Brain health assessment. An exploratory review of tools related to its cognitive dimension

IF 1.9 Q3 CLINICAL NEUROLOGY Cerebral circulation - cognition and behavior Pub Date : 2024-01-01 DOI:10.1016/j.cccb.2023.100188
Alessia Nicotra , Giorgia Maestri , Emilia Salvadori , Leonardo Pantoni
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Abstract

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.

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大脑健康评估。对认知层面相关工具的探索性回顾
背景脑健康是一个不断发展的概念,与身心健康、社会福祉、生产力和创造力有关。脑健康包含多个方面(认知、运动、功能、社会和情感),应被视为全球卫生政策的重中之重。本文旨在概述为评估门诊服务中大脑健康的认知维度而开发的工具。方法在 PubMed 上进行了文献检索(从开始到 2023 年 5 月 31 日)。我们确定了认知测试、功能和心理量表,并重点关注了专门针对脑健康构建中的认知特征而提出的筛查工具,并将其与常见的全球筛查测试进行了比较。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 4 种是特别开发的: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从 4 分钟到 30 分钟不等,施测方法也各不相同(纸笔施测或平板电脑施测)。所有四种工具都对记忆力和其他认知领域进行评估。已为 BHT 和 BHT-7 确定了具体的临界值,而其他工具则有自动评分系统。除一项测试外,其他所有测试都会对其他方面进行评估。与常用的认知筛查测试相比,脑健康工具的使用、翻译和验证程度都较低。结论脑健康是一个新概念,需要进一步验证其评估工具,尤其是认知维度的评估工具。
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来源期刊
Cerebral circulation - cognition and behavior
Cerebral circulation - cognition and behavior Neurology, Clinical Neurology
CiteScore
2.00
自引率
0.00%
发文量
0
审稿时长
14 weeks
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