AD8 Dementia Screening Interview

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Questions and Answers

What does a 'Yes, a change' response indicate in the AD8 Dementia Screening Interview?

  • A change in cognitive problems within the last several years (correct)
  • No change in cognitive problems
  • Inconclusive response
  • Indication of improvement in cognitive function

Which activity would be a sign of dementia according to the AD8?

  • Participating in new hobbies
  • Engaging in social activities
  • Regular exercise routine
  • Less interest in hobbies/activities (correct)

What is indicated by repeated questions, stories, or statements in the AD8 Dementia Screening Interview?

  • Sharp memory and cognitive skills
  • Effective storytelling skills
  • Problems with memory and cognition (correct)
  • Normal cognitive functioning

What does forgetting the correct month or year imply in the context of the AD8 Dementia Screening Interview?

<p>Memory issues related to time perception (C)</p> Signup and view all the answers

Why is it recommended to administer the AD8 to an informant, if available?

<p>Informants provide more accurate responses (D)</p> Signup and view all the answers

In the context of the AD8 Dementia Screening Interview, what is the significance of trouble handling complicated financial affairs?

<p>Cognitive impairment affecting financial decision-making (A)</p> Signup and view all the answers

What is the final score calculation method for the AD8 screening test?

<p>Sum of the number of items marked 'Yes, A change' (A)</p> Signup and view all the answers

What does a score of 2 or greater on the AD8 screening test indicate?

<p>Cognitive impairment is likely to be present (C)</p> Signup and view all the answers

Why is it important to have a one-second delay between individual items when administering the AD8 test?

<p>To give the respondent time to think about their response (C)</p> Signup and view all the answers

What does an AD8 score in the 'impaired range' suggest?

<p>Further assessment is necessary (C)</p> Signup and view all the answers

What property of the AD8 indicates its effectiveness in detecting early cognitive changes?

<p>Sensitivity &gt; 84% (D)</p> Signup and view all the answers

What does a score of 0 - 1 on the AD8 screening test suggest?

<p>Normal cognition (A)</p> Signup and view all the answers

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Study Notes

AD8 Dementia Screening Interview

  • The AD8 is a brief informant interview to detect dementia, consisting of 8 questions.
  • The interview is adapted from Galvin JE et al, "The AD8, a brief informant interview to detect dementia", Neurology 2005:65:559-564.

Administration and Scoring Guidelines

  • The AD8 can be self-administered or read aloud to the respondent, either in person or over the phone.
  • It is preferable to administer the AD8 to an informant, if available.
  • If an informant is not available, the AD8 may be administered to the patient.
  • The respondent is asked to rate changes in the patient's ability for each of the items, without attributing causality.

Scoring and Interpretation

  • The final score is a sum of the number of items marked "Yes, A change".
  • A score of 0-1 indicates normal cognition.
  • A score of 2 or greater indicates cognitive impairment is likely to be present.
  • The AD8 has a sensitivity of > 84%, specificity of > 80%, positive predictive value of > 85%, and negative predictive value of > 70%.
  • The area under the receiver operator characteristics (ROC) curve is 0.908, with a 95% confidence interval of 0.888-0.925.

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