脑健康评估。对与其认知维度相关工具的探索性综述。
Brain health assessment. An exploratory review of tools related to its cognitive dimension.
作者信息
Nicotra Alessia, Maestri Giorgia, Salvadori Emilia, Pantoni Leonardo
机构信息
Neurology Unit, Luigi Sacco University Hospital, Milan, Italy.
Neuroscience Research Center, Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
出版信息
Cereb Circ Cogn Behav. 2023 Oct 2;6:100188. doi: 10.1016/j.cccb.2023.100188. eCollection 2024.
BACKGROUND
Brain health is an evolving concept and relates to physical and mental health, social well-being, productivity, creativity. Brain health has several dimensions (cognitive, motor, functional, social, and emotional), and should be recognized as one top global priorities of health policies. The purpose of this paper is to provide a summary of tools developed for assessing the cognitive dimension of brain health in the out-patient services.
METHODS
A literature search on PubMed was performed (from inception to May 31, 2023). We identified cognitive tests, functional and psychological scales, and focused on screening tools specifically proposed to characterize cognition within the construct of brain health, comparing them with common global screening tests.
RESULTS
Among 1947 records, we identified 17 cognitive screening tools used in the context of brain health assessment, of which four were ad hoc developed: Brain Health Assessment (BHA), Brain Health Test (BHT), Brain Health Test-7 (BHT-7), and The Cogniciti Brain Health Assessment. The four tests have administration time ranging from 4 to 30 min, and different administration methods (paper-and-pencil or tablet-based). All four tools assess memory and other cognitive domains. Specific cut-offs have been identified for BHT and BHT-7, while the other tools have automated scoring systems. All but one test also assess other dimensions. Compared to commonly used cognitive screening tests, the brain health tools are less widely used, translated, and validated.
CONCLUSIONS
The concept of brain health is new and requires further validation of tools for its assessment, especially for the cognition dimension.
背景
脑健康是一个不断发展的概念，与身心健康、社会福祉、生产力和创造力相关。脑健康具有多个维度（认知、运动、功能、社会和情感），应被视为卫生政策的全球首要重点之一。本文旨在总结为门诊服务中评估脑健康认知维度而开发的工具。
方法
在PubMed上进行文献检索（从创刊到2023年5月31日）。我们确定了认知测试、功能和心理量表，并重点关注专门为在脑健康结构中表征认知而提出的筛查工具，将它们与常见的综合筛查测试进行比较。
结果
在1947条记录中，我们确定了17种用于脑健康评估的认知筛查工具，其中四种是专门开发的：脑健康评估（BHA）、脑健康测试（BHT）、脑健康测试-7（BHT-7）和Cogniciti脑健康评估。这四种测试的施测时间为4至30分钟，施测方法不同（纸笔或基于平板电脑）。所有四种工具都评估记忆和其他认知领域。已确定了BHT和BHT-7的特定临界值，而其他工具具有自动评分系统。除一项测试外，所有测试还评估其他维度。与常用的认知筛查测试相比，脑健康工具的使用、翻译和验证范围较窄。
结论
脑健康概念是新的，其评估工具，尤其是认知维度的评估工具，需要进一步验证。
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