AI Article Synopsis
- Reliable and valid cognitive screening tools are crucial for assessing cognitive impairment in individuals with traumatic brain injury (TBI), but there's no agreed-upon tool for clinical use.
- This systematic review analyzed the effectiveness of various cognitive screening tools by evaluating 34 studies on 22 different tools according to strict psychometric criteria.
- Among the tools assessed, the Montreal Cognitive Assessment (MoCA) and the Mini Mental State Examination (MMSE) were the most validated, with the MoCA showing the strongest psychometric evidence, highlighting its potential utility in clinical practice.
Article Abstract
Reliable and valid cognitive screening tools are essential in the assessment of those with traumatic brain injury (TBI). Yet, there is no consensus about which tool should be used in clinical practice. This systematic review assessed psychometric properties of cognitive screening tools for detecting cognitive impairment in TBI. Inclusion criteria were: peer-reviewed validation studies of a cognitive screening tool(s); with a sample of adults aged 18-80 diagnosed with TBI (mild-severe); and with psychometrics consistent with COSMIN guidelines. Published literature was retrieved from MEDLINE, Web of Science Core Collection, EMBASE, CINAHL, and PsycINFO on 27 January 2022. A narrative synthesis was performed. Thirty-four studies evaluated the psychometric properties of a total of 22 cognitive screening tools, in a variety of languages. Properties assessed included structural validity, internal consistency, reliability, criterion validity (or diagnostic test accuracy), convergent/divergent validity, and discriminant validity. The Montreal Cognitive Assessment (MoCA) and the Mini Mental State Examination (MMSE) were the most widely validated cognitive screening tools for use in TBI. The MoCA had the most promising evidence of its psychometric properties, which has implications for clinical practice. Future research should aim to follow standard criteria for psychometric studies to allow meaningful comparisons across the literature.
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| http://dx.doi.org/10.1080/09602011.2024.2357850 | DOI Listing |
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