Mansbach Health Tools, LLC, Simpsonville, MD, USA.
Department of Psychology, Suffolk University, Boston, MA, USA.
Fam Pract. 2020 Sep 5;37(4):561-567. doi: 10.1093/fampra/cmaa014.
Barriers to the early detection of mild cognitive impairment (MCI) and dementia can delay diagnosis and treatment. myMemCheck® was developed as a rapid free cognitive self-assessment tool that can be completed at home to identify older adults that would benefit from a more comprehensive cognitive evaluation.
Two prospective cross-sectional studies were conducted to examine the psychometric properties and clinical utility of myMemCheck®.
In Study 1, participants were independent living residents referred to an outpatient memory clinic (N = 59); older adults in the community and post-acute nursing home residents (N = 357) comprised Study 2.
Psychometric analyses were performed on cognitive and psychological testing data, including myMemCheck®. myMemCheck® evidenced adequate reliability and strong construct validity. Receiver operating characteristic analysis evidenced an optional myMemCheck® cut score for identifying older adults at risk for MCI or dementia. myMemCheck® explained 25% of cognitive status beyond basic patient information.
myMemCheck® may help fast-track the diagnostic process, facilitate appropriate referrals for cognitive and neuropsychological evaluation, reduce assessment burden in health care and prevent negative outcomes associated with undetected cognitive impairment.
轻度认知障碍（MCI）和痴呆症早期检测的障碍可能会延迟诊断和治疗。myMemCheck®是一种快速的免费认知自我评估工具，可在家中完成，以识别出需要更全面认知评估的老年人。
进行了两项前瞻性横断面研究，以检验 myMemCheck®的心理测量特性和临床实用性。
在研究 1 中，参与者是被转介到门诊记忆诊所的独立生活居民（N=59）；研究 2 的参与者为社区中的老年人和急性后护理院居民（N=357）。
对认知和心理测试数据进行了心理计量学分析，包括 myMemCheck®。myMemCheck®表现出良好的可靠性和较强的结构有效性。受试者工作特征分析表明，myMemCheck®有一个可选的分界值，可用于识别有发生 MCI 或痴呆风险的老年人。myMemCheck®在认知状态方面的解释力比基本患者信息高 25%。
myMemCheck®可能有助于加速诊断过程，促进对认知和神经心理学评估的适当转诊，减轻医疗保健中的评估负担，并预防与未被发现的认知障碍相关的负面后果。
