Cognitive Screening Tools for Dementia Detection in Primary Healthcare Centres in India: A Scoping Review
R, J. G.; Guruprasad, P.
Show abstract
BackgroundDementia is a growing public health concern in India, with an increasing prevalence among the elderly population. Early detection is crucial for effective intervention. Primary healthcare (PHC) centres play a vital role in identifying cognitive impairment; however, the effectiveness of cognitive screening tools in these settings is questionable. ObjectiveThis scoping review explores the cognitive screening tools available for dementia detection in PHC centres in India, assesses their effectiveness, and identifies the need for their improvement and adaptation. MethodsA systematic search was conducted in PubMed, Scopus, and Google Scholar for studies published up to October 2024. A total of 29 studies were identified, indicating that tools such as the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) are frequently used. However, these tools face significant challenges related to educational background and language comprehension, impacting their effectiveness. ConclusionThere is an urgent need for culturally and linguistically appropriate cognitive screening tools in PHC settings in India to enhance the early detection of dementia.
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