全国背景下晚年认知功能的协调:协调认知评估协议 (HCAPs) 的结果
medRxiv : the preprint server for health sciences
|July 3, 2023
概括
这项研究协调了六个国家的认知功能得分,显示了认知衰老跨国比较的高精度. 这使得更好的国际研究认知能力下降的危险因素.
科学领域:
- 老年学是一门学科.
- 认知神经科学 认知神经科学
- 流行病学 流行病学
背景情况:
- 协调认知评估协议 (HCAP) 能够进行认知功能的跨国比较.
- 在全球不同的人口中HCAP的适用性仍然未确立.
研究的目的:
- 从六个国家的HCAP中统计协调一般和特定领域的认知得分.
- 评估这些协调认知分数的精度和标准有效性.
主要方法:
- 在六项HCAP研究中 (美国,英国,印度,墨西哥,中国,南非;N=21,141) 使用了项目银行方法,使用了共同和独特的认知测试项目.
- 使用分级响应物件响应理论 (IRT) 模型,为一般和特定领域的认知功能生成了协调的因子得分.
- 通过测试信息图表和根据年龄,性别和教育标准的有效性评估得分精度.
主要成果:
- 项目响应理论模型显示在不同国家之间很适合.
- 对93%的受访者来说,协调的一般认知功能得分的边际可靠性很高 (r>0.90).
- 评分显示了与年龄 (较低的分数) 和教育 (较高的分数) 的预期关联.
结论:
- 在六项基于人口的多样性研究中统计协调了认知功能的测量.
- 在估计的认知分数中获得了极好的精度,支持跨国比较.
- 为国际研究认知衰老和风险因素关联提供了坚实的基础.
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