Kingston Scales

KINGSTON STANDARDIZED COGNITIVE ASSESSMENT - REVISED (KSCAr)


         The Kingston Standardized Cognitive Assessment-Revised (KSCAr) is an instrument designed to assess elderly individuals suspected of having progressive dementias. The KSCAr is a broad range test that can assess a number of cognitive capabilities but concentrates on those commonly impaired in dementia. It produces a comprehensive assessment of memory, language and visual-motor functions – yielding a percentile score for each, as well as an overall total score. The KSCAr is a valuable tool as it provides an exceptionally comprehensive screening in about 30 minutes without requiring specially trained personnel.






BRIEF KINGSTON STANDARDIZED COGNITIVE ASSESSMENT - REVISED

(BriefKSCAr)


The Brief Kingston Standardized Cognitive Assessment is a shorter version of the full KSCAr. It can assess a number of cognitive capabilities concentrating on those commonly impaired in dementia, especially in the early stages. It provides a comprehensive screening in a short period of time without special training. An assessment can typically be completed in about 15 minutes.






mini-KINGSTON STANDARDIZED COGNITIVE ASSESSMENT

(mini-KSCAr)


The mini-KSCAr, is an instrument that has been designed as an initial screen to rapidly assess elderly individuals suspected of having a progressive dementia. It primarily focuses on the assessment of those symptoms commonly found in the early stages of dementia; i.e. memory (orientation, immediate and delayed recall, and recognition), executive functioning (abstract thinking), and motor spatial abilities (clock drawing). Individuals can be compared to groups of outpatients with Alzheimer’s or other dementias, as well as to a community dwelling normal elderly sample. A group of outpatients with depression, but without dementia, is also included. The mini-KSCAr can also be used for follow-up assessments after an initial full KSCAr has been administered.


One of the main values of the mini-KSCAr is that it provides a more comprehensive and reliable screening in a period of time comparable to that one would take to complete a MMSE or MoCA, all without special training or specially trained personnel. It is, therefore, of particular interest to primary care physicians who routinely have to quickly assess elderly patients for signs of dementia. It should be noted, that the “Assessment Form” for the mini-KSCAr is very much shorter than the other KSCAr’s.

References


Hopkins, RW, Kilik, LA. (2013) The mini-Kingston Standardized Cognitive Assessment, The American Journal of Alzheimer's Disease and Other Dementias, 28, 239-244. (Originally published online Mar 28, 2013)


Hopkins R, Kilik L, Day D, Rows C, Hamilton P. (2005) The Brief Kingston Standardized Cognitive Assessment -Revised. Int J Geriatr Psychiatry 20, 227-231.


Hopkins R, Kilik L, Day D, Rows C, Hamilton P. (2004). The Revised Kingston Standardized Cognitive Assessment. Int J Geriatr Psychiatry19(4):320-326.


Rodenburg, M., Hopkins, R., Hamilton, P., Ginsburg, L, Nashed, Y., and Minde, N. (1991) "The Kingston Standardized Cognitive Assessment." International Journal of Geriatric Psychiatry, 6, 867-874.


ASSESSMENT OF COGNITION