Canadian Indigenous Cognitive Assessment (CICA): Inter‐rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada
Abstract 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...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
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| Series: | Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/dad2.12213 |
| _version_ | 1797975529297543168 |
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| author | Jennifer D. Walker Megan E. O'Connell Karen Pitawanakwat Melissa Blind Wayne Warry Andrine Lemieux Christopher Patterson Cheryl Allaby Meghan Valvasori Yantao Zhao Kristen Jacklin |
| author_facet | Jennifer D. Walker Megan E. O'Connell Karen Pitawanakwat Melissa Blind Wayne Warry Andrine Lemieux Christopher Patterson Cheryl Allaby Meghan Valvasori Yantao Zhao Kristen Jacklin |
| author_sort | Jennifer D. Walker |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-11T04:36:59Z |
| format | Article |
| id | doaj.art-81eac5a47d9a433880af7c9e668e8cfe |
| institution | Directory Open Access Journal |
| issn | 2352-8729 |
| language | English |
| last_indexed | 2024-04-11T04:36:59Z |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring |
| spelling | doaj.art-81eac5a47d9a433880af7c9e668e8cfe2022-12-28T09:12:14ZengWileyAlzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring2352-87292021-01-01131n/an/a10.1002/dad2.12213Canadian Indigenous Cognitive Assessment (CICA): Inter‐rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, CanadaJennifer D. Walker0Megan E. O'Connell1Karen Pitawanakwat2Melissa Blind3Wayne Warry4Andrine Lemieux5Christopher Patterson6Cheryl Allaby7Meghan Valvasori8Yantao Zhao9Kristen Jacklin10School of Rural and Northern Health Laurentian University Sudbury Ontario CanadaUniversity of Saskatchewan Saskatoon Saskatchewan CanadaNaandwechige‐Gamig Wikwemikong Health Centre Wikwemikong Ontario CanadaMemory Keepers Medical Discovery Team University of Minnesota Medical School Duluth Minnesota USAMemory Keepers Medical Discovery Team University of Minnesota Medical School Duluth Minnesota USAMemory Keepers Medical Discovery Team University of Minnesota Medical School Duluth Minnesota USAMcMaster University Hamilton Ontario CanadaMcMaster University Hamilton Ontario CanadaSchool of Rural and Northern Health Laurentian University Sudbury Ontario CanadaSchool of Rural and Northern Health Laurentian University Sudbury Ontario CanadaMemory Keepers Medical Discovery Team University of Minnesota Medical School Duluth Minnesota USAAbstract 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.https://doi.org/10.1002/dad2.12213agingcognitive assessmentcross‐culturaldementia |
| spellingShingle | Jennifer D. Walker Megan E. O'Connell Karen Pitawanakwat Melissa Blind Wayne Warry Andrine Lemieux Christopher Patterson Cheryl Allaby Meghan Valvasori Yantao Zhao Kristen Jacklin Canadian Indigenous Cognitive Assessment (CICA): Inter‐rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada Alzheimer’s & Dementia: Diagnosis, Assessment & Disease Monitoring aging cognitive assessment cross‐cultural dementia |
| title | Canadian Indigenous Cognitive Assessment (CICA): Inter‐rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada |
| title_full | Canadian Indigenous Cognitive Assessment (CICA): Inter‐rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada |
| title_fullStr | Canadian Indigenous Cognitive Assessment (CICA): Inter‐rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada |
| title_full_unstemmed | Canadian Indigenous Cognitive Assessment (CICA): Inter‐rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada |
| title_short | Canadian Indigenous Cognitive Assessment (CICA): Inter‐rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada |
| title_sort | canadian indigenous cognitive assessment cica inter rater reliability and criterion validity in anishinaabe communities on manitoulin island canada |
| topic | aging cognitive assessment cross‐cultural dementia |
| url | https://doi.org/10.1002/dad2.12213 |
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