Variation in responses to a cognitive screening tool in older adults receiving aged care services

Research output: Chapter in Book/Report/Conference proceedingConference abstract


Background Current screening assessment approaches for cognitive function are summarised using a single composite score indicating whether or not an individual has a cognitive impairment. Despite measuring different cognitive domains such as short-term memory, orientation and praxis, domain-specific responses are often not reported, making it difficult to determine the most relevant treatment strategies. The Telephone Interview for Cognitive Status-Modified (TICS-M) is a commonly used telephone-based screening instrument for cognitive performance and examines eight different cognitive domains including short-term memory, language, concentration, orientation, mathematical skills, praxis, conceptual knowledge and delayed recall. Objective To describe the variation in participant responses in each of the eight TICS-M domains. Method Australians contributing to a broader study of social networks, wellbeing and cognition among clients aged 65+ years accessing community aged care services completed the TICS-M in October 2018. Descriptive analyses of each domain were carried out. Independent samples t-test was conducted to compare domain scores for participants with and without cognitive impairment. Results One hundred and one participants (mean age 80.0±6.5) completed the TICS-M. Most were female (80.3%), living alone (51.0%), receiving the pension (89.2%), and completed high school (78.3%). The mean TICS-M score was 31.4 (SD=5.2) and majority of participants had no cognitive impairment (70.6%). Only the delayed recall domain reported a significant recency effect for individuals without cognitive impairment (94.1% vs 75% correctly recalled). There was no significant differences in participant’s responses to the other domains. Conclusion Considering domain-specific responses as complementary to a single composite score may enhance the utility of the TICS-M and identify individuals with early memory problems. Observing variations in individual responses to each cognitive domain may further improve the quality of medical feedback and the delivery of person-centred community aged care activities. This includes adopting targeted treatment strategies that could protect against further decline in ageing Australians.
Original languageEnglish
Title of host publication18th National Conference of Emerging Researchers in Ageing
Subtitle of host publicationEquity and Diversity
Place of PublicationVictoria
PublisherMonash University Publishing
Number of pages1
Publication statusPublished - 2019
Event18th National Conference of Emerging Researchers in Ageing -
Duration: 4 Nov 20195 Nov 2019


Conference18th National Conference of Emerging Researchers in Ageing


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