加拿大原住民认知评估（CICA）：加拿大曼尼托林岛阿尼什纳比社区的评分者间信度和效标效度
Canadian Indigenous Cognitive Assessment (CICA): Inter-rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada.
作者信息
Walker Jennifer D, O'Connell Megan E, Pitawanakwat Karen, Blind Melissa, Warry Wayne, Lemieux Andrine, Patterson Christopher, Allaby Cheryl, Valvasori Meghan, Zhao Yantao, Jacklin Kristen
机构信息
School of Rural and Northern Health Laurentian University Sudbury Ontario Canada.
University of Saskatchewan Saskatoon Saskatchewan Canada.
出版信息
Alzheimers Dement (Amst). 2021 Jun 9;13(1):e12213. doi: 10.1002/dad2.12213. eCollection 2021.
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.
引言
尽管痴呆症发病率不断上升，但针对原住民群体的具有文化适应性的认知评估工具却很少。加拿大原住民认知评估（CICA）是与加拿大曼尼托林岛的第一民族共同改编的，它提供了一份简短的多领域认知评估，有英语和阿尼什纳比莫温语两种版本。
方法
我们采用基于社区的参与性研究（CBPR）方法，对15名个体的CICA进行了评分者间信度和重测信度评估。随后，我们在由一名老年病专家评估的55名个体中评估了效度，并确定了有意义的CICA临界分数。
结果
CICA表现出很强的信度（组内相关系数=0.95[0.85,0.98]）。曲线下面积（AUC）为0.98（0.94,1.00），识别可能的痴呆病例的理想切点是分数小于或等于34，敏感性为100%，特异性为85%。
讨论
当用于生活在第一民族社区的老年第一民族男性和女性时，CICA提供了一种文化上安全、可靠且有效的评估，以支持痴呆症病例的发现。
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