临床表现 临床表现
Ping-Hsiu Lin1, Jacqueline Wesson2, Minal Tanvir1
1Centre for Healthy Brain Ageing (CHeBA), UNSW Sydney, Sydney, NSW, Australia.
Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 25, 2025
概括
对日常生活工具活动 (IADL) 的计算机化测量显示出客观评估的前景. 然而,心理测量验证中的重大缺陷阻碍了它们的广泛临床使用.
科学领域:
- 老年学和认知科学 认知学和认知科学
- 医疗信息学和数字健康
- 心理测量和测量科学 心理测量和测量科学
背景情况:
- 日常生活的工具性活动 (IADL) 对于独立生活至关重要,损伤通常表明认知能力下降.
- 传统的IADL评估 (问卷,基于绩效) 有诸如报告偏差和资源密度等局限性.
- 计算机化的IADL测量提供了对功能能力的客观和有效评估的潜力.
研究的目的:
- 系统地识别和描述已公布的基于业绩的计算机化IADL措施.
- 审查和综合这些已识别的计算机化IADL仪器的现有心理特征.
- 用COSMIN检查清单来评估心理测量属性的证据质量.
主要方法:
- 在多个数据库 (PubMed,EMBASE,Cochrane,PsycINFO,CINAHL) 进行系统的文献搜索,遵循PRISMA指南.
- 两个阶段的搜索策略:首先是识别仪器,第二是找到报告心理测量属性的研究.
- 基于共识的健康测量仪器选择标准 (COSMIN) 清单用于质量评估.
主要成果:
- 确定了50个计算机化IADL仪器,其中26个在40项研究中评估了心理测量特性.
- 这一领域的研究正在增长,超过50%的研究是在过去5年发表的.
- 构造有效性最常被评估,但一半的仪器显示构造有效性不足;可靠性和内部一致性数据有限,在其他心理测量领域存在重大差距.
结论:
- 计算机化IADL评估是一个正在发展的领域,具有高效和准确评估的潜力.
- 关于关键的心理测量属性,如测量误差,跨文化有效性,标准有效性和响应性,存在重大研究缺口.
- 进一步在不同人群和心理测量领域进行严格的验证对于临床采用至关重要.
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