cognition. cognition questions do you have difficulty remembering or concentrating? split...
TRANSCRIPT
COGNITION
Cognition Questions
Do you have difficulty remembering or concentrating?
Split Interviews:How often do you have difficulty remembering important
things?
Thinking about the last time you had difficulty remembering important things, how much difficulty did you have?
Cognition Questions
Split Interviews:Do you have difficulty remembering a few things, a
lot of things, or almost everything?
How much difficulty did you have in concentrating on doing something for ten minutes?
Cognition FindingsRemembering or concentrating• No one had difficulty providing an answer.
• Most thought of remembering only or of both remembering and concentrating when answering this question; only a few thought only of concentration.
• Rs considered a variety of day-to-day items:Examples: telephone numbers, names, a word, chores, taking medicine, birthdays, dates, misplacing items, appointments, pin numbers.
• Serious and minor examples formed the basis for responses
Cognition Findings
R remembering important things• Varied understand of “important things”
• From the trivial (forgetting to brush teeth) to the more serious (forgetting where one lives) and everything in between.
• Some respondents directly asked what was meant by important (“Would that be your wife’s birthday?”).
Cognition Findings
The last time… how much difficulty• Little cognitive interview data
• Many Rs experienced difficulty with the question. – Couldn’t answer– Needed it repeated– Though it was no different from the previous
question– Asked what was meant by “important things”
Cognition Findings
Difficulty remembering a few things, a lot of things, or almost everything
• Little cognitive interview data, especially relating why Rs answered the way they did
• Examples given were similar to previous questions: needing a grocery list, remembering appointments, chores, or names, or misplacing an item.
Cognition FindingsDoing something for 10 minutes• Intent of question primarily not understood by Rs
• Many respondents said “it depends” based on: Desirability of the taskComplexity of the taskFamiliarity of the taskNumber of distractions present while doing the task
• Some Rs overly focused on 10 minutes– Thinking “if a task only takes 10 minutes to accomplish, it must not
be a very difficult task,” then answering ‘none’ – Thinking “10 minutes isn’t enough time to accomplish almost
anything,” then answering ‘severe.’
Summary of Cognition Findings
Revisions for Field Test Questionnaire
Cognition Field Test
Do you have difficulty remembering or concentrating?
Do you have difficulty remembering, concentrating, or both?
How often do you have difficulty remembering?
Do you have difficulty remembering a few things, a lot of things, or almost everything?
Cognition Field TestPlease tell me which of the following statements, if any, describe your difficulty remembering:
I forget things because I am busy and have too much to remember.My difficulty is getting worse.My difficulty has put me or my family in danger.I only forget little or inconsequential things.I must write down important things, such as my address or when to take medicine, so that I do not forget.My family members or friends are worried about my difficulty remembering.My difficulty is normal for someone my age.
Maldives• COG_SS Do you have difficulty remembering or
concentrating?• enumerators had to repeat the question to Rs.• Some times forget about school lessons • Forgets to tell the same way as what somebody else has told• Remember things can be remembered but some things wont • when someone talks to him he will think about it a lot. But
couldn’t express or tell anything • sometimes forgets things. But not so much • Some times a lot ??????
231
5919
510
143
51
0
100
200
300
400
500
600
No difficulty Some difficulty A lot of difficulty
Num
ber
COG_SS Do you have difficulty remembering or concentrating?
Male
Female
None said Cannot do at all / Unable
to do
• COG_1 Do you have difficulty remembering, concentrating, or both?
• Suggestion• No need of previous question
• Rs Comments – Repeat question– She asked what do you mean by concentration? Is it
not giving concentration when people speaking?
COG_SS: Sometimes a lot ????
56
319
0
157
6
30
10
20
40
60
80
100
120
140
160
180
Difficulty remembering only
Difficulty concentrating only
Difficulty with both remembering and
concentrating
Don’t know
Num
ber
Male
Female
COG_1 Do you have difficulty remembering, concentrating, or both?
• COG_2 How often do you have difficulty remembering?
• Rs Comments – Forget things due to the job involved – When cooking sometime put tea leaves instead of
salt – Forgets to attend parent teacher meetings. Feels
concerned about her children's studies– Few times
54
12 90
130
45
121
0
20
40
60
80
100
120
140
Sometimes Often All of the time Don’t know
Num
ber
Male
Female
COG_2 How often do you have difficulty remembering?
• COG_3 Do you have difficulty remembering a few things, a lot of things, or almost everything?
• Rs Comments – She said when she is busy she forgets easily– Cannot remember what she learns
50
194
152
26
8
0
20
40
60
80
100
120
140
160
A few things A lot of things Almost everything
Num
ber
COG_3 Do you have difficulty remembering a few things, a lot of things, or almost everything?
Male
Female
Male Female Male Female Male Female
A. I forget things because I am busy and have too much to remember.
40 132 33 54 2 2
B. My difficulty is getting worse. 19 67 55 118 1 3
C. My difficulty has put me or my family in danger.
9 54 65 134 1 0
D. I only forget little or inconsequential things.
63 167 12 21 0 0
E. I must write down important things, such as my address or when to take medicine, so that I do not forget.
14 42 60 146 1 0
F. My family members or friends are worried about my difficulty remembering.
20 53 54 132 0 1
G. My difficulty is normal for someone my age.
38 117 35 56 2 15
P_COG_3 Please tell me which of the following statements, if any, describe your difficulty remembering:
1. Yes 2. No 9 Don’t Know
11
6
2 2
20
4 5 6
0
5
10
15
20
25
A little A lot Somewhere in between a
little and a lot
Don’t Know
Nu
mb
er
Cog 4: How much difficulty do you have concentrating for ten minutes?
Male
Female
Total 56Male 21Female 35
• Rs comments• Can give concentration for few mins• No difficulty to concentrate for 10 mins • Not difficult for 10 mins • Its not difficult to concentrate on something for 10 mins
Suggestion-Need to rephrase question
31
12 13
8
2
64 3 3
13 2 1 1
13
13
6
12
20
10 10
29
15 16
52 2
68
46
05
101520253035404550
Less
than
1 y
ear
1-4
5-9
10-1
4
15-1
9
20-2
4
25-2
9
30-3
4
35-3
9
40-4
4
45-4
9
50-5
4
55-5
9
60-6
4
65+
Don
’t Kn
ow
Num
ber
Age Group
COG _6 How old were you when the difficulty remembering or concentrating began?
Male
Female
42
24
10
0 1
84 85
21
1 10
10
20
30
40
50
60
70
80
90
Not at all A little A lot Completely Don't know
num
ber
COG_7 How much does your difficulty remembering or concentrating limit your ability to carry out daily
activities?
Male
Female
Rs Comments • Cannot do any work alone • Repeat the question • The things which is interesting can remember • Always had to note down her activities. Also
keeps alarm • Difficult to give concentration to school work
and sometimes doing house work
P_COG_7 Which of the following activities, if any, are you unable to do, or find it hard to do, because of your difficulty
remembering or concentrating?
Male Female Male Female Male Female Male Female
A.Working to support you or your family? 10 46 31 116 35 32 0 0
B.Working outside the home to earn an income? 10 12 23 74 43 107 0 1
C.Going to school or achieving your education goals? 23 19 13 28 41 146 0 1
D.Participating in leisure or social activities? 15 25 57 151 4 17 1 1
E.Getting out with friends or family? 8 20 68 171 1 2 0 1
F.Doing household chores such as cooking and cleaning? 12 59 48 128 16 6 0 1
G.Using transportation to get to places you want to go? 15 23 61 169 1 2 0 0
H.Participating in religious activities? 11 26 66 168 0 0 0 0
I.Participating in community gatherings? 17 25 59 145 1 22 0 1
1. Yes 2. No 8. Not applicable 9. Don’t know
Every time repeating these questions people got angry and later didn’t pay much attention and had to force them to answer.