Michael W Brunt, Derek B Haley, Stephen J LeBlanc, David F Kelton
Perceived role of the veterinarian in promoting dairy cattle welfare
Frontiers in veterinary science
uganda cognitive impairment older persons aged 60 years often undiagnosed due inadequate appreciation condition compounded limitations trained human resource able conduct appropriate cognitive evaluations use community health workers chws especially hardtoreach communities important link older persons health facilities receive adequate evaluations interventions cognitive challenges aim study assess feasibility screening cognitive impairment among older persons referral chws wakiso district uganda sequential explanatory mixed methods study chws received oneday training causes signs symptoms management cognitive impairment screened older persons 60 years cognitive impairment using alzheimers disease scale 8 ad8 psychiatric clinical officers pcos administered ad8 mini mental state examination older persons assessment chws referred appropriate clinical care conducted kappa statistic agreement chws pcos compared raw scores chws experts scores using bland altman pair plots corresponding analyses also conducted focus group discussions older persons caregivers chws collected data 385 older persons involved 12 chws 75 females majority married 583 least secondary education 667 964 ci 945982 agreement pcos chws identifying cognitive impairment pcos identifying 54385 140 95ci 107179 older persons compared 58385 151 95ci 116190 identified chws 58 identified cognitive impairment chws 931 referred care average difference score expert chw 0042 95 ci 1335 1252 corresponding bland altman pair plots showed high agreement measurements although chws scored higher values increasing scores chws trained identify refer older persons cognitive impairment communities