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The dementia severity rating scale: a potential community screening tool for dementia in low- and middle-income countries

Turana, Yuda, Farina, Nicolas, Theresia, Imelda, Fitri, Fasihah irfani, Suswanti, Ika, Jacobs, Roxanne, Schneider, Marguerite, Sani, Tara puspitarini, Comas-Herrera, Adelina ORCID: 0000-0002-9860-9062, Albanese, Emiliano, Govia, Ishtar, Ferri, Cleusa p, Knapp, Martin ORCID: 0000-0003-1427-0215 and Banerjee, Sube (2023) The dementia severity rating scale: a potential community screening tool for dementia in low- and middle-income countries. Dementia. ISSN 1471-3012

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Identification Number: 10.1177/14713012231186837


Background The Dementia Severity Rating Scale (DSRS) is an informant report, dementia staging tool that is quick to administer and has previous been shown to differentiate between people with dementia and healthy controls. However, it is not clear how accurate the tool is screening against diagnostic criteria in middle-income settings. Methods Embedded within the STRiDE programme, older adults (aged ≥65 years) and their informants were randomly recruited from four sites across Indonesia and South Africa. All informants were asked to complete DSRS. We report the tool’s psychometric properties and accuracy against the 10/66 short diagnostic algorithm. Results Between September and December 2021, data was collected from 2110 older adults in Indonesia and 408 in South Africa. Overall, the DSRS scores significantly differed between those with and without dementia, as identified on the 10/66 short algorithm (p < .05). The difference between groups remained significant after controlling for key factors related to older adult and informant demographics. A score >2 on the DSRS had the greatest agreement with the 10/66 short algorithm and had excellent discriminative properties in both Indonesia (Area Under Curve (AUC) = .75, 95% CIs = .72–.77) and South Africa (AUC = .82, 95% CIs = .76–.88). Conclusions The DSRS has potential as a screening tool for dementia in middle-income countries, with high sensitivity and specificity against a standardized diagnostic algorithm.

Item Type: Article
Official URL:
Additional Information: © 2023 The Author(s)
Divisions: Personal Social Services Research Unit
Health Policy
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Date Deposited: 04 Jan 2024 12:12
Last Modified: 29 May 2024 20:45

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