Feasibility and psychometric properties of Integrated Care for Older People Screening Tool for Taiwanese (ICOPES-TW) cognitive screening test.

IF 2.2 4区医学 Q3 CLINICAL NEUROLOGY

Dementia and Geriatric Cognitive Disorders Pub Date : 2024-11-08 DOI:10.1159/000542272

Chung-Ying Lin, Hua-Lin Liu, Yi-Ching Yang, Jung-Der Wang, Chung-Yi Li, Mark D Griffiths, Li-Fan Liu

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引用次数: 0

Abstract

Introduction: Intrinsic capacity, a concept proposed by the World Health Organization, includes multidimensions to better understand older adults' health conditions for successful healthy aging. One of the key dimensions of intrinsic capacity is cognition. The present study aimed to examine if the cognitive test in Integrated Care for Older People Screening Tool for Taiwanese (ICOPES-TW) is a suitable instrument for screening cognition impairment.

Methods: Older adults from community or medical center settings in Tainan were recruited (n=553; mean±SD age=75.80±8.32; 60.8% females). All participants were administered the ICOPES-TW cognitive test, the Mini-Mental State Examination (MMSE), Lawton's Instrumental Activities of Daily Living (IADL), and Barthel Index (BI) in an in-person interview conducted by a well-trained research assistant.

Results: The ICOPES-TW cognitive test was highly correlated with the MMSE total score (r=-0.752) and moderately correlated with IADL (r=-0.426) and BI scores (r=-0.390). When using a cutoff score of 1 for the ICOPES-TW cognitive test, its accuracy to identify cognitive impairment defined by the MMSE was 60% (sensitivity=0.98, specificity=0.41). When using cutoff score of 2, the accuracy was 83% (sensitivity=0.69, specificity=0.90). Moreover, the ICOPES-TW cognitive test had similar properties to the MMSE in terms of known-group validity (distinguishing different age and educational level groups).

Conclusions: Using ICOPES-TW cognitive test with appropriate cutoff point in different healthcare settings could help providers and researchers quickly identify if an older adult has a cognitive impairment. However, the screening ability of ICOPES-TW cognitive test was deemed fair but future studies are recommended to help improve it.

查看原文本刊更多论文

台湾老年人综合护理筛查工具（ICOPES-TW）认知筛查测试的可行性和心理测量特性。

导言：内在能力是世界卫生组织提出的一个概念，它包括多个维度，以便更好地了解老年人的健康状况，从而实现成功的健康老龄化。认知能力是内在能力的关键维度之一。本研究旨在探讨台湾老年人综合护理筛查工具（ICOPES-TW）中的认知测试是否是筛查认知障碍的合适工具：招募台南市社区或医疗中心的老年人（n=553；平均年龄（±SD）=75.80±8.32；女性占60.8%）。所有受试者均接受了 ICOPES-TW 认知测试、迷你精神状态检查 (MMSE)、Lawton 日常活动量 (IADL) 和 Barthel 指数 (BI)，并由训练有素的研究助理进行了面谈：ICOPES-TW 认知测试与 MMSE 总分高度相关（r=-0.752），与 IADL（r=-0.426）和 BI 分数（r=-0.390）中度相关。当 ICOPES-TW 认知测试的临界值为 1 时，其识别 MMSE 所定义的认知障碍的准确率为 60%（灵敏度=0.98，特异性=0.41）。当使用截断分数为 2 时，准确率为 83%（灵敏度=0.69，特异性=0.90）。此外，ICOPES-TW认知测试在已知组有效性（区分不同年龄组和教育水平组）方面与MMSE具有相似的特性：结论：在不同的医疗环境中使用ICOPES-TW认知测试并设定适当的临界点，可以帮助医疗服务提供者和研究人员快速识别老年人是否存在认知障碍。不过，ICOPES-TW 认知测试的筛查能力被认为尚可，但建议今后开展研究以帮助提高其筛查能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dementia and Geriatric Cognitive Disorders 医学-精神病学

CiteScore

4.70

自引率

0.00%

发文量

审稿时长

2 months

期刊介绍： As a unique forum devoted exclusively to the study of cognitive dysfunction, ''Dementia and Geriatric Cognitive Disorders'' concentrates on Alzheimer’s and Parkinson’s disease, Huntington’s chorea and other neurodegenerative diseases. The journal draws from diverse related research disciplines such as psychogeriatrics, neuropsychology, clinical neurology, morphology, physiology, genetic molecular biology, pathology, biochemistry, immunology, pharmacology and pharmaceutics. Strong emphasis is placed on the publication of research findings from animal studies which are complemented by clinical and therapeutic experience to give an overall appreciation of the field.