Brazilian adaptation of the Addenbrooke's Cognitive Examination-Revised (ACE-R)

Abstract

The Addenbrooke’s Cognitive Examination-Revised (ACE-R) is a highly sensitive and specific tool for the detection of mild dementia. It is particularly useful in differentiating Alzheimer’s disease from frontotemporal dementia. While the first version of the test battery has been adapted in many countries, its revised version has not, probably because it was published very recently.ObjectiveTo translate and adapt the ACE-R for use in the Brazilian population.MethodsTwo independent translations were made from English into Portuguese, followed by two independent back-translations. Few adaptations in accordance to the Brazilian culture and language were made and a first version of the instrument produced. This former version of the ACE-R was administered to 21 cognitively healthy subjects aged 60 years or more, with different educational levels.ResultsThe mean age of the studied sample of healthy elderly was 75.4 years (ranging from 60 to 89 years). Small additional modifications were necessary after the evaluation of the first ten subjects in order to improve comprehension of the test. The final Portuguese version of the ACE-R was produced and was found to be well understood by the remaining 11 subjects, taking an average of 15 minutes to be administered.ConclusionsThe Brazilian version of the ACE-R proved to be a promising cognitive instrument for testing both in research and clinical settings. With this regard, additional studies are currently being carried out in our unit in order to investigate the diagnostic properties of the ACE-R in our milieu.

Analysis of life quality and prevalence of cognitive impairment, anxiety, and depressive symptoms in older adults

“…Total score is 100. High scores are suggestive of better cognitive function (Carvalho & Caramelli, 2007 All individuals who agreed to participate were individually interviewed, signed the Informed Consent form, and answered the sociodemographic and health questionnaire and questions relative to the cognitive performance functions (ACE-R), depressive symptoms (GDS-15), anxiety symptoms (BAI), and perception of quality of life (WHOQOL-BREF).…”

Impact of cognitive stimulation on depression, anxiety, cognition and functional capacity among adults and elderly participants of an open university for senior citizens

“…Addenbrooke's Cognitive Examination-Revised (ACE-R) 10 was used for the cognitive assessment. This examination seeks to assess six cognitive domains separately: orientation; attention; memory; verbal fluency; language and visual-spatial ability.…”

Effects of a Health Education program on cognition, mood and functional capacity

“…And the exclusion criteria were auditory or visual disabilities that hindered communication and application of the tests; presence of cognitive deficit, measured using the ACE-R (15)(16) , with a score inferior to 78 point; and participation in the entire program (including the initial and final assessments).…”

“…The ACER-R was adapted to Brazilian Portuguese and validated (15) . This tool tests five cognitive domains separately.…”