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Original Article
4 (
2
); 147-153
doi:
10.4103/0976-3147.112744

Development of a cognitive screening instrument for tribal elderly population of Himalayan region in northern India

Departments of Community Medicine, New Delhi, India
Departments of Medicine, New Delhi, India
Departments of Community Scientist, Indian Council of Medical Research (ICMR), New Delhi, India
Departments of Psychiatry, Dr. R.P. Government Medical College, Tanda, Himachal Pradesh, India
Address for correspondence: Dr. Sunil Kumar Raina Department Of Community Medicine, Dr. R.P. Government Medical College Tanda, Himachal Pradesh India ojasrainasunil@yahoo.co.in
Licence
This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Disclaimer:
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher.

Abstract

ABSTRACT

Introduction: Cognitive impairment, characteristic of dementia, is measured objectively by standard neuropsychological (cognitive) tests. Given the diversity of culture and language in India, it is difficult to use a single modified version of MMSE uniformly to Indian population. In this article, we report methods on the development of a cognitive screening instrument suitable for the tribal (Bharmour) elderly (60 years and above) population of Himachal Pradesh, India. Materials and Methods: We used a systematic, item‑by‑item, process for development of a modified version of MMSE suitable for elderly tribal population. Results: The modifications made in the English version of MMSE and the pretesting and pilot testing thereof resulted in the development of Bharmouri version of cognitive scale. Discussion: The study shows that effective modifications can be made to existing tests that require reading and writing; and that culturally sensitive modifications can be made to render the test meaningful and relevant, while still tapping the appropriate cognitive domains.

Keywords

Cognitive
dementia
elderly
tribal
scale

Conflict of Interest

None declared

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