Pellicer-Espinosa, Isabel and Díaz-Orueta, Unai (2022) Cognitive Screening Instruments for Older Adults with Low Educational and Literacy Levels: A Systematic Review. Journal of Applied Gerontology, 41 (4). pp. 1222-1231. ISSN 1552-4523

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Abstract

This study presents a systematic review on existing cognitive screening tools for mild cognitive impairment and dementia in populations with low education and literacy levels. Cochrane Library, PubMed and LILACS databases were examined for studies including adults aged 50 years old or older with low educational level. 61 articles were included. Despite its frequent use, studies on Mini-Mental State Examination (MMSE) revealed that educational level biased the score obtained, regardless of other factors. Separately, the Informant Questionnaire on Cognitive Decline in the Elderly, the Fototest, or the Eurotest, appear to minimize the effect of education and literacy. MMSE is unreliable for individuals with low literacy. Tasks involving reading, writing, arithmetics, drawing, praxis, visuospatial, and visuoconstructive skills have a greater educational bias than naming, orientation, or memory. An adequate determination of educational level and validation of instruments in populations with heterogeneous levels of literacy requires further research.

Item Type:	Article
Keywords:	cognition; assessment; dementia; education; evaluation;
Academic Unit:	Assisting Living & Learning,ALL institute Faculty of Science and Engineering > Psychology Faculty of Science and Engineering > Research Institutes > Human Health Institute
Item ID:	18136
Identification Number:	https://doi.org/10.1177/07334648211056230
Depositing User:	Unai Diaz-Orueta
Date Deposited:	13 Feb 2024 11:56
Journal or Publication Title:	Journal of Applied Gerontology
Publisher:	SAGE Publications
Refereed:	Yes
URI:	Publisher
Use Licence:	This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here

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