Machado Dos Santos P, O'Caoimh R, Svendrovski A, Casanovas C, Orfila Pernas F, Illario M, Molloy W, Paul C
Center for Health Technology and Services Research/ICBAS, Institute of Biomedical Sciences Abel Salazar - University of Porto, Porto, Portugal.
Health Research Board, Clinical Research Facility Galway, National University of Ireland, Galway, Ireland.
Transl Med UniSa. 2019 Jan 6;19:82-89. eCollection 2019 Jan-Jun.
As populations age and the prevalence of cognitive impairment increases, healthcare professionals and researchers require short, validated cognitive screening instruments (CSIs). As part the EIP-on-AHA Twinning Support Scheme (2016), four reference sites developed the RAPid COmmunity COGnitive screening Programme (RAPCOG) twinning project to validate translated versions of the Quick Mild Cognitive Impairment (Q) screen that could be adapted quickly for use with future eHealth screening and assessment programmes. Here we present the cultural adaption and translation of the Q-Portuguese (Q-P) screen as part of RAPCOG and explore its subsequent validation against two commonly-used CSIs (MMSE-P and MoCA-P) with 93 participants aged ≥65, attending ten day care centres or resident in two long-term care institutions; median age 74 (+/-15), 66% female. The Q-P's internal consistency was high (Cronbach's Alpha 0.82), compared with the MoCA (0.79) and SMMSE (0.54). Q-P screen scores moderately correlated with the SMMSE (r=0.61, 95% CI:0.45-0.72, p<0.001) and MoCA (r=0.63, 95% CI:0.36-0.80, p<0.001). The Q-P screen demonstrates high internal consistency and concurrent validity against more established CSIs and given its brevity (3-5mins), may be preferable for use in community settings. This project shows the potential of the EIP-on-AHA Twinning initiative to promote the scaling-up of innovative good practices.
随着人口老龄化以及认知障碍患病率的上升，医疗保健专业人员和研究人员需要简短且经过验证的认知筛查工具（CSI）。作为欧洲创新伙伴关系（EIP）-美国心脏协会（AHA）结对支持计划（2016年）的一部分，四个参考点开展了快速社区认知筛查计划（RAPCOG）结对项目，以验证快速轻度认知障碍（Q）筛查的翻译版本，这些版本可快速调整以用于未来的电子健康筛查和评估计划。在此，我们展示了作为RAPCOG一部分的Q-葡萄牙语（Q-P）筛查的文化适应和翻译，并针对93名年龄≥65岁、在十个日间护理中心就诊或居住在两个长期护理机构的参与者，探索其相对于两种常用CSI（MMSE-P和MoCA-P）的后续验证情况；中位年龄74岁（±15），66%为女性。与MoCA（0.79）和简易精神状态检查表（SMMSE，0.54）相比，Q-P的内部一致性较高（克朗巴哈系数α为0.82）。Q-P筛查得分与SMMSE（r = 0.61，95%置信区间：0.45 - 0.72，p < 0.001）和MoCA（r = 0.63，95%置信区间：0.36 - 0.80，p < 0.001）呈中度相关。Q-P筛查显示出较高的内部一致性以及相对于更成熟的CSI的同时效度，并且鉴于其简短性（3 - 5分钟），可能更适合在社区环境中使用。该项目展示了EIP-AHA结对倡议在促进扩大创新良好实践方面的潜力。
