PMID: 11921149Mar 29, 2002Paper

Revealing a hidden problem. An evaluation of a community dementia case-finding program from the Indian 10/66 dementia research network

International Journal of Geriatric Psychiatry
K S ShajiMartin Prince

Abstract

Dementia in India is largely a hidden problem with no community awareness and little help seeking from affected families, despite high levels of strain. Cases must therefore be identified before practical help can be offered. After two and a half hours of formal training, local community health workers in rural Kerala were asked to identify possible cases of dementia from the community they served. Diagnoses were then verified by a senior local psychiatrist with clinical and research interests in old age psychiatry. The community health workers identified 51 out of 1979 over 60 year old residents (a prevalence of 2.6%) as suspected cases of dementia. Following the psychiatrist's assessment, 33 met DSM-IV criteria for dementia. The majority of confirmed cases were of the Alzheimer's Disease sub-type. Most "non-cases" were found to be suffering from other major psychiatric disorders, with substantial unmet need. The positive predictive value of the community health workers informal screening was 64.7%. This simple cost-effective case-finding method can be of practical use in the development of community based dementia care services in India and other developing countries with similar health care systems.

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Citations

May 4, 2004·Journal of Ethnopharmacology·Dinesh DhingraS K Kulkarni
Jul 28, 2012·International Psychogeriatrics·K S Jacob
Jul 20, 2013·Health & Social Work·Kahraman KiralBahar Tasdelen
Jul 31, 2007·BMC Public Health·Martin PrinceRichard Uwakwe
Feb 23, 2005·Health Research Policy and Systems·Hélène DelisleTheresa W Gyorkos
Nov 6, 2009·PLoS Medicine·Martin J PrinceK S Shaji
Apr 9, 2013·Global Health Action·Stella-Maria PaddickRichard Walker
Apr 1, 2007·Indian Journal of Psychiatry·T S Sathyanarayana Rao, K S Shaji
Sep 11, 2009·Indian Journal of Psychiatry·K S ShajiK Praveenlal
Sep 11, 2009·Indian Journal of Psychiatry·K S ShajiK S Jacob
Nov 3, 2009·Indian Journal of Psychiatry·E Mohandas
Jan 1, 2010·Indian Journal of Psychiatry·K S ShajiK S Jyothi
Jan 1, 2014·Indian Journal of Psychological Medicine·Harish M TharayilK S Shaji
Oct 18, 2008·International Review of Psychiatry·Martin PrinceMarc Wortmann
Feb 24, 2015·Journal of Epidemiology and Global Health·Catherine L DotchinRichard W Walker
Sep 27, 2005·Journal of the American Geriatrics Society·Ana Teresa A Ramos-CerqueiraMartin Prince
Jul 26, 2007·Acta Psychiatrica Scandinavica·K S JacobM J Prince
Sep 22, 2012·International Journal of Geriatric Psychiatry·Anna R LongdonRichard Walker
Mar 18, 2011·International Journal of Geriatric Psychiatry·Salman KarimAlistair Burns
Jun 5, 2013·Journal of the American Geriatrics Society·Hae-Ra HanHochang Ben Lee
Jul 22, 2009·International Journal of Geriatric Psychiatry·P S MathuranathP S Sarma
Sep 25, 2015·Journal of Alzheimer's Disease : JAD·Pravat K MandalMithun James
Jun 25, 2004·American Journal of Alzheimer's Disease and Other Dementias·Chris ShanleyAnne Sammut
Nov 29, 2014·The International Journal of Social Psychiatry·Gabriele Cipriani, Gemma Borin
Dec 24, 2002·International Journal of Geriatric Psychiatry·K S ShajiM J Prince
May 8, 2002·International Journal of Geriatric Psychiatry
Sep 25, 2008·International Journal of Geriatric Psychiatry·C V Sowmini, Raymond De Vries
Aug 2, 2002·The British Journal of Psychiatry : the Journal of Mental Science·K S ShajiK R Anandan
Aug 13, 2011·Culture, Medicine and Psychiatry·Bianca Brijnath, Lenore Manderson
Aug 14, 2021·Indian Journal of Psychological Medicine·Pankajakshan Vijayanthi InduKarunakaran Vidhukumar

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