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Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review

Introduction: Cognitive assessment of older adults who are either illiterate or with low levels of education is particularly challenging because several battery tasks require a certain educational background. Early detection of mild cognitive impairment (MCI) in the elderly using validated screening...

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Autores principales: Tavares-Júnior, José Wagner Leonel, de Souza, Ana Célia Caetano, Alves, Gilberto Sousa, Bonfadini, Janine de Carvalho, Siqueira-Neto, José Ibiapina, Braga-Neto, Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923219/
https://www.ncbi.nlm.nih.gov/pubmed/31920741
http://dx.doi.org/10.3389/fpsyt.2019.00878
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author Tavares-Júnior, José Wagner Leonel
de Souza, Ana Célia Caetano
Alves, Gilberto Sousa
Bonfadini, Janine de Carvalho
Siqueira-Neto, José Ibiapina
Braga-Neto, Pedro
author_facet Tavares-Júnior, José Wagner Leonel
de Souza, Ana Célia Caetano
Alves, Gilberto Sousa
Bonfadini, Janine de Carvalho
Siqueira-Neto, José Ibiapina
Braga-Neto, Pedro
author_sort Tavares-Júnior, José Wagner Leonel
collection PubMed
description Introduction: Cognitive assessment of older adults who are either illiterate or with low levels of education is particularly challenging because several battery tasks require a certain educational background. Early detection of mild cognitive impairment (MCI) in the elderly using validated screening tools is of great importance since this population group could benefit from new drugs that are being investigated for the treatment of dementias. Cutoff scores for psychometric properties of cognitive tests are not well established among adults with low levels of education. The present study aimed to critically review the literature on cognitive assessment tools for screening cognitive syndromes including MCI and Alzheimer’s disease (AD) in older adults with low levels of education. Methods: We conducted a systematic search of MEDLINE, LILACS, Cochrane, and SCOPUS electronic databases of cross-sectional and prospective studies with adults over 55 years of age. Results: We found a significant number of assessment tools available (n = 44), but only a few of them showed diagnostic accuracy for the diagnosis of MCI and AD in older adults with low levels of education: the Mini-Mental State Exam; the Montreal Cognitive Assessment; the Persian Test of Elderly for Assessment of Cognition and Executive Function; the Six-Item Screener; and the Memory Alteration Test. Few studies evaluated individuals with low levels of education, with a wide range of cutoff scores and cognitive test batteries. Conclusion: We found that a small number of studies evaluated adults with 4 years of formal education or less. Our findings further support the importance of developing specific tools for the assessment of older adults with low levels of education.
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spelling pubmed-69232192020-01-09 Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review Tavares-Júnior, José Wagner Leonel de Souza, Ana Célia Caetano Alves, Gilberto Sousa Bonfadini, Janine de Carvalho Siqueira-Neto, José Ibiapina Braga-Neto, Pedro Front Psychiatry Psychiatry Introduction: Cognitive assessment of older adults who are either illiterate or with low levels of education is particularly challenging because several battery tasks require a certain educational background. Early detection of mild cognitive impairment (MCI) in the elderly using validated screening tools is of great importance since this population group could benefit from new drugs that are being investigated for the treatment of dementias. Cutoff scores for psychometric properties of cognitive tests are not well established among adults with low levels of education. The present study aimed to critically review the literature on cognitive assessment tools for screening cognitive syndromes including MCI and Alzheimer’s disease (AD) in older adults with low levels of education. Methods: We conducted a systematic search of MEDLINE, LILACS, Cochrane, and SCOPUS electronic databases of cross-sectional and prospective studies with adults over 55 years of age. Results: We found a significant number of assessment tools available (n = 44), but only a few of them showed diagnostic accuracy for the diagnosis of MCI and AD in older adults with low levels of education: the Mini-Mental State Exam; the Montreal Cognitive Assessment; the Persian Test of Elderly for Assessment of Cognition and Executive Function; the Six-Item Screener; and the Memory Alteration Test. Few studies evaluated individuals with low levels of education, with a wide range of cutoff scores and cognitive test batteries. Conclusion: We found that a small number of studies evaluated adults with 4 years of formal education or less. Our findings further support the importance of developing specific tools for the assessment of older adults with low levels of education. Frontiers Media S.A. 2019-12-13 /pmc/articles/PMC6923219/ /pubmed/31920741 http://dx.doi.org/10.3389/fpsyt.2019.00878 Text en Copyright © 2019 Tavares-Júnior, de Souza, Alves, Bonfadini, Siqueira-Neto and Braga-Neto http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Tavares-Júnior, José Wagner Leonel
de Souza, Ana Célia Caetano
Alves, Gilberto Sousa
Bonfadini, Janine de Carvalho
Siqueira-Neto, José Ibiapina
Braga-Neto, Pedro
Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review
title Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review
title_full Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review
title_fullStr Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review
title_full_unstemmed Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review
title_short Cognitive Assessment Tools for Screening Older Adults With Low Levels of Education: A Critical Review
title_sort cognitive assessment tools for screening older adults with low levels of education: a critical review
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923219/
https://www.ncbi.nlm.nih.gov/pubmed/31920741
http://dx.doi.org/10.3389/fpsyt.2019.00878
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