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Using Network Analysis To Validate Domains of the Modified Telephone Interview for Cognitive Status

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Size: 1.37 MB, File format: Adobe PDF

Authors

Truong, Quoc Cuong

Cervin, Matti

Numbers, Katya

Choo, Carol

Bentvelzen, Adam C.

Merkin, Alexander

Sachdev, Perminder

Feigin, Valery

Brodaty, Henry

Kochan, Nicole

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Wiley

Abstract

Background The modified Telephone Interview for Cognitive Status (TICS-M) is a widely used tool for assessing global cognitive functions and screening for cognitive impairments. The tool was conceptualised to capture various cognitive domains, but the validity of such domains has not been investigated against comprehensive neuropsychological assessments tools. Therefore, this study aimed to explore the associations between the TICS-M domains and neuropsychological domains to evaluate the validity of the TICS-M domains using network analysis. Materials and Methods A longitudinal research design was used with a large sample of older adults (aged above 70 years; n = 1037 at the baseline assessment) who completed the TICS-M and comprehensive neuropsychological assessments biennially. We applied network analysis to identify unique links between the TICS-M domains and neuropsychological test scores. Results At baseline, there were weak internal links between the TICS-M domains. The TICS-M memory and language domains were significantly related to their corresponding neuropsychological domains. The TICS-M attention domain had significant associations with executive function and visuospatial abilities. The TICS-M orientation domain was not significantly associated with any of the five neuropsychological domains. Despite an attrition of almost 50% at wave four, weak internal links between the TICS-M domains and most associations between TICS-M and neuropsychological domains that were found initially, remained stable at least over two waves within the 6-year period. Conclusions This study supports the overall structural validity of the TICS-M screener in assessing enduring global cognitive function. However, separate TICS-M cognitive domains should not be considered equivalent to the analogous neuropsychological domains.

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Keywords

1103 Clinical Sciences, General Clinical Medicine, 3201 Cardiovascular medicine and haematology, 3202 Clinical sciences, global cognition, modified telephone interview for cognitive status, network analysis, neuropsychological domains

Source

European Journal of Clinical Investigation, ISSN: 0014-2972 (Print), Wiley. doi: 10.1111/eci.14016

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© 2023 The Authors. European Journal of Clinical Investigation published by John Wiley & Sons Ltd on behalf of Stichting European Society for Clinical Investigation Journal Foundation. This is an open access article.

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