Evaluation of cognitive profile through Q‐RUDAS: first approach in Quechua Participants

Abstract Background The Rowland Universal Dementia Assessment Scale (RUDAS) has proven to be one ofthe best instruments of cognitive function evaluation in illiterate and low‐educated participants; it is easyto adapt in different countries, languages, and cultures, showing good validation properties...

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Autores principales: Jonathan Adrian Zegarra-Valdivia, Ruth Diana Mamani Quispe, José Chinoapaza Turpo, Brenda Nadia Chino Vilca, Carmen Paredes-Manrique, Marco Málaga, Enrique Choquenaira, Victor Velásquez‐Rimachi, Aarón Rodríguez-Calienes, Carlos Alva‐Díaz, Oscar Javier Mamani-Benito, Rosa Montesinos, Nilton Custodio
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Publicado: 2023
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author Jonathan Adrian Zegarra-Valdivia
Ruth Diana Mamani Quispe
José Chinoapaza Turpo
Brenda Nadia Chino Vilca
Carmen Paredes-Manrique
Marco Málaga
Enrique Choquenaira
Victor Velásquez‐Rimachi
Aarón Rodríguez-Calienes
Carlos Alva‐Díaz
Oscar Javier Mamani-Benito
Rosa Montesinos
Nilton Custodio
author_browse Aarón Rodríguez-Calienes
Brenda Nadia Chino Vilca
Carlos Alva‐Díaz
Carmen Paredes-Manrique
Enrique Choquenaira
Jonathan Adrian Zegarra-Valdivia
José Chinoapaza Turpo
Marco Málaga
Nilton Custodio
Oscar Javier Mamani-Benito
Rosa Montesinos
Ruth Diana Mamani Quispe
Victor Velásquez‐Rimachi
author_facet Jonathan Adrian Zegarra-Valdivia
Ruth Diana Mamani Quispe
José Chinoapaza Turpo
Brenda Nadia Chino Vilca
Carmen Paredes-Manrique
Marco Málaga
Enrique Choquenaira
Victor Velásquez‐Rimachi
Aarón Rodríguez-Calienes
Carlos Alva‐Díaz
Oscar Javier Mamani-Benito
Rosa Montesinos
Nilton Custodio
author_sort Jonathan Adrian Zegarra-Valdivia
collection Producción científica
description Abstract Background The Rowland Universal Dementia Assessment Scale (RUDAS) has proven to be one ofthe best instruments of cognitive function evaluation in illiterate and low‐educated participants; it is easyto adapt in different countries, languages, and cultures, showing good validation properties. In Peru, weare working to bring this instrument to Quechua speakers. The present study aimed to obtain the firstapproach to cognitive prevalence in elderly individuals in their native language. Methods After an initial pilot study (Malaga in preparation), we use the culturally and language‐adapted Q‐RUDAS in the Peruvian Quechua population of the Puno region (n = 511), with a mean age of65.04 ± 6.73 means (ranging from 59 to 92 years), 80.4% of the sample were females. We obtain socio‐demographic data (educational level, occupation, and precedence residence area) and the Q‐RUDASscores. Additionally, we asked the patients open‐ended questions about the test adaptation. Weexcluded patients with antecedents of pathologies that may interfere with the performance of the test. Verbal and signed consent were obtained. We use the previous RUDAS cut‐off from Peruvian validationstudies to have an initial approach to cognitive prevalence. Results We include 502 participants without relevant medical history. Participants understood all Q‐RUDAS items but reported difficulties with visuospatial construction (more than 50% could not draw thecube, more than 25% failed to draw some parts, and around 20% drew it accordingly). The mean scoreof Q‐RUDAS was 26.01 ± 2.71. We found that 448 participants have standard scores (26.67 ± 1.92), 46MCI (21.49 ± 1.92), and 11 participants that meet scores of dementia (17.00 ± 2.71). Besides, differences were found in the total score regarding the precedence area of participants, with Urban´shaving an increased score. Conclusion The previously adapted RUDAS test to Quechua (Q‐RUDAS) in Peru was well understoodamong native patients. This culturally sensitive tool is essential for diagnosing dementia in indigenouspopulations, but more studies are needed, such as cross‐validation studies. An initial approach of theprevalence of MCI and dementia is around 10.8% in the native population.
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spelling openalex:W4390201683Evaluation of cognitive profile through Q‐RUDAS: first approach in Quechua ParticipantsJonathan Adrian Zegarra-ValdiviaRuth Diana Mamani QuispeJosé Chinoapaza TurpoBrenda Nadia Chino VilcaCarmen Paredes-ManriqueMarco MálagaEnrique ChoquenairaVictor Velásquez‐RimachiAarón Rodríguez-CalienesCarlos Alva‐DíazOscar Javier Mamani-BenitoRosa MontesinosNilton CustodioRowland Universal Dementia Assessment ScaleDementia and Cognitive Impairment ResearchHistorical and Modern Theater StudiesHealth Education and ValidationAbstract Background The Rowland Universal Dementia Assessment Scale (RUDAS) has proven to be one ofthe best instruments of cognitive function evaluation in illiterate and low‐educated participants; it is easyto adapt in different countries, languages, and cultures, showing good validation properties. In Peru, weare working to bring this instrument to Quechua speakers. The present study aimed to obtain the firstapproach to cognitive prevalence in elderly individuals in their native language. Methods After an initial pilot study (Malaga in preparation), we use the culturally and language‐adapted Q‐RUDAS in the Peruvian Quechua population of the Puno region (n = 511), with a mean age of65.04 ± 6.73 means (ranging from 59 to 92 years), 80.4% of the sample were females. We obtain socio‐demographic data (educational level, occupation, and precedence residence area) and the Q‐RUDASscores. Additionally, we asked the patients open‐ended questions about the test adaptation. Weexcluded patients with antecedents of pathologies that may interfere with the performance of the test. Verbal and signed consent were obtained. We use the previous RUDAS cut‐off from Peruvian validationstudies to have an initial approach to cognitive prevalence. Results We include 502 participants without relevant medical history. Participants understood all Q‐RUDAS items but reported difficulties with visuospatial construction (more than 50% could not draw thecube, more than 25% failed to draw some parts, and around 20% drew it accordingly). The mean scoreof Q‐RUDAS was 26.01 ± 2.71. We found that 448 participants have standard scores (26.67 ± 1.92), 46MCI (21.49 ± 1.92), and 11 participants that meet scores of dementia (17.00 ± 2.71). Besides, differences were found in the total score regarding the precedence area of participants, with Urban´shaving an increased score. Conclusion The previously adapted RUDAS test to Quechua (Q‐RUDAS) in Peru was well understoodamong native patients. This culturally sensitive tool is essential for diagnosing dementia in indigenouspopulations, but more studies are needed, such as cross‐validation studies. An initial approach of theprevalence of MCI and dementia is around 10.8% in the native population.Articlehttps://doi.org/10.1002/alz.083225W4390201683enAlzheimer s & Dementia1552-52601552-52792023-12-01
spellingShingle Rowland Universal Dementia Assessment Scale
Dementia and Cognitive Impairment Research
Historical and Modern Theater Studies
Health Education and Validation
Jonathan Adrian Zegarra-Valdivia
Ruth Diana Mamani Quispe
José Chinoapaza Turpo
Brenda Nadia Chino Vilca
Carmen Paredes-Manrique
Marco Málaga
Enrique Choquenaira
Victor Velásquez‐Rimachi
Aarón Rodríguez-Calienes
Carlos Alva‐Díaz
Oscar Javier Mamani-Benito
Rosa Montesinos
Nilton Custodio
Evaluation of cognitive profile through Q‐RUDAS: first approach in Quechua Participants
title Evaluation of cognitive profile through Q‐RUDAS: first approach in Quechua Participants
title_full Evaluation of cognitive profile through Q‐RUDAS: first approach in Quechua Participants
title_fullStr Evaluation of cognitive profile through Q‐RUDAS: first approach in Quechua Participants
title_full_unstemmed Evaluation of cognitive profile through Q‐RUDAS: first approach in Quechua Participants
title_short Evaluation of cognitive profile through Q‐RUDAS: first approach in Quechua Participants
title_sort evaluation of cognitive profile through q rudas first approach in quechua participants
topic Rowland Universal Dementia Assessment Scale
Dementia and Cognitive Impairment Research
Historical and Modern Theater Studies
Health Education and Validation
topic_facet Rowland Universal Dementia Assessment Scale
Dementia and Cognitive Impairment Research
Historical and Modern Theater Studies
Health Education and Validation
url https://doi.org/10.1002/alz.083225
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