The Mini-Cog: a community screening tool for dementia in Indonesia

Turana, Yuda, Farina, Nicolas, Theresia, Imelda, Sani, Tara Puspitarini, Suswanti, Ika, Fitri, Fasihah Irfani, Albanese, Emiliano, Comas-Herrera, Adelina ORCID: 0000-0002-9860-9062, Knapp, Martin ORCID: 0000-0003-1427-0215 and Banerjee, Sube (2024) The Mini-Cog: a community screening tool for dementia in Indonesia. International Journal of Geriatric Psychiatry, 39 (12). ISSN 0885-6230

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Abstract

Background Early detection of dementia enables more effective planning and can enable access to treatment and support. The Mini-Cog is a widely used screening instrument in Indonesia; however, this instrument has never undergone a translation and cultural adaptation process. Currently, there is no data on how accurate the tool is against diagnostic criteria, particularly in low-education. Methods Embedded within the community-based dementia prevalence study was the Strengthening Responses to Dementia in Developing Countries (STRiDE) project; older adults (aged ≥ 65 years) were randomly recruited from sites in Jakarta and North Sumatra, Indonesia. All participants were asked to complete the Mini-Cog and the 10/66 short dementia diagnostic schedule. The accuracy of three Mini-Cog algorithms (Mini-Cog1, Mini-Cog2, and Mini-Cog3) were compared against and the 10/66 short dementia diagnostic schedule. Additional analysis explored its performance accuracy at different educational levels. Results The Mini-Cog test performance assessment was conducted on 2098 older adults The area under the curve (AUC) of Mini-Cog1, Mini-Cog2, and Mini-Cog3 receiver operator characteristic (ROC) curves were 0.66, 0.62, and 0.64, respectively. All algorithms demonstrated high sensitivity (Sv) but low specificity (Sp). (Mini-Cog1: Sv 83.2%; Sp 49.2%, Mini-Cog2: Sv 87.1%; Sp 37.8% and Mini-Cog3: Sv 72.5%; Sp 56%). All algorithms showed no affected by education. Only 59.1% of people without dementia could do the CDT. Conclusions The high sensitivity of the Mini-Cog1 algorithm lends itself to screening purposes. Given that the specificity is still low, and less than 60% of patients without dementia can complete the CDT. Further research is needed, as is the development of screening instruments with high accuracy values in low- and middle-income countries, particularly in Indonesia.

Item Type:	Article
Additional Information:	© 2024 John Wiley & Sons Ltd
Divisions:	Care Policy and Evaluation Centre Health Policy
Subjects:	R Medicine > RA Public aspects of medicine
Date Deposited:	02 Jan 2025 13:51
Last Modified:	09 Jan 2025 08:27
URI:	http://eprints.lse.ac.uk/id/eprint/126541

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