Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults

Divya Vanoh,1 Suzana Shahar,1 Razali Rosdinom,2 Normah Che Din,3 Hanis Mastura Yahya,4 Azahadi Omar5 1Dietetic Programme, Centre of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; 2Department of Psychiatry, University Kebangsaan Medical Centr...

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Autores principales:	Vanoh D, Shahar S, Rosdinom R, Din NC, Yahya HM, Omar A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	Mild cognitive impairment Screening Sensitivity Specificity TUA-WELLNESS Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/3dc443d4889e4fd7adbacf33f8ed7c8d
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spelling	oai:doaj.org-article:3dc443d4889e4fd7adbacf33f8ed7c8d2021-12-02T02:05:25ZDevelopment of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults1178-1998https://doaj.org/article/3dc443d4889e4fd7adbacf33f8ed7c8d2016-05-01T00:00:00Zhttps://www.dovepress.com/development-of-tua-wellness-screening-tool-for-screening-risk-of-mild--peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Divya Vanoh,1 Suzana Shahar,1 Razali Rosdinom,2 Normah Che Din,3 Hanis Mastura Yahya,4 Azahadi Omar5 1Dietetic Programme, Centre of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; 2Department of Psychiatry, University Kebangsaan Medical Centre, Kuala Lumpur, Malaysia; 3Health Psychology Programme, 4Nutrition Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; 5Institute of Public Health, Ministry of Health, Kuala Lumpur, Malaysia Background and aim: Focus on screening for cognitive impairment has to be given particular importance because of the rising older adult population. Thus, this study aimed to develop and assess a brief screening tool consisting of ten items that can be self-administered by community dwelling older adults (TUA-WELLNESS). Methodology: A total of 1,993 noninstitutionalized respondents aged 60 years and above were selected for this study. The dependent variable was mild cognitive impairment (MCI) assessed using neuropsychological test batteries. The items for the screening tool comprised a wide range of factors that were chosen mainly from the analysis of ordinal logistic regression (OLR) and based on past literature. A suitable cut-off point was developed using receiver operating characteristic analysis. Results: A total of ten items were included in the screening tool. From the ten items, eight were found to be significant by ordinal logistic regression and the remaining two items were part of the tool because they showed strong association with cognitive impairment in previous studies. The area under curve (AUC), sensitivity, and specificity for cut-off 11 were 0.84%, 83.3%, and 73.4%, respectively. Conclusion: TUA-WELLNESS screening tool has been used to screen for major risk factors of MCI among Malaysian older adults. This tool is only suitable for basic MCI risk screening purpose and should not be used for diagnostic purpose. Keywords: mild cognitive impairment, screening, sensitivity, specificity, TUA-WELLNESSVanoh DShahar SRosdinom RDin NCYahya HMOmar ADove Medical PressarticleMild cognitive impairmentScreeningSensitivitySpecificityTUA-WELLNESSGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 579-587 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mild cognitive impairment Screening Sensitivity Specificity TUA-WELLNESS Geriatrics RC952-954.6
spellingShingle	Mild cognitive impairment Screening Sensitivity Specificity TUA-WELLNESS Geriatrics RC952-954.6 Vanoh D Shahar S Rosdinom R Din NC Yahya HM Omar A Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults
description	Divya Vanoh,1 Suzana Shahar,1 Razali Rosdinom,2 Normah Che Din,3 Hanis Mastura Yahya,4 Azahadi Omar5 1Dietetic Programme, Centre of Healthcare Sciences, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; 2Department of Psychiatry, University Kebangsaan Medical Centre, Kuala Lumpur, Malaysia; 3Health Psychology Programme, 4Nutrition Programme, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia; 5Institute of Public Health, Ministry of Health, Kuala Lumpur, Malaysia Background and aim: Focus on screening for cognitive impairment has to be given particular importance because of the rising older adult population. Thus, this study aimed to develop and assess a brief screening tool consisting of ten items that can be self-administered by community dwelling older adults (TUA-WELLNESS). Methodology: A total of 1,993 noninstitutionalized respondents aged 60 years and above were selected for this study. The dependent variable was mild cognitive impairment (MCI) assessed using neuropsychological test batteries. The items for the screening tool comprised a wide range of factors that were chosen mainly from the analysis of ordinal logistic regression (OLR) and based on past literature. A suitable cut-off point was developed using receiver operating characteristic analysis. Results: A total of ten items were included in the screening tool. From the ten items, eight were found to be significant by ordinal logistic regression and the remaining two items were part of the tool because they showed strong association with cognitive impairment in previous studies. The area under curve (AUC), sensitivity, and specificity for cut-off 11 were 0.84%, 83.3%, and 73.4%, respectively. Conclusion: TUA-WELLNESS screening tool has been used to screen for major risk factors of MCI among Malaysian older adults. This tool is only suitable for basic MCI risk screening purpose and should not be used for diagnostic purpose. Keywords: mild cognitive impairment, screening, sensitivity, specificity, TUA-WELLNESS
format	article
author	Vanoh D Shahar S Rosdinom R Din NC Yahya HM Omar A
author_facet	Vanoh D Shahar S Rosdinom R Din NC Yahya HM Omar A
author_sort	Vanoh D
title	Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults
title_short	Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults
title_full	Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults
title_fullStr	Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults
title_full_unstemmed	Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults
title_sort	development of tua-wellness screening tool for screening risk of mild cognitive impairment among community-dwelling older adults
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/3dc443d4889e4fd7adbacf33f8ed7c8d
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Development of TUA-WELLNESS screening tool for screening risk of mild cognitive impairment among community-dwelling older adults

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