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Data Collection Form

Data Collection Form for the Dementia and CI in SSA Project.

Additionally, you can download the Data Collection Form as a Word Document or PDF.


Paper Title:

Authors

1. Data extractor

 

Study characteristics

2. Study ID

3. Date of publication

4. Country and geographic region where study was conducted

5. Total study duration (start and end date of data collection)

6. Aim of study/research question

7. Study design

8. Funding source

 

Participants

9. Recruitment procedures

10. Inclusion and exclusion criteria

11. Residential region (urban/rural) of participants

12. Setting of participants (eg general population) / healthcare setting (eg primary care)

13. Number of participants (included in analyses)

14. Number (%) of female participants

15. Number (%) of male participants

16. Proportion of females to males

17. Overall age (mean and range) of participants

18. Age (mean and range) of female participants

19. Age (mean and range) of male participants

20. Socio economic status of participants

21. Level of education of participants

 

Outcomes

22. Outcomes evaluated (cognitive impairment, dementia, alzheimers etc)

23. Definition of dementia / cognitive impairment (specify if cognitive impairment with no dementia [CIND] reported)

24. Method / tests to diagnose outcome

25. Number diagnosed with dementia

26. Prevalence of dementia with confidence intervals

27. Number diagnosed with cognitive impairment

28. Prevalence of cognitive impairment with confidence intervals

29. Number of females diagnosed with dementia/cognitive impairment

30. Prevalence of females diagnosed with dementia/cognitive impairment

31. Number of males diagnosed with dementia/cognitive impairment

32. Prevalence of males diagnosed with dementia/cognitive impairment

33. Proportion of males to females diagnosed with dementia/cognitive impairment

34. Overall age (mean and range) of participants diagnosed with dementia/cognitive impairment

35. Age (mean and range) of female participants diagnosed with dementia/cognitive impairment

36. Age (mean and range) of male participants diagnosed with dementia/cognitive impairment

37. Prevalence of dementia/cognitive impairment reported according to age bands

38. Co-morbidities reported

39. Details of socio-economic status among those with dementia/cognitive impairment

40. Details of level of education among those with dementia/cognitive impairment

41. Loss to follow-up

 

Conclusions

42. Conclusions

43. Potential risk factors reported

44. Comments (eg mention of reasons for reported prevalence/ diagnostic difficulties / cultural perceptions / economic or care burdens)

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Contact

For further information about the project, please contact:

Dr Angelique Mavrodaris,
Academic Clinical Fellow in Public Health

Email: A.Mavrodaris@warwick.ac.uk
Tel: +44 (0)24 7657 5207

Health Sciences Research Division
Warwick Medical School
Gibbet Hill Road
CV4 7AL