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Mundt, James C., David M. Freed, John H. Greist:
Lay Person-Based Screening for Early Detection of Alzheimer’s Disease:
Development and Validation of an Instrument. Journal
of Gerontology: Psychological Sciences 55B(3): 163-170, 2000.
Symptoms of cognitive impairment reported to telephone
interviewers by caregivers of 272 patients were analyzed with respect
to diagnoses of dementia. All patients received neuropsychological
evaluation for establishing the research diagnoses. A data mining
program that used machine learning algorithms produced an optimized
binary decision tree for differentiating patient groups according
to all available information. The results of this analysis were
used to help four dementia experts create a dementia screening instrument
amenable to application and scoring by nonclinical personnel. The
validity of the resulting instrument was then evaluated in an independent
sample of 103 patients administered neuropsychological testing within
the previous 60 days. The psychometric properties of the empirically
derived scale and its performance for discriminating control from
probably or possible Alzheimer’s patients indicate strong potential
for use as a dementia screener for the general population.
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