Aiello Edoardo Nicolò, Curti Beatrice, De Luca Giulia, Casartelli Sara, Esposti Lorenzo, Curatoli Chiara, Zanin Alice, Camporeale Elisa, Sirtori Martina Andrea, Verde Federico, Silani Vincenzo, Ticozzi Nicola, Bolognini Nadia, Poletti Barbara
Department of Neurology and Laboratory of Neuroscience, IRCCS Istituto Auxologico Italiano, Milano, Italy.
Department of Psychology, University of Milano-Bicocca, Milano, Italy.
Aging Clin Exp Res. 2025 May 16;37(1):154. doi: 10.1007/s40520-025-03026-3.
This study aimed at testing the convergence and deriving equating norms between the Telephone Interview for Cognitive Status (TICS) and the Mini-Mental State Examination (MMSE) and the Montreal Cognitive Assessment (MoCA) in an Italian population sample.
Four-hundred and eighty two healthy Italian native-speaker (300 females; age: 57.8 ± 15.5, range = 20-94; education: 13.1 ± 3.8, range = 5-25) underwent the TICS (range = 1-41), MMSE and MoCA. An additional Delayed Recall of the 10-word list was administered as the last task of the TICS to compute a further total (TICSDR; range = 1-51). Convergence between the TICS/TICSDR and in-person screeners was tested via Bonferroni-corrected Spearman's coefficients, whilst equating norms were derived via a Log-linear Smoothing Equipercentile Equating (LSEE) approach. A two one-sided test (TOST) procedure was run to test the equivalence between empirical and LSEE-derived scores.
TICS scores converged with both MMSE (r=0.34; p <.001) and MoCA scores (r=0.42; p <.001)- the same being true for the TICSDR (MMSE: r=0.36; p <.001; MoCA: r=0.42; p <.001). Cross-walks were estimated to derive TICS/TICSDR scores from the MMSE/MoCA, and vice-versa. The algorithm could not compute the conversions for TICS, MMSE and MoCA scores < 22, <21 and < 14, respectively. TOST procedures revealed that all comparisons yielded equivalence except for those aimed at deriving TICS from MMSE scores and TICSDR from both the MMSE and the MoCA.
The Italian TICS validly captures examinees' cognitive efficiency as measured by MMSE or MoCA; derived cross-walks between the TICS and MMSE/MoCA allows for a flexible use of in-person and telephone-based screeners.
本研究旨在测试意大利人群样本中认知状态电话访谈（TICS）与简易精神状态检查表（MMSE）以及蒙特利尔认知评估量表（MoCA）之间的收敛性并推导等值常模。
482名以意大利语为母语的健康受试者（300名女性；年龄：57.8±15.5，范围 = 20 - 94岁；受教育程度：13.1±3.8，范围 = 5 - 25年）接受了TICS测试（范围 = 1 - 41）、MMSE测试和MoCA测试。作为TICS的最后一项任务，还进行了10个单词列表的延迟回忆测试，以计算另一个总分（TICSDR；范围 = 1 - 51）。通过Bonferroni校正的Spearman系数测试TICS/TICSDR与面对面筛查工具之间的收敛性，同时通过对数线性平滑等百分位等值（LSEE）方法推导等值常模。运行双侧单侧检验（TOST）程序以测试经验得分与LSEE推导得分之间的等效性。
TICS得分与MMSE得分（r = 0.34；p <.001）和MoCA得分（r = 0.42；p <.001）均具有收敛性——TICSDR也是如此（MMSE：r = 0.36；p <.001；MoCA：r = 0.42；p <.001）。估计了对照表，以便从MMSE/MoCA推导TICS/TICSDR得分，反之亦然。该算法无法分别计算TICS、MMSE和MoCA得分<22、<21和<14时的转换。TOST程序显示，除了旨在从MMSE得分推导TICS以及从MMSE和MoCA推导TICSDR的比较外，所有比较均产生等效性。
意大利版TICS能够有效地捕捉受测者的认知效率，这可以通过MMSE或MoCA来衡量；TICS与MMSE/MoCA之间推导的对照表允许灵活使用面对面和基于电话的筛查工具。
