Evidence map›Paper›PMID 41366848›Full record

ReviewAlzheimer's & dementia : the journal of the Alzheimer's Association2025

Validity of gold-standard clinical outcome assessments in U.S. Latinx-Hispanic participants enrolled in Alzheimer's disease clinical trials: A literature review.

Lorena H Monserratt, Jessica A Morales, Aisha Mohammed, Stephanie Ovalle-Eliseo, Gabriela Islas-Huerta, Lauren A Perez, Mirella Díaz-Santos

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lorena H MonserrattThe Katherine and Benjamin Kagan Alzheimer's Disease Treatment Development Program, University of California, Los Angeles, Los Angeles, California, USA.
Jessica A MoralesThe Katherine and Benjamin Kagan Alzheimer's Disease Treatment Development Program, University of California, Los Angeles, Los Angeles, California, USA.
Aisha MohammedMary S. Easton Center for Alzheimer's Research and Care at UCLA, Los Angeles, California, USA.
Stephanie Ovalle-EliseoMary S. Easton Center for Alzheimer's Research and Care at UCLA, Los Angeles, California, USA.
Gabriela Islas-HuertaMary S. Easton Center for Alzheimer's Research and Care at UCLA, Los Angeles, California, USA.
Lauren A PerezEquity for Latinx-Hispanic Healthy Aging (ELHA) Lab, University of California, Los Angeles, Los Angeles, California, USA.
Mirella Díaz-SantosThe Katherine and Benjamin Kagan Alzheimer's Disease Treatment Development Program, University of California, Los Angeles, Los Angeles, California, USA.ORCID 0000-0002-5513-815X

Funding

the National Institute on Aging U01AG052564-02
6 · The paper itself

Abstract

There is an urgency to achieve equitable representation of Latinx-Hispanic participants in Alzheimer's disease (AD) clinical trials. Valid instruments for these communities contribute to the generalizability of clinical trial outcomes. The aim of this study was to review articles reporting studies that conducted a thorough assessment of the validity and reliability of three gold-standard cognitive measures with U.S. Latinx-Hispanic communities. We reviewed validity/reliability studies of the Clinical Dementia Rating (CDR), Alzheimer's Disease Assessment Scale-Cognition (ADAS-Cog), and Repeatable Battery of the Assessment of Neuropsychological Scales (RBANS) among U.S. Latinx-Hispanic communities. Database searches included PubMed and PsycINFO. For the CDR, one study assessed validity and the other reliability. For the RBANS, one study evaluated the diagnostic accuracy, and another conducted an equating analysis. No studies addressed the validation/reliability of ADAS-Cog. Our literature review revealed limited studies examining the validity and reliability of the CDR, ADAS-Cog, and RBANS in U.S. Latinx-Hispanic communities. HIGHLIGHTS: Various government entities are mandating increased enrollment of the Latinx-Hispanic communities in AD clinical trials without considering the potential negative impact of study results when invalid COAs are used in underrepresented communities. Our investigation demonstrates three gold-standard COAs routinely used in AD clinical trials have mostly not been validated on the Latinx-Hispanic communities residing in the United States. We recommend specific actions to support the development of valid clinical outcome measures for the Latinx-Hispanic communities.

Indexed as

Alzheimer DiseaseClinical Trials as TopicHispanic or LatinoNeuropsychological TestsOutcome Assessment, Health CareHumansReproducibility of ResultsUnited StatesADAS‐CogAlzheimer's diseaseCDRclinical trialsLatinx‐HispanicRBANSUnited Statesvalidity

Identifiers

PMID41366848
PMCPMC12689463

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.