Large-Scale Application of a Telephone-Based Test of Cognitive Functioning in Older Adults
Large-Scale Application of a Telephone-Based Test of Cognitive Functioning in Older Adults
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DOI：
10.1159/000319896
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发表时间：
2010-01-01
影响因子：
2.4
通讯作者：
Brenner, Hermann
中科院分区：
文献类型：
--
作者：
Breitling, Lutz P.;Wolf, Melanie;Brenner, Hermann
目的：在大型流行病学环境中的认知功能的研究受到阻碍的认知性能的远程评估工具的缺乏，特别是当针对整个成人功能的变异性。本研究探讨了这种调查的实用性，使用最近开发的电话采访（认知电话筛选工具，COGTEL）。方法：正在进行的流行病学研究中的老年德国人口（ESTHER）的一个子队列进行了采访，通过电话由训练有素的人员。这些数据与通过标准化自填问卷获得的社会人口信息相结合，并通过表格、直方图和回归模型进行分析。结果：总共可以分析1，697次访谈。合格参与者的平均年龄+/-标准差为74.0 +/- 2.8岁。COGTEL总分接近正态分布，没有证据表明存在天花板效应。在调整后的回归模型中，COGTEL总分和子成分得分与年龄呈负相关，与高等教育呈强正相关，而与性别的相关性不太一致。结论：结果表明，COGTEL可以很容易地管理到大的研究人群，并产生合理的和翔实的结果。在使用这一工具进行的所有调查中都应考虑到教育问题，并需要进一步深入分析。未来的研究将需要阐明其与风险因素的关系及其对认知能力下降和痴呆的预后潜力。版权所有（C）2010 S. Karger AG，巴塞尔
Aims: The study of cognitive functioning in large epidemiological settings is hampered by a lack of instruments for the remote assessment of cognitive performance, especially when targeting variability across the full range of adult functioning. The present study examined the practicability of such investigations using a recently developed telephone interview (Cognitive Telephone Screening Instrument, COGTEL). Methods: A subcohort of an ongoing epidemiological study in the elderly German population (ESTHER) was interviewed via telephone by trained personnel. These data were combined with sociodemographic information obtained by standardized self-administered questionnaires, and analysed by tabulation, histograms and regression models. Results: A total of 1,697 interviews could be analysed. The eligible participants had a mean age +/- standard deviation of 74.0 +/- 2.8 years. The COGTEL total scores closely followed a normal distribution with no evidence of a ceiling effect. In adjusted regression models, COGTEL total and subcomponent scores were negatively associated with age and strongly positively with higher education, whereas the association with sex was less consistent. Conclusions: The results suggest that the COGTEL can readily be administered to large study populations and produces plausible and informative results. Education should be considered in all investigations using this instrument and requires further in-depth analyses. Future studies will need to elucidate its associations with risk factors and its prognostic potential for cognitive decline and dementia. Copyright (C) 2010 S. Karger AG, Basel