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为原住民和/或托雷斯海峡岛民开发认知筛查方案: Guddi 方法筛查。

The development of a cognitive screening protocol for Aboriginal and/or Torres Strait Islander peoples: the Guddi Way screen.

机构信息

Synapse Australia, Impact & Evaluation, West End, Qld 4101, Australia.

Northern Rivers Neuropsychology, Lismore, NSW 2480, Australia.

出版信息

Brain Impair. 2024 Sep;25. doi: 10.1071/IB23058.

DOI:10.1071/IB23058
PMID:39222469
Abstract

Background Many Aboriginal and/or Torres Strait Islander peoples are exposed to risk factors for cognitive impairment. However, culturally appropriate methods for identifying potential cognitive impairment are lacking. This paper reports on the development of a screen and interview protocol designed to flag possible cognitive impairments and psychosocial disability in Aboriginal and/or Torres Strait Islander adults over the age of 16years. Methods The Guddi Way screen includes items relating to cognition and mental functions across multiple cognitive domains. The screen is straightforward, brief, and able to be administered by non-clinicians with training. Results Early results suggest the Guddi Way screen is reliable and culturally acceptable, and correctly flags cognitive dysfunction among Aboriginal and/or Torres Strait Islander adults. Conclusions The screen shows promise as a culturally appropriate and culturally developed method to identify the possibility of cognitive impairments and psychosocial disability in Aboriginal and/or Torres Strait Islander adults. A flag on the Guddi Way screen indicates the need for referral to an experienced neuropsychologist or neuropsychiatrist for further assessment and can also assist in guiding support services.

摘要

背景

许多澳大利亚原住民和/或托雷斯海峡岛民面临认知障碍的风险因素。然而,缺乏针对这种情况的、合适的文化方法来识别潜在的认知障碍。本文报告了一种筛选和访谈方案的制定,旨在发现 16 岁以上的澳大利亚原住民和/或托雷斯海峡岛民成年人中可能存在的认知障碍和心理社会残疾。

方法

Guddi Way 筛选包括与认知和精神功能相关的多个认知领域的项目。该筛选简单、简短,经过培训的非临床医生即可实施。

结果

早期结果表明, Guddi Way 筛选具有可靠性和文化可接受性,并能正确识别澳大利亚原住民和/或托雷斯海峡岛民成年人的认知功能障碍。

结论

该筛选方法具有前景,可作为一种文化上合适且文化上制定的方法,用于识别澳大利亚原住民和/或托雷斯海峡岛民成年人认知障碍和心理社会残疾的可能性。 Guddi Way 筛选上的标记表明需要转介给经验丰富的神经心理学家或神经精神科医生进行进一步评估,也有助于指导支持服务。

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