Validation of Picture Free and Cued Selective Reminding Test for Illiteracy in Lima, Peru

Abstract

Dementia in Latin America is a crucial public health problem. Identifying brief cognitive screening (BCS) tools for the primary care setting is crucial, particularly for illiterate individuals. We evaluated tool performance characteristics and validated the free and total recall sections of the Free and Cued Selective Reminding Test-Picture version (FCSRT-Picture) to discriminate between 63 patients with early Alzheimer’s disease dementia (ADD), 60 amnestic mild cognitive impairment (aMCI) and 64 cognitively healthy Peruvian individuals with illiteracy from an urban area. Clinical, functional, and cognitive assessments were performed. FCSRT-Picture performance was assessed using receiver operating characteristic curve analyses. The mean ± standard deviation scores were 7.7 ± 1.0 in ADD, 11.8 ± 1.6 in aMCI, and 29.5 ± 1.8 in controls. The FCSRT-Picture had better performance characteristics for distinguishing controls from aMCI compared with several other BCS tools, but similar characteristics between controls and early ADD. The FCSRT-Picture is a reliable BCS tool for illiteracy in Peru.

Memory markers in the continuum of the Alzheimer’s clinical syndrome

“…Due to the superiority effect of pictures over words and practice at cued recall in the study phase before the test phase [ 96 ], scores on the two versions are quite different (an 8-point difference in FR and a 4-point difference in TR [ 95 ]). This can explain why the picture version of the FCSRT has yielded better results in illiterate populations [ 97 ].…”

Intervention and Prevention of Dementia in the Greater Bay Area (GBA) of China

“…2 This approach would include cultural awareness to build resilience in the GBA as the papers in this Special Collection have confirmed. [3][4][5][6][7][8]…”

“…All papers converge on the same view: culture specific awareness is vital. [1][2][3][4][5][6][7][8][9] The Special Collection begins with a review of the work of Brayne and Wu 2 who conclude that awareness of cultural contexts in which assessment and treatment occur is often absent or at least not reported, in large population based studies of aging and dementia. They describe the variation they observe within a country (UK) among aging populations by comparing the changes in health conditions across time and place using examples from population-based studies in England and Wales.…”

“…Montesinos and colleagues 6 further highlight additional cultural issues in South American countries for the intervention and prevention of neurodegenerative disease. They examine the impact on brief cognitive screening and primary care on individuals who are not literate.…”