{"title":"Psychometric properties of screening tools for mild cognitive impairment in older adults based on COSMIN guidelines: a systematic review.","authors":"Shasha Wen, Dongmei Cheng, Nana Zhao, Xinyu Chen, Xianying Lu, Yue Li, Huanle Liu, Jing Gao, Chaoming Hou, Ran Xu","doi":"10.1186/s12877-025-06030-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>The prevalence of mild cognitive impairment in older adults is understood to be as high as 40%, and early screening for MCI may slow the progression of Alzheimer's disease. However, no systematic review has summarized the psychometric properties of instruments.</p><p><strong>Objective: </strong>This systematic review aimed to assess the psychometric properties of existing scales for screening older adults for mild cognitive impairment and to provide an evidence-based basis for selecting the most appropriate assessment tool for older adults.</p><p><strong>Design: </strong>This study systematically reviewed the measurement properties using the consensus-based Criteria for the Selection of Instruments for Measuring Health (COSMIN) method.</p><p><strong>Methods: </strong>Eight electronic databases (PubMed, Embase, Web of Science, Scopus, Cochrane, CNKI, Wanfang, and Proquest) were systematically searched from inception up to October 26, 2024. Methodological quality was assessed using the COSMIN risk of bias checklist, and psychometric properties were summarized and evaluated using the COSMIN criteria.</p><p><strong>Results: </strong>Thirty-one studies reported 30 different versions of screening instruments, with 15 studies examining more than 5 psychometric properties. Limited information on construct validity and reliability was found. No data were found on cross-cultural validity/measurement invariance, measurement error, or responsiveness. The final three instruments, AV-MoCA, HKBC, and Qmci-G, received class A recommendations and were recommended for use. The TICS-M study had insufficient psychometric properties and received a class C recommendation; thus, it was not recommended for use. The other 26 instruments were class B recommendations, indicating potential for use, although further research is needed to assess their psychometric properties.</p><p><strong>Conclusion: </strong>The AV-MoCA, HKBC, and Qmci-G can be used to screen older adults for MCI. Future research is needed to further validate the cross-cultural applicability of these instruments and to fully assess their psychometric properties.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"401"},"PeriodicalIF":3.4000,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128237/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMC Geriatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s12877-025-06030-4","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: The prevalence of mild cognitive impairment in older adults is understood to be as high as 40%, and early screening for MCI may slow the progression of Alzheimer's disease. However, no systematic review has summarized the psychometric properties of instruments.
Objective: This systematic review aimed to assess the psychometric properties of existing scales for screening older adults for mild cognitive impairment and to provide an evidence-based basis for selecting the most appropriate assessment tool for older adults.
Design: This study systematically reviewed the measurement properties using the consensus-based Criteria for the Selection of Instruments for Measuring Health (COSMIN) method.
Methods: Eight electronic databases (PubMed, Embase, Web of Science, Scopus, Cochrane, CNKI, Wanfang, and Proquest) were systematically searched from inception up to October 26, 2024. Methodological quality was assessed using the COSMIN risk of bias checklist, and psychometric properties were summarized and evaluated using the COSMIN criteria.
Results: Thirty-one studies reported 30 different versions of screening instruments, with 15 studies examining more than 5 psychometric properties. Limited information on construct validity and reliability was found. No data were found on cross-cultural validity/measurement invariance, measurement error, or responsiveness. The final three instruments, AV-MoCA, HKBC, and Qmci-G, received class A recommendations and were recommended for use. The TICS-M study had insufficient psychometric properties and received a class C recommendation; thus, it was not recommended for use. The other 26 instruments were class B recommendations, indicating potential for use, although further research is needed to assess their psychometric properties.
Conclusion: The AV-MoCA, HKBC, and Qmci-G can be used to screen older adults for MCI. Future research is needed to further validate the cross-cultural applicability of these instruments and to fully assess their psychometric properties.
背景:老年人轻度认知障碍的患病率据了解高达40%,早期MCI筛查可能会减缓阿尔茨海默病的进展。然而,没有系统的综述总结了仪器的心理测量特性。目的:本系统综述旨在评估现有老年人轻度认知障碍筛查量表的心理测量特性,为选择最适合老年人的评估工具提供循证依据。设计:本研究采用基于共识的健康测量工具选择标准(COSMIN)方法系统地审查了测量特性。方法:系统检索PubMed、Embase、Web of Science、Scopus、Cochrane、CNKI、万方、Proquest等8个电子数据库,检索时间为建库至2024年10月26日。使用COSMIN偏倚风险检查表评估方法学质量,并使用COSMIN标准总结和评估心理测量特性。结果:31项研究报告了30种不同版本的筛选工具,其中15项研究检查了5种以上的心理测量特性。有关结构效度和信度的资料有限。未发现跨文化效度/测量不变性、测量误差或反应性方面的数据。最后三种仪器AV-MoCA、HKBC和Qmci-G获得A类推荐,推荐使用。tic - m研究的心理测量特性不足,被推荐为C类;因此,不建议使用。其他26种仪器是B级推荐,表明有使用潜力,尽管需要进一步研究来评估它们的心理测量特性。结论:AV-MoCA、HKBC、Qmci-G可用于筛查老年人轻度认知损伤。未来的研究需要进一步验证这些工具的跨文化适用性,并充分评估其心理测量特性。
期刊介绍:
BMC Geriatrics is an open access journal publishing original peer-reviewed research articles in all aspects of the health and healthcare of older people, including the effects of healthcare systems and policies. The journal also welcomes research focused on the aging process, including cellular, genetic, and physiological processes and cognitive modifications.