tested on 55 people living in Northern Queensland, with a sensitivity of 82.4% and specificity of 88.5% for the diagnosis of dementia, and the area under the ROC (receiver operating characteristic) curve was 0.87 (95% CI 0.77-0.97).
The KICA Screen is a valid and acceptable screening tool among Indigenous Australians living in remote and rural areas of Australia.
描述金伯利原住民认知评估（KICA）筛查工具的开发过程及其心理测量特性。
KICA筛查工具是KICA的一个简短的10项版本，它是根据363名原住民的原始数据开发的。随后，KICA筛查工具在昆士兰北部居住的55人的非随机样本中进行了独立验证。
在原始样本中，KICA筛查工具的最佳切点分数为21/22（满分25分），灵敏度为95.6%，特异性为88.6%，曲线下面积（AUC）为0.95（95%可信区间0.91 - 0.98）。随后，该切点在昆士兰北部居住的55人身上进行了测试，诊断痴呆症的灵敏度为82.4%，特异性为88.5%，ROC（受试者工作特征）曲线下面积为0.87（95%可信区间0.77 - 0.97）。
KICA筛查工具是澳大利亚偏远和农村地区原住民中一种有效且可接受的筛查工具。
