Through collaborative work with community advisory boards, councils, and community members, we will form Indigenous Knowledge Advisory Groups (IKAGs) at each site. IKAGs will be made up of individuals who have a deep understanding of the language and culture, and will review and discuss if adaptations are needed for any of the four tools.

We will work with a group of experts in dementia assessment, called the Expert Assessment Panel (EAP). The EAP will make sure the suggested wording in the tools properly assesses the different areas of the brain, mood, and functional status.

Throughout the review process we will bring IKAG members representing the three research sites together to develop a consensus/single version of the tools that will work at all three sites.

An interactive process between the IKAG and EAP will occur until there is agreement on any proposed changes for each of the tools.

We will pilot test the tools with 10 dyads (pairs of people) at each site. The dyad will include a person who is 45 years or older who will complete the cognitive assessments/toolkit and their caregiver or study partner, who is aged 18 and older.

If no changes are needed after the pilot testing, the AMICA tools will be ready for validity and reliability testing. This will help us evaluate both if measurements are accurate and consistent. If changes are needed, we will make changes and repeat the previous step.