Telephone-based screening tools for mild cognitive impairment and dementia in aging studies: a review of validated instruments.

Telephone-based screening tools for mild cognitive impairment and dementia in aging studies: a review of validated instruments.
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DOI:
10.3389/fnagi.2014.00016
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发表时间:
2014
影响因子:
4.8
通讯作者:
Santos NC
Santos NC
中科院分区:
医学2区
文献类型:
--
作者:
Castanho TC;Amorim L;Zihl J;Palha JA;Sousa N;Santos NC

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老年人认知功能的衰退是现代社会面临的巨大挑战。痴呆症和其他神经退行性疾病的同时增加证明了对准确有效的认知评估工具的需求日益增长。虽然亲自测试被认为是最有效和首选的评估管理模式,但它不仅会在接触大量不同人群样本方面造成研究困难,而且还可能限制对身体或健康限制或动机降低的个人进行评估和随访。因此,基于电话的认知筛查工具可以成为面对面评估的替代和有吸引力的策略。为了给一个当前的看法,最先进的基于电话的工具,在老龄化的认知评估,这篇评论强调了一些现有的工具,特别注重数据验证,认知域评估,管理时间和仪器的局限性和优势。通过使用数据库EBSCO、Science Direct和PubMed进行的文献综述,可以验证,虽然基于电话的工具在研究和临床实践中很有用,提供了一种有前途的方法,但这些方法仍需要在验证步骤中进行改进,包括与单一仪器或神经认知测试电池进行比较,以提高特异性和灵敏度,从而有效地检测可能先于认知障碍的认知中的细微变化。
The decline of cognitive function in old age is a great challenge for modern society. The simultaneous increase in dementia and other neurodegenerative diseases justifies a growing need for accurate and valid cognitive assessment instruments. Although in-person testing is considered the most effective and preferred administration mode of assessment, it can pose not only a research difficulty in reaching large and diverse population samples, but it may also limit the assessment and follow-up of individuals with either physical or health limitations or reduced motivation. Therefore, telephone-based cognitive screening instruments can be an alternative and attractive strategy to in-person assessments. In order to give a current view of the state of the art of telephone-based tools for cognitive assessment in aging, this review highlights some of the existing instruments with particular focus on data validation, cognitive domains assessed, administration time and instrument limitations and advantages. From the review of the literature, performed using the databases EBSCO, Science Direct and PubMed, it was possible to verify that while telephone-based tools are useful in research and clinical practice, providing a promising approach, the methodologies still need refinement in the validation steps, including comparison with either single instruments or neurocognitive test batteries, to improve specificity and sensitivity to validly detect subtle changes in cognition that may precede cognitive impairment.
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