Heide-Marie Strauss

Doctor of Clinical Psychology, (Doctor of Clinical Psychology)
Study Completed: 2013
College of Humanities & Social Sciences

Citation

Thesis Title
Brief Cognitive Screening Instruments and the Clinical Utility of Three Screens in a New Zealand Clinical Geriatric Setting

Read article at Massey Research Online: MRO icon

The increasing incidence of dementia-type problems is a growing concern for our aging population, and early diagnosis is important to best manage its potentially devastating effects. Screening is routinely used in dementia assessments. However, limited research has been conducted in New Zealand regarding whether we are using the most appropriate screening in the most appropriate way for the local population. Ms Strauss investigated these issues through two projects. The first was an online survey of clinicians’ approaches to screening, their requirements, and their favourite screening tests. The second was a retrospective quantitative study comparing the performance of three commonly used screens. Results showed that the Addenbrooke’s Cognitive Assessment-Revised (ACE-R) is the most suitable screen in terms of diagnostic sensitivity, specificity, and meeting other clinician needs. Ms Strauss recommends that cut-off scores for the New Zealand population be different to those used by the ACE-R’s international authors.

Supervisors
Professor Janet Leathem
Associate Professor John Podd
Dr Steve Humphries

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