Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults

Divya Vanoh, Suzana Shahar, Rosdinom Razali, Normah Che Din, Hanis Mastura Yahya, Azahadi Omar

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background and aim: Focus on screening for cognitive impairment has to be given particular importance because of the rising older adult population. Thus, this study aimed to develop and assess a brief screening tool consisting of ten items that can be self-administered by community dwelling older adults (TUA-WELLNESS). Methodology: A total of 1,993 noninstitutionalized respondents aged 60 years and above were selected for this study. The dependent variable was mild cognitive impairment (MCI) assessed using neuropsychological test batteries. The items for the screening tool comprised a wide range of factors that were chosen mainly from the analysis of ordinal logistic regression (OLR) and based on past literature. A suitable cut-off point was developed using receiver operating characteristic analysis. Results: A total of ten items were included in the screening tool. From the ten items, eight were found to be significant by ordinal logistic regression and the remaining two items were part of the tool because they showed strong association with cognitive impairment in previous studies. The area under curve (AUC), sensitivity, and specificity for cut-off 11 were 0.84%, 83.3%, and 73.4%, respectively. Conclusion: TUA-WELLNESS screening tool has been used to screen for major risk factors of MCI among Malaysian older adults. This tool is only suitable for basic MCI risk screening purpose and should not be used for diagnostic purpose.

Original languageEnglish
Pages (from-to)579-587
Number of pages9
JournalClinical Interventions in Aging
Volume11
DOIs
Publication statusPublished - 9 May 2016

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Independent Living
Logistic Models
Neuropsychological Tests
ROC Curve
Area Under Curve
Cognitive Dysfunction
Sensitivity and Specificity
Population

Keywords

  • Mild cognitive impairment
  • Screening
  • Sensitivity
  • Specificity
  • TUA-WELLNESS

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

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title = "Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults",
abstract = "Background and aim: Focus on screening for cognitive impairment has to be given particular importance because of the rising older adult population. Thus, this study aimed to develop and assess a brief screening tool consisting of ten items that can be self-administered by community dwelling older adults (TUA-WELLNESS). Methodology: A total of 1,993 noninstitutionalized respondents aged 60 years and above were selected for this study. The dependent variable was mild cognitive impairment (MCI) assessed using neuropsychological test batteries. The items for the screening tool comprised a wide range of factors that were chosen mainly from the analysis of ordinal logistic regression (OLR) and based on past literature. A suitable cut-off point was developed using receiver operating characteristic analysis. Results: A total of ten items were included in the screening tool. From the ten items, eight were found to be significant by ordinal logistic regression and the remaining two items were part of the tool because they showed strong association with cognitive impairment in previous studies. The area under curve (AUC), sensitivity, and specificity for cut-off 11 were 0.84{\%}, 83.3{\%}, and 73.4{\%}, respectively. Conclusion: TUA-WELLNESS screening tool has been used to screen for major risk factors of MCI among Malaysian older adults. This tool is only suitable for basic MCI risk screening purpose and should not be used for diagnostic purpose.",
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author = "Divya Vanoh and Suzana Shahar and Rosdinom Razali and {Che Din}, Normah and Yahya, {Hanis Mastura} and Azahadi Omar",
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AU - Yahya, Hanis Mastura

AU - Omar, Azahadi

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