Prevalência de comprometimento cognitivo em adultos e idosos indígenas

Carvalho, Anna Paula de

doi:10.11606/t.7.2017.tde-17052017-112020

DOI: 10.11606/t.7.2017.tde-17052017-112020

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Prevalência de comprometimento cognitivo em adultos e idosos indígenas

Anna Paula de Carvalho¹

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“…The KICA has been extensively validated and modified for other regions in Australia and for Australian Indigenous peoples living in urban settings ( Almeida et al, 2014 ; Radford et al, 2015 ; Smith et al, 2009 ). It was also adapted for Iranian adults ( Ebrahimi et al, 2015 ), Brazilian Indigenous people ( De Carvalho, 2016 ), and will be adapted for New Zealand Maori ( Dudley, 2018a , 2018b ). For these reasons, the KICA was a highly attractive option for adaptation to the North American context.…”

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confidence: 99%

Developing the Canadian Indigenous Cognitive Assessment for Use With Indigenous Older Anishinaabe Adults in Ontario, Canada

Jacklin

Pitawanakwat²,

Blind

et al. 2020

Innovation in Aging

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Background and Objectives Dementia is a growing public health issue for aging Indigenous populations. Current cognitive assessments present varying degrees of cultural, educational, and language bias, impairing their application in Indigenous communities. Our goal is to provide Anishinaabe communities in Canada with a brief cognitive test that can be administered within the community setting by community health workers or professionals. The purpose of this project was to adapt the Kimberly Indigenous Cognitive Assessment (KICA) for use as a brief cognitive test with Anishinaabe populations in Canada. Research Design We used a community-based participatory research approach coupled with two-eyed seeing to provide an equitable space for Indigenous knowledge. Adaptation of the KICA was accomplished over 22 months using an iterative cycle of monthly consultations between an 11-member expert Anishinaabe language group (EALG) and the investigators, with ad hoc consultations with an Elder, a community advisory council, and the KICA authors. Face validity was established with two pilot studies using cognitive interviewing with Indigenous older adults (n=15) and a focus group consultation with local health professionals (n=7). Results Each question of the KICA was scrutinized by the EALG for cultural appropriateness, language and translation, and cultural safety. Every domain required adaptation to reflect cultural values, specificity of language, tone, and a culturally safe approach. Orientation, verbal comprehension and fluency, praxis and naming domains required the most adaptations. The first pilot for face validity resulted in additional changes; the second confirmed satisfactory adaptation of all changes. Discussion and Implications The research resulted in the new Canadian Indigenous Cognitive Assessment. The findings reveal important cultural and linguistic considerations for cross-cultural cognitive assessment in Indigenous contexts. This new culturally appropriate and safe brief cognitive test may improve case finding accuracy and lead to earlier diagnosis and improved dementia care for Indigenous peoples.

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confidence: 99%

Developing the Canadian Indigenous Cognitive Assessment for Use With Indigenous Older Anishinaabe Adults in Ontario, Canada

Jacklin

Pitawanakwat²,

Blind

et al. 2020

Innovation in Aging

View full text Add to dashboard Cite

show abstract

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Prevalência de comprometimento cognitivo em adultos e idosos indígenas

Cited by 1 publication

References 79 publications

Developing the Canadian Indigenous Cognitive Assessment for Use With Indigenous Older Anishinaabe Adults in Ontario, Canada

Developing the Canadian Indigenous Cognitive Assessment for Use With Indigenous Older Anishinaabe Adults in Ontario, Canada

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