Abstract:
BACKGROUND:The dementia diagnosis gap in sub-Saharan Africa (SSA) is large, partly due to difficulties in assessing function, an essential step in diagnosis. OBJECTIVES:As part of the Identification and Intervention for Dementia in Elderly Africans (IDEA) study, to develop, pilot, and validate an Instrumental Activities of Daily Living (IADL) questionnaire for use in a rural Tanzanian population to assist in the identification of people with dementia alongside cognitive screening. DESIGN:The questionnaire was developed at a workshop for rural primary healthcare workers, based on culturally appropriate roles and usual activities of elderly people in this community. It was piloted in 52 individuals under follow-up from a dementia prevalence study. Validation subsequently took place during a community dementia-screening programme. Construct validation against gold standard clinical dementia diagnosis using DSM-IV criteria was carried out on a stratified sample of the cohort and validity assessed using area under the receiver operating characteristic (AUROC) curve analysis. RESULTS:An 11-item questionnaire (IDEA-IADL) was developed after pilot testing. During formal validation on 130 community-dwelling elderly people who presented for screening, the AUROC curve was 0.896 for DSM-IV dementia when used in isolation and 0.937 when used in conjunction with the IDEA cognitive screen, previously validated in Tanzania. The internal consistency was 0.959. Performance on the IDEA-IADL was not biased with regard to age, gender or education level. CONCLUSIONS:The IDEA-IADL questionnaire appears to be a useful aid to dementia screening in this setting. Further validation in other healthcare settings in SSA is required.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Collingwood C,Paddick SM,Kisoli A,Dotchin CL,Gray WK,Mbowe G,Mkenda S,Urasa S,Mushi D,Chaote P,Walker RWdoi
10.3402/gha.v7.25988subject
Has Abstractpub_date
2014-12-22 00:00:00pages
25988eissn
1654-9716issn
1654-9880pii
25988journal_volume
7pub_type
杂志文章abstract:BACKGROUND:Breastfeeding is important for growth, development and survival of HIV exposed infants. Exclusive breastfeeding reduces the risk of morbidity, mortality and increases HIV free survival of infants. Evidence on risk factors for inappropriate breastfeeding in Northern Uganda is limited. OBJECTIVE:This study de...
journal_title:Global health action
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doi:10.1080/16549716.2020.1833510
更新日期:2020-12-31 00:00:00
abstract:BACKGROUND:Infants exposed to maternal HIV infection who remain HIV-uninfected (HIV-exposed/uninfected; HIV-EU) may be at increased risk of growth retardation, which could be due both to directly HIV-related effects and to socio-economic factors overrepresented among HIV-positive women. OBJECTIVE:To investigate growth...
journal_title:Global health action
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abstract:BACKGROUND:Participation of private practitioners in routine disease surveillance in India is minimal despite the fact that they account for over 70% of the primary healthcare provision. We aimed to investigate the knowledge, attitudes, and practices of private practitioners in the city of Pune toward disease surveilla...
journal_title:Global health action
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abstract:BACKGROUND:The obesity epidemic has been growing steadily across the whole world, and so far not a single country has been able to reverse it. The cause of obesity is stated by the World Health Organization as an energy imbalance between calories consumed and calories expended. However, growing evidence suggests that t...
journal_title:Global health action
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:We formed a self-funded hypertension treatment group in a resource-poor community in rural Honduras. After training community health workers and creating protocols for standardized treatment, we used group membership fees to maintain the group, purchase generic medications in bulk on the local market, and hi...
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abstract:BACKGROUND:In order to track progress towards the target of universal access to sexual and reproductive health care services of the post-2015 Sustainable Development Goals (SDGs), a measure (demand for family planning satisfied with modern contraceptive methods) and a benchmark (at least 75% by 2030 in all countries) h...
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abstract::Background: mHealth applications assist workflow, help move towards equitable access to care, and facilitate care delivery. They have great potential to impact care in low-resource countries, but have significant ethical concerns pertaining to patient autonomy, safety, and justice. Objective: To achieve consensus amon...
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abstract:BACKGROUND:The World Health Organization recommends that antiretroviral therapy be started as soon as possible, irrespective of stage of HIV infection. This 'test and treat' approach highlights the need to ensure that men are involved in prevention of mother-to-child HIV transmission (PMTCT). This article presents find...
journal_title:Global health action
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journal_title:Global health action
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abstract::In low- and middle-income countries, nutrition support strategies are often suboptimal or non-existent in hospital settings. This is further compounded by high rates of malnutrition in these countries. The first four dietitians graduated in Malawi in 2017 providing a new opportunity to build capacity to introduce nutr...
journal_title:Global health action
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journal_title:Global health action
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更新日期:2015-03-31 00:00:00
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journal_title:Global health action
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更新日期:2015-11-09 00:00:00
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journal_title:Global health action
pub_type: 杂志文章
doi:10.1080/16549716.2019.1619155
更新日期:2019-01-01 00:00:00
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abstract:BACKGROUND:Amidst diverging discourses describing chronic non-communicable disease (NCD) and healthcare access, the hermeneutical tradition within sociology, particularly as exemplified in the work of Jurgen Habermas, provides a starting point for exploring and interpreting the experiences of chronic illness and health...
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journal_title:Global health action
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journal_title:Global health action
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更新日期:2013-02-12 00:00:00
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更新日期:2019-01-01 00:00:00
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更新日期:2019-01-01 00:00:00
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更新日期:2009-11-11 00:00:00
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更新日期:2014-09-30 00:00:00