Instruments to Assess Cognitive Reserve Among Older Adults: a Systematic Review of Measurement Properties.

IF 5.4 2区 心理学 Q1 NEUROSCIENCES
Neuropsychology Review Pub Date : 2024-06-01 Epub Date: 2023-04-28 DOI:10.1007/s11065-023-09594-3
Wanrui Wei, Kairong Wang, Jiyuan Shi, Zheng Li
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Abstract

Cognitive reserve explains the differences in the susceptibility to cognitive impairment related to brain aging, pathology, or insult. Given that cognitive reserve has important implications for the cognitive health of typically and pathologically aging older adults, research needs to identify valid and reliable instruments for measuring cognitive reserve. However, the measurement properties of current cognitive reserve instruments used in older adults have not been evaluated according to the most up-to-date COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN). This systematic review aimed to critically appraise, compare, and summarize the quality of the measurement properties of all existing cognitive reserve instruments for older adults. A systematic literature search was performed to identify relevant studies published up to December 2021, which was conducted by three of four researchers using 13 electronic databases and snowballing method. The COSMIN was used to assess the methodological quality of the studies and the quality of measurement properties. Out of the 11,338 retrieved studies, only seven studies that concerned five instruments were eventually included. The methodological quality of one-fourth of the included studies was doubtful and three-seventh was very good, while only four measurement properties from two instruments were supported by high-quality evidence. Overall, current studies and evidence for selecting cognitive reserve instruments suitable for older adults were insufficient. All included instruments have the potential to be recommended, while none of the identified cognitive reserve instruments for older adults appears to be generally superior to the others. Therefore, further studies are recommended to validate the measurement properties of existing cognitive reserve instruments for older adults, especially the content validity as guided by COSMIN.Systematic Review Registration numbers: CRD42022309399 (PROSPERO).

Abstract Image

评估老年人认知储备的工具:测量特性的系统回顾。
认知储备可以解释大脑老化、病理或损伤导致的认知障碍的易感性差异。鉴于认知储备对典型老龄化和病理老龄化老年人的认知健康具有重要影响,研究需要确定有效可靠的认知储备测量工具。然而,目前用于老年人的认知储备测量工具的测量特性尚未根据最新的基于共识的健康状况测量工具选择标准(COSMIN)进行评估。本系统综述旨在批判性地评估、比较和总结所有现有老年人认知储备测量工具的测量属性质量。四名研究人员中的三人使用 13 个电子数据库和滚雪球法进行了系统性文献检索,以确定截至 2021 年 12 月发表的相关研究。COSMIN 用于评估研究的方法质量和测量属性质量。在检索到的 11 338 项研究中,最终只纳入了 7 项涉及 5 种工具的研究。四分之一的纳入研究的方法学质量值得怀疑,37%的纳入研究的方法学质量非常好,而只有两种工具的四项测量属性得到了高质量证据的支持。总体而言,目前用于选择适合老年人的认知储备工具的研究和证据不足。所有纳入的工具都有可能被推荐使用,但已确定的老年人认知储备工具中,没有一种似乎在总体上优于其他工具。因此,建议进一步开展研究,以验证现有老年人认知储备工具的测量特性,尤其是 COSMIN 所指导的内容效度:CRD42022309399 (PROPERCO)。
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来源期刊
Neuropsychology Review
Neuropsychology Review 医学-神经科学
CiteScore
11.00
自引率
1.70%
发文量
36
期刊介绍: Neuropsychology Review is a quarterly, refereed publication devoted to integrative review papers on substantive content areas in neuropsychology, with particular focus on populations with endogenous or acquired conditions affecting brain and function and on translational research providing a mechanistic understanding of clinical problems. Publication of new data is not the purview of the journal. Articles are written by international specialists in the field, discussing such complex issues as distinctive functional features of central nervous system disease and injury; challenges in early diagnosis; the impact of genes and environment on function; risk factors for functional impairment; treatment efficacy of neuropsychological rehabilitation; the role of neuroimaging, neuroelectrophysiology, and other neurometric modalities in explicating function; clinical trial design; neuropsychological function and its substrates characteristic of normal development and aging; and neuropsychological dysfunction and its substrates in neurological, psychiatric, and medical conditions. The journal''s broad perspective is supported by an outstanding, multidisciplinary editorial review board guided by the aim to provide students and professionals, clinicians and researchers with scholarly articles that critically and objectively summarize and synthesize the strengths and weaknesses in the literature and propose novel hypotheses, methods of analysis, and links to other fields.
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