Development and Validation of Telephone Cognitive Testing for Community-Dwelling Older Adults (TCTCOA) in China
Abstract
:1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Materials
2.3. Procedure
2.4. Data Analysis
3. Result
3.1. Characteristics of the Participants
3.2. Distribution of Scores in TCTCOA
3.3. The Effects of the TCTCOA Administration Modes
3.4. Structural Validity of TCTCOA
3.5. Convergent Validity of TCTCOA
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Amunts, J., Camilleri, J. A., Eickhoff, S. B., Heim, S., & Weis, S. (2020). Executive functions predict verbal fluency scores in healthy participants. Scientific Reports, 10, 11141. [Google Scholar] [CrossRef] [PubMed]
- Anderson, N. D., & Craik, F. I. M. (2017). 50 years of cognitive aging theory. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 72, 1–6. [Google Scholar] [CrossRef] [PubMed]
- Ardila, A., Ostrosky-Solis, F., & Bernal, B. (2006). Cognitive testing toward the future: The example of semantic verbal fluency (ANIMALS). International Journal of Psychology, 41, 324–332. [Google Scholar] [CrossRef]
- Blazer, D. G., Yaffe, K., & Liverman, C. T. (2015). Cognitive aging: Progress in understanding and opportunities for action. The National Academies Press. ISBN 978-03-0936-865-0. [Google Scholar]
- Bryan, J., & Luszcz, M. A. (2000). Measurement of executive function: Considerations for detecting adult age differences. Journal of Clinical and Experimental Neuropsychology, 22(1), 40–55. [Google Scholar] [CrossRef]
- Cadar, D., Usher, M., & Davelaar, E. J. (2018). Age-related deficits in memory encoding and retrieval in word list free recall. Brain Sciences, 8, 211. [Google Scholar] [CrossRef]
- Carlew, A. R., Fatima, H., Livingstone, J. R., Reese, C., Lacritz, L., Pendergrass, C., Bailey, K. C., Presley, C., Mokhtari, B., & Cullum, C. M. (2020). Cognitive assessment via telephone: A scoping review of instruments. Archives of Clinical Neuropsychology, 35, 1215–1233. [Google Scholar] [CrossRef]
- Castanho, T. C., Amorim, L., Zihl, J., Palha, J. A., Sousa, N., & Santos, N. C. (2014). Telephone-based screening tools for mild cognitive im-pairment and dementia in aging studies: A review of validated instruments. Frontiers in Aging Neuroscience, 6, 16. [Google Scholar] [CrossRef]
- Cercy, S. P. (2012). The verbal clock test: Preliminary validation of a brief, vision- and motor-free measure of executive function in a clinical sample. Clinical Neuropsychologist, 26, 1312–1341. [Google Scholar] [CrossRef] [PubMed]
- China GotPsRo. (2016). The outline of the healthy China 2030 plan and the health China initiative. Available online: https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm (accessed on 27 January 2025).
- Fox, J. A. (2010). Facilitating healthier ageing amongst older adults: A literature reviews. In Towards healthier ageing: The development, implementation and evaluation of a proactive health promotion intervention for older adults (pp. 27–70). Universal-Publishers. ISBN 978-1-59942-342-5. [Google Scholar]
- Garcia, S. d. l. F., Ritchie, C. W., & Luz, S. (2020). Artificial intelligence, speech, and language processing approaches to monitoring Alzheimer’s disease: A systematic review. Journal of Alzheimers Disease, 78, 1547–1574. [Google Scholar] [CrossRef]
- Gosztolya, G., Vincze, V., Toth, L., Pakaski, M., Kalman, J., & Hoffmann, I. (2019). Identifying mild cognitive impairment and mild Alzheimer’s disease based on spontaneous speech using ASR and linguistic features. Computer Speech and Language, 53, 181–197. [Google Scholar] [CrossRef]
- Harada, C. N., Love, M. C. N., & Triebel, K. L. (2013). Normal cognitive aging. Clinics in Geriatric Medicine, 29, 737–752. [Google Scholar] [CrossRef] [PubMed]
- Haralambous, B., Black, K. I., & Nankervis, J. (2004). Achieving health promotion behaviour change among older Victorians: Literature review. Victorian Department of Human Services. [Google Scholar]
- Kliegel, M., Martin, M., & Jaeger, T. (2007). Development and validation of the cognitive telephone screening instrument (COGTEL) for the assessment of cognitive function across adulthood. Journal of Psychology, 141, 147–170. [Google Scholar] [CrossRef]
- LeFevre, J. A., & Bisanz, J. (1986). A cognitive analysis of number-series problems: Sources of individual differences in performance. Memory & Cognition, 14, 287–298. [Google Scholar] [CrossRef]
- Liu, J., Li, W., & Yao, H. (2022). Proactive health: An imperative to achieve the goal of healthy China. China CDC Weekly, 4, 799–801. [Google Scholar] [CrossRef] [PubMed]
- Marra, D. E., Hamlet, K. M., & Bauer, R. M. (2020). Validity of teleneuropsychology for older adults in response to COVID-19: A systematic and critical review. The Clinical Neuropsychologist, 34, 1411–1452. [Google Scholar] [CrossRef]
- Nasreddine, Z. S., Phillips, N. A., Bédirian, V., Charbonneau, S., Whitehead, V., Collin, I., Cummings, J. L., & Chertkow, H. (2005). The montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53, 695–699. [Google Scholar] [CrossRef]
- Office of the Leading Group of the State Council for the Seventh National Population Census (Ed.). (2021). Taking questions concerning the major figures of the seventh national population census. In Major figures on 2020 population census of China (pp. 99–127). China Statistics Press. ISBN 978-7-5037-9506-0. [Google Scholar]
- Park, D. C., & Festini, S. B. (2017). Theories of memory and aging: A look at the past and a glimpse of the future. Journals of Gerontology Series B-Psychological Sciences and Social Sciences, 72, 82–90. [Google Scholar] [CrossRef]
- Quereshi, M. Y., & Smith, H. (1998). Reasoning ability in older adults measured through letter and number series. Current Psychology, 17, 20–27. [Google Scholar] [CrossRef]
- Robin, J., Xu, M., Kaufman, L. D., & Simpson, W. (2021). Using Digital Speech Assessments to Detect Early Signs of Cognitive Impairment. Frontiers in Digital Health, 3, 749758. [Google Scholar] [CrossRef]
- Salthouse, T. A. (1994). The aging of working memory. Neuropsychology, 8, 535–543. [Google Scholar] [CrossRef]
- Shao, Z., Janse, E., Visser, K., & Meyer, A. S. (2014). What do verbal fluency tasks measure? Predictors of verbal fluency performance in older adults. Frontiers in Psychology 5, 772. [Google Scholar] [CrossRef] [PubMed]
- Tun, P. A., & Lachman, M. E. (2006). Telephone assessment of cognitive function in adulthood: The brief test of adult cognition by telephone. Age and Ageing, 35, 629–632. [Google Scholar] [CrossRef] [PubMed]
- U.S. Census Bureau. (2024). Older adults in the United States: 2019 and 2022. Available online: https://www.census.gov/library/visualizations/interactive/older-adults-in-the-united-states.html (accessed on 27 January 2025).
- Wechsler, D. (1981). Wechsler adult intelligence scale-revised (WAIS-R). Psychological Corporation. [Google Scholar]
- Wechsler, D. (1987). Wechsler memory scale-revised. Psychological Corporation. [Google Scholar]
- Weiss, L. (2010). WAIS-IV clinical use and interpretation: Scientist-practitioner perspectives. Academic Press. [Google Scholar]
Variable | n | Composite Score | Verbal Paired Associates | Backward Digit Span | Category Fluency | Backward Counting | Verbal Clock Test |
---|---|---|---|---|---|---|---|
Age (years) | |||||||
60–69 | 65 | 0.04 ± 0.60 | 13.05 ± 6.28 | 7.51 ± 2.87 | 19.92 ± 5.35 | 31.80 ± 7.96 | 15.15 ± 3.27 |
70+ | 47 | −0.05 ± 0.57 | 12.13 ± 5.64 | 7.04 ± 2.63 | 19.19 ± 4.86 | 32.57 ± 9.91 | 15.00 ± 2.95 |
t = 0.76 | t = 0.80 | t = 0.88 | t = 0.74 | t = −0.46 | t = 0.26 | ||
Education | |||||||
Primary/junior high school | 29 | −0.31 ± 0.48 | 9.00 ± 3.84 | 6.24 ± 2.08 | 18.17 ± 5.71 | 31.07 ± 7.25 | 14.66 ± 3.73 |
High school/technical secondary school | 50 | 0.02 ± 0.60 | 14.4 ± 6.37 | 7.42 ± 2.88 | 19.36 ± 4.27 | 30.94 ± 9.46 | 14.96 ± 2.9 |
Junior college/undergraduate | 33 | 0.24 ± 0.54 | 13.24 ± 5.75 | 8.09 ± 2.91 | 21.27 ± 5.52 | 34.85 ± 8.64 | 15.67 ± 2.88 |
F = 7.58 *** | F = 8.69 *** | F = 3.68 * | F = 3.02 | F = 2.30 | F = 0.89 | ||
Health | |||||||
Good | 39 | 0.11 ± 0.60 | 14.28 ± 6.13 | 7.82 ± 3.25 | 19.56 ± 5.95 | 32.72 ± 7.86 | 15.23 ± 2.62 |
Fair/bad | 73 | −0.06 ± 0.57 | 11.79 ± 5.8 | 7.04 ± 2.46 | 19.64 ± 4.70 | 31.81 ± 9.3 | 15.01 ± 3.38 |
t = 1.48 | t = 2.12 * | t = 1.31 | t = −0.08 | t = 0.52 | t = 0.35 |
M ± SD | Rang | Min | Max | Percentiles | |||||
---|---|---|---|---|---|---|---|---|---|
5 | 25 | 50 | 75 | 95 | |||||
Verbal paired associates | 12.66 ± 6.01 | 30 | 0 | 30 | 4.65 | 8.00 | 12.00 | 16.75 | 26.00 |
Backward digit span | 7.31 ± 2.77 | 12 | 2 | 14 | 4.00 | 5.00 | 7.00 | 9.00 | 13.00 |
Category fluency | 19.62 ± 5.14 | 28 | 4 | 32 | 10.00 | 17.00 | 19.50 | 23.00 | 29.00 |
Backward counting | 32.13 ± 8.80 | 54 | 13 | 67 | 19.30 | 27.00 | 31.00 | 37.00 | 47.35 |
Verbal clock test | 15.09 ± 3.12 | 15 | 5 | 20 | 9.00 | 13.00 | 16.00 | 17.00 | 20.00 |
Subscale | Telephone | Face-to-Face | r | p |
---|---|---|---|---|
M ± SD | M ± SD | |||
Episodic memory (verbal paired associates) | 11.31 ± 5.16 | 14.50 ± 5.71 | 0.54 | <0.001 |
Working memory (backward digit span) | 6.37 ± 2.29 | 6.53 ± 2.03 | 0.48 | <0.001 |
Verbal fluency (category fluency) | 19.13 ± 5.40 | 19.56 ± 5.46 | 0.55 | <0.001 |
Processing speed (backward counting) | 32.60 ± 9.74 | 34.82 ± 9.94 | 0.77 | <0.001 |
Abstract reasoning and concept formation (verbal clock test) | 14.88 ± 3.51 | 16.63 ± 2.95 | 0.62 | <0.001 |
Variable | 1 | 2 | 3 | 4 | 5 | 6 |
---|---|---|---|---|---|---|
1. Composite score | 1.00 | |||||
2. Episodic memory | 0.65 *** | 1.00 | ||||
3. Working memory | 0.61 *** | 0.43 *** | 1.00 | |||
4. Verbal fluency | 0.51 *** | 0.06 | 0.05 | 1.00 | ||
5. Processing speed | 0.56 *** | 0.15 | 0.08 | 0.25 ** | 1.00 | |
6. Abstract reasoning and concept formation | 0.60 *** | 0.25 ** | 0.23 * | 0.12 | 0.17 | 1.00 |
1 | 2 | |
---|---|---|
Episodic memory | 0.80 | |
Working memory | 0.81 | |
Abstract reasoning and concept formation | 0.54 | |
Verbal fluency | 0.79 | |
Processing speed | 0.76 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Guo, J.; Xue, X.; Awan, A.U.R.; Wang, Y.; Chen, T. Development and Validation of Telephone Cognitive Testing for Community-Dwelling Older Adults (TCTCOA) in China. Behav. Sci. 2025, 15, 384. https://doi.org/10.3390/bs15030384
Guo J, Xue X, Awan AUR, Wang Y, Chen T. Development and Validation of Telephone Cognitive Testing for Community-Dwelling Older Adults (TCTCOA) in China. Behavioral Sciences. 2025; 15(3):384. https://doi.org/10.3390/bs15030384
Chicago/Turabian StyleGuo, Jiming, Xiaodan Xue, Asad Ur Rehman Awan, Ying Wang, and Tianyong Chen. 2025. "Development and Validation of Telephone Cognitive Testing for Community-Dwelling Older Adults (TCTCOA) in China" Behavioral Sciences 15, no. 3: 384. https://doi.org/10.3390/bs15030384
APA StyleGuo, J., Xue, X., Awan, A. U. R., Wang, Y., & Chen, T. (2025). Development and Validation of Telephone Cognitive Testing for Community-Dwelling Older Adults (TCTCOA) in China. Behavioral Sciences, 15(3), 384. https://doi.org/10.3390/bs15030384