BMC Geriatrics最新文献

{"title":"The development of BE-EMPOWERed: Belgian program Enhancing the uptake and Effectiveness of a Multifactorial falls Prevention intervention in Older community-dWElling peRsons.","authors":"Sara Vandervelde, Ellen Vlaeyen, Bernadette Dierckx de Casterlé, Johan Flamaing, Goedele Belaen, Kim Delbaere, Lindy Clemson, Megan Swann, Koen Milisen","doi":"10.1186/s12877-025-05879-9","DOIUrl":"10.1186/s12877-025-05879-9","url":null,"abstract":"<p><strong>Background: </strong>Falls among people aged 65 years and older represent a global health challenge, with substantial morbidity, mortality and economic costs. Despite strong evidence supporting the efficacy of multifactorial falls prevention interventions, their implementation in community settings remains inconsistent. There is a need to systematically develop and proactively tailor multifactorial falls prevention interventions and implementation strategies to the context. This study aims to describe the systematic development of the BE-EMPOWERed program, a comprehensive falls prevention initiative, and its corresponding implementation strategies to enhance the uptake and effectiveness of a multifactorial falls prevention interventions in community-dwelling older people.</p><p><strong>Methods: </strong>The BE-EMPOWERed program was developed using Intervention Mapping (IM) and Implementation Mapping guided by the Medical Research Council (MRC) framework. The development process involved co-production with key stakeholders, including older people, healthcare professionals, and local policymakers, ensuring the program's relevance and feasibility in real-world settings. The program components were pretested, refined, and evaluated through iterative cycles within primary care areas, incorporating continuous feedback from participants and implementation facilitators to address the complexities of the context and real-world implementation.</p><p><strong>Results: </strong>The BE-EMPOWERed program includes a group-based intervention for older people and workshops for healthcare professionals. A detailed implementation plan was created and implementation facilitators were trained to support the adoption of multifactorial falls prevention interventions across primary care areas in Flanders. Key implementation strategies for older people included tailored interventions, personal risk assessments, active learning, participation and opportunities for social comparison. For healthcare professionals, the strategies focused on raising awareness, guided practice and coalition-building. Additionally, active learning, guided practice, stakeholder engagement, community development and agenda setting were pivotal in training implementation facilitators and executing the implementation plan.</p><p><strong>Conclusions: </strong>The successful implementation of multifactorial falls prevention interventions in community settings requires addressing multiple contextual levels, from individual to organizational and policy-related factors. This study provides a comprehensive guide for the systematic development and implementation of complex interventions, offering practical insights for future initiatives aimed at improving community-based health outcomes, enhancing program sustainability, and facilitating the broader application of falls prevention interventions.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"412"},"PeriodicalIF":3.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recruitment strategies for Turkish immigrants in dementia care research: a scoping review.","authors":"Esma Inam, Seda Güney, Martina Roes","doi":"10.1186/s12877-025-06031-3","DOIUrl":"10.1186/s12877-025-06031-3","url":null,"abstract":"<p><strong>Background: </strong>Among the ethnic minority groups in Germany, Turkish immigrants represent the largest community. At the same time, this target group is underrepresented in dementia care research, and there are unique challenges regarding the recruitment of this group for studies. Increasing the involvement of Turkish immigrants in dementia care research is essential for reducing dementia-related inequalities. The aim of this scoping review is to describe strategies for recruiting Turkish immigrants living with dementia and their caregiving relatives for dementia care research and to identify related recruitment challenges.</p><p><strong>Methods: </strong>We conducted a scoping review including articles from peer-reviewed journals applying the methodological framework of Arksey and O'Malley and the PCC framework (P = Population, C = Concept, C = Context). We searched the MEDLINE, PsycINFO, CINAHL, and Scopus databases as well as the literature written in the German language in local university databases. There were no restrictions on publication dates or study types. Additionally, the references of the identified articles were manually searched, and relevant articles were added. The content analysis was used to synthesize the findings.</p><p><strong>Results: </strong>In total, 651 articles were screened, 15 of which were included in the review. Nine of the 15 articles were focused on the involvement of caregiving relatives, and six of the included articles were focused on people with dementia. The choice of recruitment strategies depended on the specific target group. Five main categories were identified based on the characteristics of the recruitment strategies implemented: Access to health environment, inclusive practices and cultural considerations, face-to-face interactions, technology-mediated access and engagement events. People with dementia were recruited predominantly through senior centres, hospitals, or home care providers; referrals from physicians; and databases/registries. The involvement of bilingual staff was a crucial strategy for achieving greater participation. Caregiving relatives were recruited mainly through dementia-related community organizations, settings, and social networks and through the involvement of bilingual staff. While facilitators play an essential role in engaging caregiving relatives, language and cultural barriers remain the most important barriers.</p><p><strong>Conclusions: </strong>The persistent presence of language and cultural barriers requires a culturally sensitive recruitment approach to increase the involvement of Turkish immigrants living with dementia and their caregiving relatives in dementia care research.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"411"},"PeriodicalIF":3.4,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of sarcopenia screening indicators in predicting death in older patients with chronic heart failure.","authors":"Zhouyu Li, Sha Huang, Xia Lin, Yukuan Xie, Yan Xia, Xiaoyan Chen","doi":"10.1186/s12877-025-06069-3","DOIUrl":"10.1186/s12877-025-06069-3","url":null,"abstract":"<p><strong>Objective: </strong>This study investigated the associations between multiple sarcopenia screening indicators and the risk of mortality, both overall and within 30 days of discharge, in older patients with chronic heart failure (CHF).</p><p><strong>Materials and methods: </strong>This retrospective study enrolled inpatients aged ≥ 60 years diagnosed with CHF in a teaching hospital in western China. The general data of the patients between January 1, 2017 and July 7, 2022 were collected from the electronic medical record system, and information on mortality was obtained through telephonic follow-up from July 31, 2022 to August 1, 2022. Cox regression analysis was used to explore the possible association between sarcopenia screening indicators, including the serum creatinine (Cr)/cystatin C (CysC)*100 and AST/ALT ratios, as well as the neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR), and risk of mortality, both overall and within 30 days of discharge.</p><p><strong>Results: </strong>This study included 482 older patients with CHF, including 270 males (56.02%) and 169 patients (35.06%) who died. After adjustment for possible confounding factors, Cox regression analysis showed that compared with patients with PLR<125.11, those with PLR ≥ 125.11 had a higher risk of death within 30 days after discharge (HR = 3.75, 95% CI:1.09-12.94) as well as overall mortality (HR=1.82, 95%CI: 1.14-2.93). However, Cr/CysC*100, AST/ALT, and NLR were not associated with either overall or 30-day mortality risk.</p><p><strong>Conclusion: </strong>The PLR was found to be associated with the risk of both overall mortality and death within 30 days of discharge in older patients with CHF.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"406"},"PeriodicalIF":3.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transitions and trajectories in intrinsic capacity states over time: a systematic review.","authors":"Youting Wang, Nan Tang, Mengqi Shao, Jie Song, Qingqing Su, Yuan Gao","doi":"10.1186/s12877-025-05938-1","DOIUrl":"10.1186/s12877-025-05938-1","url":null,"abstract":"<p><p>Intrinsic Capacity (IC) is a crucial measure of the comprehensive physiological and psychological capabilities of older adults, playing a key role in assessing healthy aging. This systematic review aims to explore the trajectories of IC in older adults, as well as the associated determinants and health outcomes. By searching through PubMed, Embase, Ovid, and Web of Science databases, we identified 13 studies that met our inclusion criteria. To ensure the rigor of the review, the Newcastle-Ottawa Scale (NOS) critical appraisal tool for cohort studies and the Guidelines for Reporting on Latent Trajectory Studies were employed to assess the quality of the studies included. When IC is represented as a single composite value, there are primarily three trajectory types: declining trajectory (characterized by a sharp, moderate, or mild decline from baseline IC), stable trajectory (little change compared to baseline IC), and high trajectory (high baseline IC with an increasing trend). When IC is broken down into individual dimensions, these trajectories primarily reflect the degree of impairment in different domains and changes in IC status. The trajectories can be divided into robust status (no impaired domains, stable IC status), mild impairment (impairment in 1-2 domains, mild IC impairment), and severe impairment (impairment in multiple domains, severe IC impairment). Factors influencing IC trajectories include age, gender, education level, ethnicity, number of chronic diseases, marital status, perceived financial adequacy, economic assistance status, self-assessed health status, and inflammatory biomarkers (such as IL-6, TNFR-1, and GDF-15). Adverse IC trajectory patterns are associated with increased mortality, quality of life, disability, frailty, and fall risk. Future research should focus on changes in IC at the end of life, increase the number of assessment time points, use objective measurement methods, and consider experimental designs to better understand the mechanisms behind IC trajectories, providing a scientific basis for targeted interventions.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"407"},"PeriodicalIF":3.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between near functional visual acuity and physical function in community-dwelling older adults: a cross-sectional study : Keio university global research Institute baseline survey.","authors":"Tomoki Manabe, Yuko Oguma, Kento Tabira, Miki Sugimoto, Kazuno Negishi, Kaori Yagasaki","doi":"10.1186/s12877-025-06074-6","DOIUrl":"10.1186/s12877-025-06074-6","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"405"},"PeriodicalIF":3.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inflammatory markers and clinical factors as key independent risk factors for frailty: a retrospective study.","authors":"Mengying Zeng, Yuanyuan Li, Yuchen Zhu, Ying Sun","doi":"10.1186/s12877-025-06033-1","DOIUrl":"10.1186/s12877-025-06033-1","url":null,"abstract":"<p><strong>Background and objective: </strong>Frailty in older adults leads to falls, disability, hospitalization, and death. Identifying frail individuals is a crucial means to delay the onset of adverse results. Chronic inflammation plays a key role in the onset and progression of frailty. Our study aims to explore the relationship between inflammatory markers and frailty in older adults, thereby contributing to more accurate assessments of frailty.</p><p><strong>Methods: </strong>We included 4,097 cases aged ≥ 60 years admitted to the Geriatrics Department of Beijing Friendship Hospital between July 17, 2018 and February 27, 2024, 800 cases were ultimately included. Patients were divided into non-frail, pre-frail, and frail groups based on the Fried frailty phenotype. Logistic regression analyses were performed using \"Python's statsmodels library\" to identify risk factors. \"The Sklearn library\" was used to assess the predictive power of these factors.</p><p><strong>Results: </strong>Two hundred five individuals were identified as frail. Independent risk factors for frailty included age, coronary artery disease (CAD), old cerebral infarction (OCI), neutrophil, neutrophil to lymphocyte rate (NLR), high-sensitivity C-reactive protein (hs-CRP), albumin, fibrinogen to albumin ratio (FAR) and erythrocyte sedimentation rate (ESR). Receiver operating characteristic curve analysis of age, CAD, OCI, neutrophils, NLR, hs-CRP, albumin, FAR, and ESR showed AUCs of 0.851 and 0.841 for logistic regression and random forest models.</p><p><strong>Conclusion: </strong>Inflammatory markers such as NLR, hs-CRP, FAR, and ESR, along with age, OCI, and CAD, were key independent risk factors for frailty. Incorporating these factors into predictive models could enhance frailty prediction.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"404"},"PeriodicalIF":3.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12135400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of home-based, low-intensity exergaming on cognitive function of individuals with mild cognitive impairment: a study protocol for a randomized controlled trial.","authors":"Sirintip Kumfu, Somporn Sungkarat, Sirinun Boripantakul, Piangkwan Sa-Nguanmoo, Siriporn C Chattipakorn","doi":"10.1186/s12877-025-06054-w","DOIUrl":"10.1186/s12877-025-06054-w","url":null,"abstract":"<p><strong>Background: </strong>Although older adults with Mild Cognitive Impairment (MCI) face an increased risk of dementia, accumulating evidence has revealed that their cognitive functions could revert to normal levels with effective interventions. Exercise, particularly a combination of physical and cognitive training delivered in the form of an exergame, has shown promising effects in improving cognitive function of older adults with MCI. Nonetheless, previous research often prescribed center-based, moderate to vigorous intensity exercise, posing potential risks to older adults with physical or medical conditions as well as limiting accessibility for those with schedule or transportation constraints. Therefore, this study aims to evaluate the effects of home-based, low-intensity, combined physical-cognitive exercise in the form of an exergame, on cognitive function in individuals with MCI and to further investigate potential biomarkers linking the effectiveness of the exercise program to cognitive alterations.</p><p><strong>Methods: </strong>Sixty-four older adults with MCI will be enrolled and randomly allocated to either the exercise group or the control group. The exercise group will engage in a low-intensity, combined physical-cognitive exercise through an exergame, with a 50-minute session, 3 times per week for 12 consecutive weeks. The control group will not receive any intervention. Primary outcome measures will be cognitive performance (global cognition, executive function, memory, and attention), and secondary outcome measures will be plasma biomarkers and physical performance. All assessments will be administered at baseline and after a 12-week intervention.</p><p><strong>Discussion: </strong>The findings of this study might provide valuable insights into an effective and practical intervention program aimed at improving cognitive function of older adults with MCI. The low-intensity, home-based exergaming could have considerable clinical implications, as it has the potential to enhance accessibility for individuals who are unable to engage in high-intensity exercise or attend center-based exercise programs.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT06201533, Registered January 11, 2024.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"408"},"PeriodicalIF":3.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12139151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144224271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hypertension and cognitive impairment among older persons in rural Northern Uganda: a cross-sectional study.","authors":"Joel Oyugi, Jonathan Izudi, Francis Bajunirwe","doi":"10.1186/s12877-025-06057-7","DOIUrl":"10.1186/s12877-025-06057-7","url":null,"abstract":"<p><strong>Background: </strong>Hypertension is common among older adults and negatively affects cognitive function. Available data on this association is mostly from resource-rich settings and has been understudied in resource-limited settings especially rural areas where the majority of older persons live. We examined the association between hypertension and cognitive impairment in older persons in Kole, a rural district in Uganda, and examined whether sex modifies the association.</p><p><strong>Methods: </strong>We conducted a community-based cross-sectional study among older persons aged ≥ 60 years in rural northern Uganda, using a multi-stage sampling approach. The primary exposure was hypertension measured by systolic (≥ 140 mmHg) or diastolic blood pressure (≥ 90 mmHg), or being on anti-hypertensive medication. The dichotomous outcome was cognitive impairment determined by Montreal Cognitive Assessment scores < 26. We used the modified Poisson regression with robust standard errors for the analysis, applying a 5% significance level.</p><p><strong>Results: </strong>We studied 420 participants and found 288 (68.6%) had hypertension while 213 (50.7%) had some cognitive impairment. The overall mean age was 68.4 ± 7.2 years, the mean systolic blood pressure was 138.1 ± 23.1 mmHg while diastolic blood pressure was 85.4 ± 11.9 mmHg, and the mean MOCA score was 17.6 ± 7.2. Hypertension was associated with cognitive impairment (adjusted prevalence risk [aPR] 1.26, 95% CI 1.01-1.57), with 4-5 people in the household (aPR 0.80, 95% CI 0.64-0.99), no smoking history (aPR 0.57, 95% CI 0.43-0.76), and dissatisfaction with one's health (aPR 1.68, 95% CI 1.27-2.21) and satisfaction with the ability to perform usual domestic duties (aPR 0.74, 95% CI 0.55-0.99) being associated. In a sex-stratified analysis, men with hypertension were more likely to experience cognitive impairment (aPR 2.13, 95% CI 1.33-3.40), compared to those with normal blood pressure but there was no significant association among women (aPR 0.97, 95% CI 0.96-1.24).</p><p><strong>Conclusion: </strong>Older persons with hypertension were more likely to experience cognitive impairment than those without. In a sex stratied analysis, this observation persists among men but disappears among women. Our results suggest a need to raise awareness and consider regular blood pressure measurement and control in older adults. We recommend longitudinal studies to examine temporality and suggest blood pressure interventions to prevent cognitive impairment in older age.</p>","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"403"},"PeriodicalIF":3.4,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144214870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in end-of-life care models among Chinese older adults, 1998-2018: an age-period-cohort analysis.","authors":"Xiaoyan Hei, Tieying Feng, Chenxi Gong","doi":"10.1186/s12877-025-06050-0","DOIUrl":"10.1186/s12877-025-06050-0","url":null,"abstract":"","PeriodicalId":9056,"journal":{"name":"BMC Geriatrics","volume":"25 1","pages":"399"},"PeriodicalIF":3.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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":"10.1186/s12877-025-06030-4","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":3.4,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12128237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}