The overarching aim of TILDA is to improve the understanding of how health, economic and social circumstances contribute to (successful) ageing and to make Ireland the best place in the world to grow old.
TILDA collects information on health, economic and social circumstances from people aged 50 and over in a series of data collection waves once every two years. Over 8,500 people took part in the first wave of TILDA in 2009 and 2010. Participants were asked questions about a range of topics including health, housing, social support, work, retirement, pensions and quality of life and this was followed up with a health assessment. The results are published in a report called ‘Fifty Plus in Ireland 2011: First Results from The Irish Longitudinal Study on Ageing’ (Barrett et al., 2011).
Wave 2 of the study, which commenced in early 2012, is now complete. Wave 2 involved re-visiting and re-interviewing participants from the first wave. In addition to the topics covered in Wave 1, some new questions were added, including on personality. There was no separate health assessment during this wave, but the interviewers took a measure of handgrip strength and walking speed when they visited participants in their homes. The first results from Wave 2 have now been published in a report titled 'The Over 50s in a Changing Ireland: Economic Circumstances, Health and Well-Being' (Nolan et al., 2014).
Wave 3 of the study commenced in early 2014 and is currently underway. Wave 3 will include a personal interview in the participant's home, a self-completion questionnaire and a full health assessment. In Wave 3, both the personal interview and the health assessment include cognitive tests. The former tests include the Mini-Mental State Exam, verbal fluency, immediate and delayed recall tasks and prospective memory task. The cognitive tests used in the health assessment are the Montreal Cognitive Assessment; Color Trails Test; Choice Reaction Time; Sustained Attention to Response Task; National Adult Reading Test (premorbid intelligence); and Sound-Induced Flash Illusion (multisensory perception).
In addition, questions on cardiovascular disease and behavioural health (smoking, physical activity and sleep) cholesterol screening, employment, social connectedness have much relevance for the potentially modifiable risks factors associated with dementia. There is evidence that occupational level, educational level, and social engagement can enhance brain function and protect against or at least delay the onset of dementia.
A comprehensive list of TILDA reports, academic papers and study documents can be found on the TILDA website, several of which address cognitive function/impairment and which have relevance of policy and practice on dementia, but none address dementia specifically.