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Published on: February 14, 2014
Self-reports on the IQCODE in older adults: a psychometric evaluation
Aaltje P D Jansen1, Hein P J van Hout, Giel Nijpels
1EMGO Institute, VU University Medical Center, Amsterdam, The Netherlands, Department of General Practice, VU University Medical Center, Amsterdam, The Netherlands.
The Informant Questionnaire on Cognitive Decline (self-report) is a feasible and valid tool for screening dementia symptoms in older adults. This study confirmed its good homogeneity and construct validity for community-dwelling populations.
Area of Science:
- Gerontology
- Psychometrics
- Neurology
Background:
- The Informant Questionnaire on Cognitive Decline (IQCODE) is established for dementia identification.
- Self-report measures are increasingly utilized for screening cognitive decline.
Purpose of the Study:
- To evaluate the feasibility, homogeneity, and construct validity of the IQCODE self-report (IQCODE-SR) for dementia symptom screening.
- To assess the performance of the IQCODE-SR in a large community-dwelling older adult population.
Main Methods:
- A cross-sectional study involving 4823 community-dwelling older adults administered the IQCODE-SR.
- Feasibility assessed via response rate, missing data, and assistance needed.
- Homogeneity analyzed using Cronbach's alpha.
- Construct validity tested through predefined hypotheses.
Main Results:
- Acceptable feasibility with a 58.9% response rate.
- Low item missingness (2.5%-7.3%) and significant assistance required for 915 participants.
- Excellent homogeneity indicated by Cronbach's alpha of .94.
- Most construct validity hypotheses were supported.
Conclusions:
- The IQCODE-SR demonstrates good feasibility, homogeneity, and construct validity.
- The self-report version of the IQCODE is a suitable measurement instrument for screening dementia symptoms.
- Findings support the use of IQCODE-SR in community-dwelling older adults for cognitive decline assessment.
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