Internal consistency and reliability of the lifetime and modified current cognitive activity questionnaires and their association with cognitive performance: a six-year follow up of the Brain in Motion study.

Autor: Snow C; Department of Physiology and Pharmacology Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.; Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.; Faculty of Kinesiology, University of Calgary, Calgary, Canada., Guadagni V; Department of Physiology and Pharmacology Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.; Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.; O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Canada., Eskes GA; Department of Psychiatry, Faculty of Medicine, Dalhousie University, Halifax, Canada.; Department of Psychology and Neuroscience, Faculty of Science, Dalhousie University, Halifax, Canada., Poulin MJ; Department of Physiology and Pharmacology Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.; Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Canada.; O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Canada.; Faculty of Kinesiology, University of Calgary, Calgary, Canada.; Department of Clinical Neurosciences, Cumming School of Medicine, University of Calgary, Calgary, Canada.; Libin Cardiovascular Institute of Alberta, Cumming School of Medicine, University of Calgary, Calgary, Canada., Longman RS; Psychology Service, Alberta Health Service, Foothills Medical Centre, Calgary, Canada.; Department of Psychology, Faculty of Arts, University of Calgary, Calgary, Canada.
Jazyk: angličtina
Zdroj: Journal of clinical and experimental neuropsychology [J Clin Exp Neuropsychol] 2023 Aug; Vol. 45 (6), pp. 579-596. Date of Electronic Publication: 2023 Dec 29.
DOI: 10.1080/13803395.2023.2272979
Abstrakt: Introduction: Cognitive activity questionnaires could provide insight into neurocognitive reserve. The Lifetime Cognitive Activities Questionnaire (LCAQ) assesses cognitive activities at four stages of life. The Modified Current Cognitive Activities Questionnaire (CCAQ) assesses current cognitive activities. We examined the construct validity, internal consistency, test-retest reliability, and stability of these questionnaires throughout the Brain in Motion (BIM) study and their relationship with cognitive performance.
Methods: The LCAQ, Montreal Cognitive Assessment (MoCA), and neuropsychological battery were administered at the initial pre-intervention and six-year follow-up. The CCAQ was administered at five timepoints. Construct validity of the CCAQ/LCAQ was assessed using proxies of cognitive engagement (educational attainment and the North American Adult Reading Test [NAART]). Cronbach alpha analysis determined internal consistency. LCAQ reliability was established by comparing the pre-intervention and six-year follow-up. CCAQ reliability was determined by comparing both pre-intervention assessments, correlations throughout BIM determined stability. A multiple linear regression investigated the associations between cognitive engagement and cognitive domains derived from a principal component analysis.
Results: MoCA scores at the initial pre-intervention (27.49 ± 1.46) and six-year follow up (26.53 ± 2.08). The LCAQ and CCAQ correlated with educational attainment and the NAART. The LCAQ ( n  = 266) produced an alpha of 0.90 (20 items). The CCAQ ( n  = 261) resulted in an alpha of 0.71 (25 items). LCAQ scores ( n  = 94) at the initial pre-intervention and six-year follow-up were correlated. CCAQ ( n  = 94) scores at the initial pre-intervention correlated with scores at all five other timepoints. The multiple linear regression revealed associations between the CCAQ and verbal memory/attention. The NAART was associated with processing speed, concept formation, and verbal memory/attention.
Conclusions: In the absence of cognitive decline, these questionnaires exhibit significant construct validity, internal consistency, test-retest reliability, and the CCAQ displayed stability. The NAART and CCAQ were associated with neuropsychological performance. Our findings support future use of these questionnaires and exemplify the neuroprotective role of cognitive engagement.
Databáze: MEDLINE
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