Dementia Validation Study in Kerala, India

Performance and risk factors of dementia were studied in the elderly population of Kalliyoor panchayat, Kerala, India. The validation study utilized tools like MoCA, EASI, and GDS to screen and diagnose individuals. Lower education and older age were identified as risk factors, with the MoCA showing a strong performance with an AUROC curve of 0.902. A systematic review of prevalence studies in India and a qualitative study on utilizing NICE guidelines for dementia care were also conducted as part of the research.

• Dementia
• Validation Study
• Kerala
• India
• MoCA

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Uploaded on Sep 11, 2024 | 0 Views

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1. DePEC HAP Kerala, India

2. MoCA validation study Validation of Malayalam MoCA Data collection completed

3. MoCA validation Kalliyoor panchayat 4,073 people aged 65 years and over across 21 wards Cluster sampling 21 wards 1,320 people (32.4% of entire population) were screened

4. MoCA validation Tools used MoCA, EASI (for IADLs) GDS (for depression)

5. MoCA validation 311 out of the 364 were seen by a Neurologist (85.4% ) Number Percentage 2018 65y Clinical diagnosis Dementia 21 6.8%, 95% CI 4.0 to 9.5 Mohan et al 2012-14 60y ACE based 5.63 MCI 59 19.0%, 95% CI 14.6 to 23.3 26.06(95 % CI 22.12 to 30.43)

6. Performance of the MoCA Performance of the MoCA AUROC curve of 0.902 (95% CI 0.848 to 0.956). the optimal cut-off was < 15 for dementia (sensitivity 90.5%, specificity 71.0%). Best items - abstraction and orientation

7. Risk factors for dementia Lower education Older age

8. EASI scale AUROC 0.805, 95% CI 0.695 to 0.915.

9. Systematic review Prevalence studies in India Extraction of data one person has finished doing it. Two more persons are working on it

10. Qualitative study on the utilization of NICE guidelines for dementia in Kerala Exploring the perception of consultants in the implementation of guidelines for dementia care Physician related, Guidelines related, Health system related, Social, family / caregiver related Political/administrative related factors The final draft is ready for comments

11. IDEA APP validation study Protocol written IEC clearance from HAP obtained IEC clearance from GMCT 8thMarch 2019 Start study by end of March 2019

12. IDEA APP validation study

13. IDEA APP validation study

14. Kalliyoor Panchayat 2011 census Population 40816 20178 males (49.19%) 20738 females (50.81%). The literacy rate of Kalliyoor is 93.57 % ( Male 95.35 %, female 91.87 %) Proportion of elderly 65 year = 10%

15. Thank you