Dementia in Taiwan area

Yang, Yuan‐Han

doi:10.18679/cn11-6030/r.2016.011

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…We have also reported the rule of treatment of AD in Taiwan elsewhere. 14 In our study, we found a higher risk of UI in patients with AD than in the general population. However, the pathophysiological mechanism for UI in AD has not been well known but is presumed to be multifactorial.…”

Section: Discussionsupporting

confidence: 51%

Urinary Incontinence in Alzheimer’s Disease

Lee

Juan

et al. 2016

Am J Alzheimers Dis Other Demen

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Section: Discussionsupporting

confidence: 51%

Urinary Incontinence in Alzheimer’s Disease

Lee

Juan

et al. 2016

Am J Alzheimers Dis Other Demen

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“…Cognitive decline was defined as patient self-reported cognitive impairment with a decline of MMSE ≥ 2 points from baseline. The cutoff points were based on the regulation of the Taiwan National Health Insurance Administration [ 33 ]. Previous literature showed that the average intermediate progression rate is usually in the range of 2.0–4.9 points per year for AD [ 34 ] and 2.1–2.5 points per year for PD [ 35 ].…”

Section: Methodsmentioning

confidence: 99%

Predicting Cognitive Decline in Parkinson’s Disease with Mild Cognitive Impairment: A One-Year Observational Study

Chen

Cheng

et al. 2020

Parkinson's Disease

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We conducted an observational study to investigate clinical predictors of cognitive decline in patients with mild cognitive impairment (MCI), with a focus on patients with Parkinson’s disease (PD) and Alzheimer’s disease (AD). The study was performed with detailed neuropsychological testing, a portable device for gait analysis, and a comprehensive geriatric assessment for patients with MCI. Cognitive decline was defined as subjective cognitive impairment with an objective decline in the Mini-Mental State Examination (MMSE) ≥2 points at the one-year follow-up. Participants (n = 74) had a median age of 70 (interquartile range 60–79) years, and 45.9% of them were women. At the end of the study, 17.6% of the patients with MCI had a cognitive decline. Although no differences were observed between groups at the baseline cognitive study, patients with PD-MCI demonstrated more cognitive decline than patients with AD-MCI (28.6% vs. 7.7% p = 0.03). Patients with PD-MCI had more physical disabilities, including scores of instrumental activities of daily living (IADL), Tinetti balance, and gait scores, and some Timed Up and Go components. Initial Clinical Dementia Rating—Sum of Boxes score was a better predictor of future cognitive decline than MMSE in PD-MCI. For predicting the occurrence of cognitive decline in PD-MCI, the prediction accuracy increased from the reduced model (AUC = 0.822, p < 0.001 ) to the full model (a total of five independent variables, AUC = 0.974, p < 0.001 ). Given the potentially modifiable predictor, our findings also highlight the importance of identifying sleep quality and the ability to perform IADL.

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“…Some of the reasons for under-diagnosis and low utilization of long-term care services might be due to public stigma related to dementia, underreport by patients and families, and families’ unawareness of services. Most families might treat memory or cognitive decline as a part of normal aging process [ 7 ]. A recent study found that stigma towards dementia is prevalent and deeply rooted in Taiwan general public and reported as the major barrier to seek diagnostic examinations and for caregivers to utilize services and ask for support [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the dementia knowledge assessment scale-traditional Chinese among home care workers in Taiwan

Sung

Wang

et al. 2021

BMC Psychiatry

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Background The Dementia Knowledge Assessment Scale (DKAS) is a reliable and valid measurement of dementia knowledge for diverse allied health professionals but its traditional Chinese version has not been formally validated yet. The purpose of this study was to translate the DKAS from English to traditional Chinese and evaluate its psychometric properties among home care workers in Taiwan. Methods The DKAS scale was translated into traditional Chinese through a forward translation and back translation process following the cross-cultural translation guideline. A total of 285 home care workers in eastern Taiwan were recruited using convenience sample. A total of 252 participants completed the questionnaires, giving a response rate of 88.4%. We tested the construct validity by confirmatory factor analysis (CFA) and evaluated the reliability by internal consistency. Results The results of the CFA supported the 25-item, four-factor model for the DKAS-TC. The DKAS-TC achieved a good overall Cronbach’s alpha of .93 and McDonald’s omega of 0.94 with acceptable subscales McDonald’s omega ranged from .77 to .82. Conclusions The DKAS-TC has adequate construct validity and reliability and can serve as an assessment tool to evaluate the knowledge level of home care workers in a dementia training program in Taiwan. The dementia knowledge level among home care workers in Taiwan was inadequate. There is a need for developing suitable dementia care training tailored to their learning needs and educational levels, and to improve their quality of care for those with dementia.

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Dementia in Taiwan area

Cited by 5 publications

References 19 publications

Urinary Incontinence in Alzheimer’s Disease

Urinary Incontinence in Alzheimer’s Disease

Predicting Cognitive Decline in Parkinson’s Disease with Mild Cognitive Impairment: A One-Year Observational Study

Psychometric properties of the dementia knowledge assessment scale-traditional Chinese among home care workers in Taiwan

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