CFAI-Plus: Adding cognitive frailty as a new domain to the comprehensive frailty assessment instrument
CFAI-Plus: Adding cognitive frailty as a new domain to the comprehensive frailty assessment instrument
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DOI：
10.1002/gps.4875
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发表时间：
2018-07-01
影响因子：
4
通讯作者：
Dierckx, Eva
中科院分区：
文献类型：
--
作者：
De Roeck, Ellen Elisa;Dury, Sarah;Dierckx, Eva
目的认知功能障碍是指除痴呆外存在认知功能障碍的疾病。与其他脆弱领域一样，认知脆弱与负面结果有关。综合脆弱性评估工具（CFAI）测量4个领域的脆弱性，即身体，心理，社会和环境脆弱性。认知fraithy. MethodA专家小组选择了6个问题，从知情人问卷认知下降，连同CFAI和蒙特利尔认知评估管理到355老年社区居住的成年人（平均年龄=77）。将原始CFAI中的所有问题与4个认知问题一起进行主成分分析，显示4个认知问题都加载在1个因素上，代表脆弱的认知领域。通过添加认知域的CFAI，适应CFAI（CFAI加）的可靠性，仍然很好（克朗巴赫的α：.767）。ConclusionsThis研究表明，认知脆弱可以添加到CFAI，而不影响其良好的心理测量特性。未来，CFAI-Plus需要在一个独立的队列中进行验证，并且需要研究与其他脆弱领域的相互作用。
ObjectivesCognitive frailty is characterized by the presence of cognitive impairment in exclusion of dementia. In line with other frailty domains, cognitive frailty is associated with negative outcomes. The Comprehensive Frailty Assessment Instrument (CFAI) measures 4 domains of frailty, namely physical, psychological, social, and environmental frailty. The absence of cognitive frailty is a limitation.MethodAn expert panel selected 6 questions from the Informant Questionnaire on Cognitive Decline that were, together with the CFAI and the Montreal cognitive assessment administered to 355 older community dwelling adults (mean age=77).ResultsAfter multivariate analysis, 2 questions were excluded. All the questions from the original CFAI were implemented in a principal component analysis together with the 4 cognitive questions, showing that the 4 cognitive questions all load on 1 factor, representing the cognitive domain of frailty. By adding the cognitive domain to the CFAI, the reliability of the adapted CFAI (CFAI-Plus), remains good (Cronbach's alpha: .767).ConclusionsThis study showed that cognitive frailty can be added to the CFAI without affecting its good psychometric properties. In the future, the CFAI-Plus needs to be validated in an independent cohort, and the interaction with the other frailty domains needs to be studied.