Cognitive Impairment - e.g. Dementia Clinical Trial
Official title:
Pilot Study of Cognitive Assessment in Welsh Speakers
19% of Wales' population speaks Welsh. Under the Welsh Language Act 1993, every public body
providing services to the public in Wales has to prepare a scheme setting out how it will
provide those services in Welsh.
Diagnosing dementia requires a comprehensive assessment, an essential component of which is
a cognitive assessment tool, which takes the form of a questionnaire. In clinical practice,
this is currently only available through the medium of English.
The investigators objective is to measure the difference between Cognitive Assessment scores
(using the Montreal cognitive assessment (MoCA)), when done in English and Welsh, in those
who are cognitively impaired and whose first language is Welsh. The investigators predict
that there will be a significant difference in scores in favour of the Welsh-medium tests,
thus proving that the current mode of administering the test is prejudiced against patients
whose first language is Welsh.
If the investigators predictions are correct, then the investigators would seek to introduce
a validated Welsh-language cognitive assessment tool to the domain of the Welsh NHS.
| Status | Not yet recruiting |
| Enrollment | 100 |
| Est. completion date | October 2015 |
| Est. primary completion date | August 2015 |
| Accepts healthy volunteers | Accepts Healthy Volunteers |
| Gender | Both |
| Age group | N/A and older |
| Eligibility |
Inclusion Criteria: - Welsh Speakers - self-identify as first-language Welsh - Diagnosis of Dementia - recorded in patient's case notes Exclusion Criteria: - Refusal - Intercurrent illness - Blind/any other disability which may prevent participant from fully completing Cognitive Assessment |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Diagnostic
| Country | Name | City | State |
|---|---|---|---|
| United Kingdom | Ysbyty Glan Clwyd | Bodelwyddan | Denbighshire |
| Lead Sponsor | Collaborator |
|---|---|
| Conor Martin | Betsi Cadwaladr University Health Board |
United Kingdom,
Cummings JL, Benson F, Hill MA, Read S. Aphasia in dementia of the Alzheimer type. Neurology. 1985 Mar;35(3):394-7. — View Citation
Mendez MF, Perryman KM, Pontón MO, Cummings JL. Bilingualism and dementia. J Neuropsychiatry Clin Neurosci. 1999 Summer;11(3):411-2. — View Citation
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Difference in Cognitive Assessment Score between Welsh and English | at 0 and 48 hrs | No | |
| Secondary | To measure the differences between participants' scores in Welsh and English and compare between different types of Dementia | We will records each participant's type of cognitive decline - e.g. Alzheimer's, Vascular, Frontal, Lewy Body, etc, and compare the differences in scores - to see whether different types of dementia will perform significantly worse or better in their first and second languages (Welsh and English). | 0 and 48hrs | No |