Alzheimer’s Disease Screening Tools for Asian Americans: A Scoping Review

Abstract

With growing numbers of aging Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPIs), the availability of culturally and linguistically appropriate screening tools for Alzheimer’s disease and its related dementias (ADRD) is needed. The aim of this scoping review is to summarize the tools that have been adapted for and validated among the AANHPI population. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol for systematic reviews, six databases were searched for peer-reviewed articles describing ADRD among AANHPIs. Among 1,477 articles screened for inclusion, 15 articles were included in the final analysis. Results showed a paucity of studies that psychometrically validate tools among this population. Furthermore, studies that culturally adapted and/or translated existing tools mostly targeted East Asian American populations. Our review provides a first step in mapping the extant literature on ADRD screening tools for this underresearched population and will serve as a guide for future research, policy, and intervention.

Exploring community knowledge, attitudes and perceptions of Alzheimer's Disease/Alzheimer's Disease‐Related Dementias and healthy ageing in Asian American, Native Hawaiian and Pacific Islanders

“…Efforts to establish a strategic agenda for our Healthy Aging research track began with a systematic scoping review to map out the current state of knowledge of peer‐reviewed, interdisciplinary published literature on AD/ADRD in AAs and NH/PIs. The process and findings of the scoping review are detailed elsewhere (Lim et al, 2021). In brief, the scoping review found that AA and NH/PI older adults are underserved and underdiagnosed and there is a tremendous need for disaggregated data to understand nationally and regionally AD/ADRD prevalence, attitudes and knowledge, particularly among certain Asian subgroups.…”

Examine Race/Ethnicity Disparities in Perception, Intention, and Screening of Dementia in a Community Setting: Scoping Review

“…ADRD screening behavior in diverse populations may also be influenced by other sociodemographic factors including educational level, healthcare access, and relationships with healthcare professionals [ 26 , 32 , 33 , 35 , 40 , 42 , 47 , 53 , 54 , 55 , 56 , 57 , 58 , 59 ]. These factors might moderate the relationship between race/ethnicity and ADRD screening seeking behavior.…”

“…These factors might moderate the relationship between race/ethnicity and ADRD screening seeking behavior. For example, differences in educational attainment may account for the race-specific variability in screening seeking behavior [ 26 , 33 , 40 ]. Despite near-universal healthcare coverage through Medicare for seniors in the U.S, there are consistent reports of financial barriers to healthcare access, especially among racial/ethnic minority elders in the U.S. compared to Canada and other European countries [ 53 , 54 ].…”

“…We adopted the Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews (PRISMA-ScR) [ 22 ]. A scoping review uses systematic and rigorous methods and summarizes the findings from the body of knowledge that is heterogeneous in methods including both quantitative and qualitative designs or disciplines [ 22 , 23 , 24 , 25 , 26 , 27 ]. The difference from a systematic review is that a scoping review does not have a specific research question, but rather seeks to provide a broad overview of the available literature and identify gaps in the literature [ 24 , 26 ].…”

“…A scoping review uses systematic and rigorous methods and summarizes the findings from the body of knowledge that is heterogeneous in methods including both quantitative and qualitative designs or disciplines [ 22 , 23 , 24 , 25 , 26 , 27 ]. The difference from a systematic review is that a scoping review does not have a specific research question, but rather seeks to provide a broad overview of the available literature and identify gaps in the literature [ 24 , 26 ]. Our protocol was drafted using both PRISMA-ScR and Arksey and O’Malley’s scoping review guidelines [ 22 , 23 , 24 , 25 ].…”