Validation of the Malay Version of Addenbrooke’s Cognitive Examination III in Detecting Mild Cognitive Impairment and Dementia

Kan, Kwai Ching and Subramaniam, Ponnusamy and Shahrizaila, Nortina and Kamaruzzaman, Shahrul Bahyah and Razali, Rosdinom and Ghazali, Shazli Ezzat (2019) Validation of the Malay Version of Addenbrooke’s Cognitive Examination III in Detecting Mild Cognitive Impairment and Dementia. Dementia and Geriatric Cognitive Disorders Extra, 9 (1). pp. 66-76. ISSN 1664-5464, DOI https://doi.org/10.1159/000495107.

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Official URL: https://doi.org/10.1159/000495107

Abstract

Background/Aims: This study aimed to investigate the validity and reliability of the Malay version of Addenbrooke's Cognitive Examination III (ACE-III) for detecting mild cognitive impairment (MCI) and dementia. Methods: A total of 152 participants (dementia = 53, MCI = 38, controls = 61) were recruited from two teaching hospitals. The Malay version of ACE-III was translated following the standard guidelines for cross-cultural adaptation of measure. All the participants were assessed with the Malay version of ACE-III and Mini-Mental State Examination (MMSE). Results: The reliability of the Malay version of ACE-III was good with Cronbach's α coefficient of 0.829 and intraclass correlation coefficient of 0.959. There was a strong positive correlation between the Malay version of ACE-III and MMSE (r = 0.806). Age (r = -0.335) and years of education (r = 0.536) exerted a significant correlation with total score performance. The cutoff score to discriminate dementia from healthy controls was 74/75 (sensitivity = 90.6%, specificity = 82.0%) whereas to discriminate MCI, the cutoff score was 77/78 (sensitivity = 63.2%, specificity = 63.9%). The diagnostic accuracy of ACE-III was higher than that of MMSE in the detection of dementia (area under the curve: ACE-III = 0.929 vs. MMSE = 0.915). Conclusions: The Malay version of ACE-III demonstrated to be a reliable and valid screening tool for dementia. © 2019 The Author(s) Published by S. Karger AG, Basel.

Item Type: Article
Funders: Young Researcher Encouragement Grant (GGPM-2013-046), University Kebangsaan Malaysia, Long-Term Research Grant Scheme (LRGS) provided by the Ministry of Education Malaysia (LRGS/ BU/2012/UKM-UKM/K/01)
Uncontrolled Keywords: Addenbrooke's Cognitive Examination III; Dementia; Malay language; Mild cognitive impairment
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 09 Apr 2020 03:48
Last Modified: 09 Apr 2020 03:48
URI: http://eprints.um.edu.my/id/eprint/24181

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