Pilot Study of Cognitive Assessment in Welsh Speakers

Study Overview
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Brief Summary
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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.

Official Title
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Pilot Study of Cognitive Assessment in Welsh Speakers

Conditions
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Cognitive Impairment - e.g. Dementia

Intervention / Treatment
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* Other: Welsh language Cognitive Assessment


Participation Criteria
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Eligibility Criteria
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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
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Welsh<br>Participants will complete the cognitive assessment in Welsh and in English these will be compared to assess whether first language Welsh speakers perform better in Welsh. | Other: Welsh language Cognitive Assessment<br>* This intervention may intervene by displaying a more realisitic reflection of the patient's cognitive ability by assessing the patient in their first language<br>|
| Active Comparator: English<br>Participants will complete the cognitive assessment in Welsh and in English these will be compared to assess whether first language Welsh speakers perform better in Welsh. | Other: Welsh language Cognitive Assessment<br>* This intervention may intervene by displaying a more realisitic reflection of the patient's cognitive ability by assessing the patient in their first language<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Difference in Cognitive Assessment Score between Welsh and English |  | at 0 and 48 hrs | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 |