Raina Sunil Kumar, Raina Sujeet, Chander Vishav, Grover Ashoo, Singh Sukhjit, Bhardwaj Ashok
Department of Community Medicine, Dr. R.P. Government Medical College, Tanda, Himachal Pradesh, India.
J Neurosci Rural Pract. 2013 Apr;4(2):147-53. doi: 10.4103/0976-3147.112744.
Cognitive impairment, characteristic of dementia, is measured objectively by standard neuropsychological (cognitive) tests. Given the diversity of culture and language in India, it is difficult to use a single modified version of MMSE uniformly to Indian population. In this article, we report methods on the development of a cognitive screening instrument suitable for the tribal (Bharmour) elderly (60 years and above) population of Himachal Pradesh, India.
We used a systematic, item-by-item, process for development of a modified version of MMSE suitable for elderly tribal population.
The modifications made in the English version of MMSE and the pretesting and pilot testing thereof resulted in the development of Bharmouri version of cognitive scale.
The study shows that effective modifications can be made to existing tests that require reading and writing; and that culturally sensitive modifications can be made to render the test meaningful and relevant, while still tapping the appropriate cognitive domains.
认知障碍是痴呆症的特征，可通过标准神经心理学（认知）测试进行客观测量。鉴于印度文化和语言的多样性，很难将单一修改版的简易精神状态检查表（MMSE）统一应用于印度人群。在本文中，我们报告了一种适用于印度喜马偕尔邦部落（巴尔穆尔）60岁及以上老年人群的认知筛查工具的开发方法。
我们采用系统的逐项流程来开发适用于部落老年人群的MMSE修改版。
对MMSE英文版所做的修改以及对其进行的预测试和试点测试促成了巴尔穆里认知量表版本的开发。
该研究表明，可以对现有的需要读写能力的测试进行有效修改；并且可以进行文化敏感型修改，以使测试有意义且相关，同时仍能触及适当的认知领域。
