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)
Home
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