对认知障碍进行评估的文化公平认知查工具:系统性审查
Tamara Chithiramohan1, Smrithi Santhosh2, Grace Threlfall1
1Leicestershire Partnership NHS Trust, Leicester UK.
Journal of Alzheimer's disease reports
|February 26, 2024
概括
像RUDAS,KICA和VCAT这样的文化公平认知查工具显示出在不同人群中检测痴呆症的前景. 与传统方法相比,这些工具提供了更好的准确性和特异性.
科学领域:
- 老年学和认知神经学.
- 神经科学与公共卫生
背景情况:
- 认知查工具对于早期发现痴呆症,包括阿尔茨海默病至关重要.
- 现有的工具可能会表现出文化偏见,可能会影响不同种族群体的诊断准确性.
研究的目的:
- 审查和评估文化公平认知查工具用于痴呆症检测.
- 评估这些工具在不同族群中的查准确性,优势和局限性.
主要方法:
- 在Medline,Embase,PsychINFO和CINAHL进行了系统的文献搜索.
- 包括专注于文化公平工具的研究,评估来自不同种族的老年人的认知能力.
- 采用叙事合成方法来分析来自28项纳入研究的数据.
主要成果:
- 评估了11个文化博览会工具,其中包括28项研究.
- 罗兰普世痴呆症评估量表 (RUDAS) 的准确性与迷你精神状态检查 (MMSE) 的准确性相当,但具体性更好.
- 多元文化认知检查 (MCE) 显示了更高的查准确度 (AUC 0.99),金伯利土著认知评估 (KICA) 报告了高准确度 (AUC 0.93-0.95).
结论:
- 发现RUDAS,KICA和视觉认知评估测试 (VCAT) 在查少数民族痴呆症方面比MMSE更有效.
- 一些文化博览会工具表现出良好的选准确性,为传统方法提供可行的替代方案.
- 建议进行进一步的研究,以在更广泛的人群中验证这些工具.
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