ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2021
Canadian Indigenous Cognitive Assessment (CICA): Inter-rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada.
Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Performance of cognitive screening tools in detecting possible dementia among older males in custody in Canada: a pilot study.Health & justice · 2026Article
- Advancing brain health equity with Indigenous peoples: A critical imperative.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Review
- A Prototype Rapid Tool to Enhance Detection of Dementia for Aboriginal and Torres Strait Islander Peoples in Primary Care.International journal of geriatric psychiatry · 2025Article
- Article
- Participatory Research Approaches in Alzheimer's Disease and Related Dementias Literature: A Scoping Review.Innovation in aging · 2023Article
- Canadian Indigenous Cognitive Assessment (CICA): Inter-rater reliability and criterion validity in Anishinaabe communities on Manitoulin Island, Canada.Alzheimer's & dementia (Amsterdam, Netherlands) · 2021Article
- Culturally adapted cognitive assessment tool for Indigenous communities in Brazil: Content, construct, and criterion validity.Alzheimer's & dementia (Amsterdam, Netherlands)Article
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Authors and funding
11 authors.
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Abstract
introductionDespite increasing dementia rates, few culturally informed cognitive assessment tools exist for Indigenous populations. The Canadian Indigenous Cognitive Assessment (CICA) was adapted with First Nations on Manitoulin Island, Canada, and provides a brief, multi-domain cognitive assessment in English and Anishinaabemowin.
methodsUsing community-based participatory research (CBPR) methods, we assessed the CICA for inter-rater and test-retest reliability in 15 individuals. We subsequently evaluated validity and established meaningful CICA cut-off scores in 55 individuals assessed by a geriatrician.
resultsThe CICA demonstrated strong reliability (intra-class coefficient = 0.95 [0.85,0.98]). The area under the curve (AUC) was 0.98 (0.94, 1.00), and the ideal cut-point to identify likely cases of dementia was a score of less than or equal to 34 with sensitivity of 100% and specificity of 85%. DISCUSSION: When used with older First Nations men and women living in First Nations communities, the CICA offers a culturally safe, reliable, and valid assessment to support dementia case-finding.
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