The comprehensive assessment tools for senile dementia: a systematic review based on COSMIN methodology
10.3760/cma.j.cn211501-20240419-00970
- VernacularTitle:基于COSMIN指南的失智症老年人综合评估工具的系统评价
- Author:
Yiping FANG
1
;
Yun ZHANG
;
Xiuyuan ZHU
;
Jingling LI
;
Ning LIU
Author Information
1. 中国澳门镜湖护理学院，中国澳门特别行政区 999078
- Keywords:
Dementia;
Aged;
Surveys and questionnaires;
Psychometrics;
Patient reported outcome measures;
COSMIN;
Systematic review
- From:
Chinese Journal of Practical Nursing
2024;40(25):1929-1939
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the methodological and measurement quality of comprehensive assessment tools for evaluating senile dementia, in order to provide evidence-based guidance for clinical selection of the best assessment tool.Methods:Manually searched CNKI, Wanfang Database, VIP Database, SinoMed, PubMed, Embase, Web of Science, Cochrane Library, CINAHL, ProQuest, Ovid and Scopus databases to collect and evaluate comprehensive assessment tool measurements forsenile dementia. For research on academic attributes, the search time limit was from the establishment of the database to January 4th, 2024. Two researchers independently screened the literature and extracted information, used the COSMIN guidelines to evaluate the included assessment tools, and formed final recommendations.Results:A total of 14 articles were included, including 9 comprehensive assessment tools for the elderly with dementia. Among them, the Care Needs Assessment Scale for Alzheimer′s Disease Patients had moderate and above evidence proving that its content validity and internal consistency were "sufficient", so it was a category A strong recommendation. The remaining 8 evaluation tools were all category B recommendations.Conclusions:Among the existing comprehensive assessment tools for the elderly with dementia, the Care Needs Assessment Scale for Alzheimer′s Disease Patients has good reliability and validity. This scale has 4 dimensions and 16 items. However, there are uncertainties and unmentioned measurement properties of the scale in terms of cross-cultural validity/measurement equivalence, stability, measurement error, hypothesis testing, calibration validity, and responsiveness. More evidence is needed in the future to further comprehensively validate and improve it, providing a basis for selecting a more effective, comprehensive and high-quality comprehensive assessment tool for the elderly with dementia.
