A systematic review of ‘knowledge of dementia’ outcome measures

Knowledge of dementia measures are key to identifying areas of misinformation and establishing knowledge levels, thus guiding educational programmes and interventions.A three-step literature search was undertaken to identify measures of knowledge in dementia. An evaluation framework was employed articulating quality indicators for the psychometric properties of measures, based on their development and use within research studies.Five measures were identified: the Alzheimer's Disease Knowledge Test (ADKT, Dieckmann et al., 1988); the University of Alabama Alzheimer's Disease Knowledge Test for Health Professionals (UAB-ADKT, Barrett et al., 1997); the Dementia Quiz (DQ, Gilleard and Groom, 1994); the Knowledge of Aging and Memory Loss and Care (KAML-C, Kuhn et al., 2005) and the Alzheimer's Disease Knowledge Scale (ADKS, Carpenter et al., 2009). All measures followed a standard scale development process, generally with acceptable reliability and validity. Many studies used measures on populations beyond the target sample, without re-establishing the psychometric properties of the scales.There are limitations with all the measures, including weaknesses in psychometric properties, being outdated and having limited scope. Although the ADKT was once suited to international use and has established psychometric properties, some items are now outdated. The ADKS positions itself as an updated version of the ADKT, yet has not been used beyond the original development study. The DQ is most the suitable for family carers. All measures require periodic updates, to keep pace with the expanding field of dementia. More robust, contemporary measures of knowledge are required.

► 5 measures of ‘knowledge of dementia’ with published psychometric properties are currently in use.
► The ADKT is widely used and has established psychometric properties, yet some items are outdated.
► The ADKS is more up-to-date, yet has not been used beyond the original development study. The DQ appears to be most suitable for family carers.
► Contemporary, biopsychosocial, psychometrically robust measures are needed.