ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2021
Cognitive screening with functional assessment improves diagnostic accuracy and attenuates bias.
Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Meta-analysis of Montreal cognitive assessment diagnostic accuracy in amnestic mild cognitive impairment.Frontiers in psychology · 2024Pooled it
- Linking traditional and technological activities of daily living: Building modern, adaptable measures of daily functioning.Journal of the International Neuropsychological Society : JINS · 2025Article
- Types and Diagnosis of Childhood Intellectual Disabilities: Advancing Accuracy for Better Outcomes.Children (Basel, Switzerland) · 2025Review
- Cognitive Risk Stratification Score in Middle-aged and Older Adults With Type 2 Diabetes: A Cross-Sectional Study.The Journal of clinical endocrinology and metabolism · 2025Article
- Diagnostic utility and psychometric properties of the Technology Activities of Daily Living Questionnaire (T-ADLQ) in people with non-formally educated with Alzheimer's disease in Lima, Peru.Frontiers in aging neuroscience · 2025Article
- The interplay between cognitive and psychological factors in subjective cognitive decline: contribution to the validation of a new screening battery.Frontiers in psychology · 2025Article
- Do we all do the same things? Applicability of daily activities at the intersection of demographics.Neuropsychology · 2024Article
- Classification statistics of the Montreal Cognitive Assessment (MoCA): Are we interpreting the MoCA correctly?The Clinical neuropsychologist · 2023Article
- Brief Report: An Evaluation of Item Bias on the Functional Activities Questionnaire.Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists · 2023Article
- Blood biomarkers for cognitive decline and clinical progression in a Mexican American cohort.Alzheimer's & dementia (Amsterdam, Netherlands) · 2022Article
- Cognitive screening with functional assessment improves diagnostic accuracy and attenuates bias.Alzheimer's & dementia (Amsterdam, Netherlands) · 2021Article
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Authors and funding
5 authors.
Funding
Abstract
introductionCognitive screening measures often lack sensitivity and are hampered by inequities across ethnoracial groups. A multitrait multimethod (MTMM) classification may attenuate these shortcomings.
methodsA sample of 7227 participants across the diagnostic spectrum were selected from the National Alzheimer's Coordinating Center cohort. Random forest ensemble methods were used to predict diagnosis across the sample and within Black American (
resultsThe MTMM approach with demographic correction had the highest diagnostic accuracy for the cognitively unimpaired (area under curve [AUC] [95% confidence interval (CI)]): 0.906 [0.892, 0.920]) and mild cognitive impairment (AUC: 0.835 [0.810, 0.860]) groups and reduced racial disparities. DISCUSSION: With further validation, the MTMM approach combining cognitive screening and functional status assessment may serve to improve diagnostic accuracy and extend opportunities for early intervention with greater equity.
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