Translation, cultural adaptation and psychometric evaluation of the Leganés cognitive test in a low educated elderly Brazilian population

Arq Neuropsiquiatr. 2012 Jan;70(1):22-7. doi: 10.1590/s0004-282x2012000100006.

Abstract

Objective: To validate the Leganés cognitive test (LCT) for cognitive screening in low educated elderly Brazilians.

Methods: The study sample was composed of 59 elderly residents from the city of Santa Cruz, in Brazil, with low schooling levels. Reliability was analyzed with a two-day interval between assessments, and concurrent validity was assessed using the Mini Mental State Examination (MMSE).

Results: According to the LCT, the prevalence of dementia was 11.8%. The scale items showed a moderate to strong correlation between domains (p<0.01), and inter-rater reliability exhibited ICC=0.81, 95%CI=0.72-0.88. The factor analysis resulted in two factors: memory and orientation. Interscale agreement was considered poor (k=-0.02), supporting the hypothesis of an educational impact on final MMSE scores.

Conclusion: The results suggest that LCT has acceptable levels of reliability for use in low-educated Brazilian elderly.

Publication types

  • Validation Study

MeSH terms

  • Aged
  • Brazil / epidemiology
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / psychology
  • Cross-Cultural Comparison*
  • Dementia / diagnosis
  • Dementia / epidemiology*
  • Dementia / psychology
  • Educational Status
  • Female
  • Geriatric Assessment / methods*
  • Humans
  • Language
  • Male
  • Mass Screening*
  • Neuropsychological Tests / standards*
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Reproducibility of Results
  • Translations