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Full-Length Research Report

Validity and Reliability of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE)

Preliminary Findings Among the Older Population of Iran

Published Online:https://doi.org/10.1024/1662-9647/a000209

Abstract. This study examines the psychometric properties of the IQCODE and its applicability in the Iranian elderly population. A group of 95 elderly patients with at least 4 years of formal education who fulfilled the criteria of DSM-IV-TR for dementia were examined by the MMSE and the AMTs. The Farsi version of the IQCODE was subsequently administered to their primary caregivers. Results showed a significant correlation (p = .01) between the score of the questionnaire and the results of the MMSE (r = −0.647) and AMTs (r = −0.641). A high internal reliability of the questionnaire was confirmed by Cronbach’s alpha coefficient (α = 0.927) and test-retest reliability by correlation coefficient (r = 0.81). This study found that the IQCODE has acceptable psychometric properties and can be used for evaluating the cognitive state in the elderly population of Iran.

References

  • Allen, M. J., & Yen, W. M. (2001). Introduction to measurement theory. Long Grove, IL: Waveland Press. First citation in articleGoogle Scholar

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders DSM-IV-TR (4th ed., text revision). Washington, DC: Author. First citation in articleGoogle Scholar

  • American Psychological Association and National Council on Measurement in Education. (1985). Standards for educational and psychological testing. Washington, DC: AERA American Educational Research Association. First citation in articleGoogle Scholar

  • Ansari, N. N., Naghdi, S., Hasson, S., Valizadeh, L., & Jalaie, S. (2010). Validation of a Mini-Mental State Examination (MMSE) for the Persian population: A pilot study. Applied Neuropsychology, 17, 190–195. First citation in articleCrossrefGoogle Scholar

  • Cherbuin, N., & Jorm, A. F. (2011). The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE). In M. T. Abou-SalehC. L. E. KatonaA. KumarEds., Principles and practice of geriatric psychiatry (3rd ed., pp. 147–151). Hoboken, NJ: Wiley. First citation in articleGoogle Scholar

  • Cherbuin, N., & Jorm, A. F. (2013). The IQCODE: using informant reports to assess cognitive change in the clinic and in older individuals living in the community. In A. J. LarnerEd., Cognitive screening instruments (pp. 165–182). New York, NY: Springer. First citation in articleGoogle Scholar

  • Cronbach, L. J., & Shavelson, R. J. (2004). My current thoughts on coefficient alpha and successor procedures. Educational and Psychological Measurement, 64, 391–418. First citation in articleCrossrefGoogle Scholar

  • De Jonghe, J. F. (1997). Differentiating between demented and psychiatric patients with the Dutch version of the IQCODE. International Journal of Geriatric Psychiatry, 12, 462–465. First citation in articleCrossrefGoogle Scholar

  • DeKosky, S. T. (2001). Epidemiology and pathophysiology of Alzheimer’s disease. Clinical Cornerstone, 3(4), 15–26. First citation in articleCrossrefGoogle Scholar

  • Ferri, C. P., Prince, M., Brayne, C., Brodaty, H., Fratiglioni, L., Ganguli, M., … Huang, Y. (2005). Global prevalence of dementia: A Delphi consensus study. The Lancet, 366(9503), 2112–2117. First citation in articleCrossrefGoogle Scholar

  • Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198. First citation in articleCrossrefGoogle Scholar

  • Foroughan, M., Delbari, A., Said, S. E., AkbariKamrani, A. A., Rashedi, V., & Zandi, T. (2016). Risk factors and clinical aspects of delirium in elderly hospitalized patients in Iran. Aging Clinical and Experimental Research, 28, 313–319. First citation in articleCrossrefGoogle Scholar

  • Foroughan, M., Jafari, Z., Shirinbayan, P., Ghaem Magham Faraahani, Z., & Rahgozar, M. (2008). Validation of the Mini-Mental State Examination (MMSE) in the elderly population of Tehran. Advances in Cognitive Science, 10(2), 29–37. First citation in articleGoogle Scholar

  • Foroughan, M., Wahlund, L. O., Jafari, Z., Rahgozar, M., Farahani, I. G., & Rashedi, V. (2017). Validity and reliability of Abbreviated Mental Test Score (AMTS) among older Iranians. Psychogeriatrics, 17, 460–465. First citation in articleCrossrefGoogle Scholar

  • Fratiglioni, L., Grut, M., Forsell, Y., Viitanen, M., Grafström, M., Holmen, K., … Winblad, B. (1991). Prevalence of Alzheimer’s disease and other dementias in an elderly urban population: Relationship with age, sex, and education. Neurology, 41, 1886–1892. First citation in articleCrossrefGoogle Scholar

  • Fuh, J.-L., Teng, E. L., Lin, K.-N., Larson, E. B., Wang, S.-J., Liu, C.-Y., … Liu, H.-C. (1995). The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE) as a screening tool for dementia for a predominantly illiterate Chinese population. Neurology, 45(1), 92–96. First citation in articleCrossrefGoogle Scholar

  • Gliem, J. A., & Gliem, R. R. (2003). Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. Paper presented at the Midwest Research to Practice Conference in Adult, Continuing, and Community Education, Columbus, OH. First citation in articleGoogle Scholar

  • Hebert, L., Weuve, J., Scherr, P., & Evans, D. (2013). Alzheimer disease in the United States (2010–2050) estimated using the 2010 census. Neurology, 80, 1778–1783. First citation in articleCrossrefGoogle Scholar

  • Hodkinson, H. (1972). Evaluation of a mental test score for assessment of mental impairment in the elderly. Age and Ageing, 1, 233–238. First citation in articleCrossrefGoogle Scholar

  • Isella, V., Villa, M., Frattola, L., & Appollonio, I. (2002). Screening cognitive decline in dementia: Preliminary data on the Italian version of the IQCODE. Neurological Sciences, 23, s79–s80. First citation in articleCrossrefGoogle Scholar

  • Jorm, A. F. (1994). A short form of the Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): Development and cross-validation. Psychological Medicine, 24, 145–153. First citation in articleCrossrefGoogle Scholar

  • Jorm, A. F. (2004). The Informant Questionnaire on cognitive decline in the elderly (IQCODE): A review. International Psychogeriatrics, 16, 275–293. First citation in articleCrossrefGoogle Scholar

  • Jorm, A. F., Christensen, H., Henderson, A., Jacomb, P., Korten, A., & Mackinnon, A. (1996). Informant ratings of cognitive decline of elderly people: Relationship to longitudinal change on cognitive tests. Age and Ageing, 25, 125–129. First citation in articleCrossrefGoogle Scholar

  • Jorm, A. F., & Jacomb, P. (1989). The Informant Questionnaire on Cognitive Decline in the Elderly (IQCODE): Sociodemographic correlates, reliability, validity and some norms. Psychological Medicine, 19, 1015–1022. First citation in articleCrossrefGoogle Scholar

  • Kirkevold, Ø., & Selbæk, G. (2015). The agreement between the MMSE and IQCODE tests in a community-based sample of subjects aged 70 years or older receiving in-home nursing: An explorative study. Dementia and Geriatric Cognitive Disorders Extra, 5(1), 32–41. First citation in articleCrossrefGoogle Scholar

  • Kukull, W. A., & Bowen, J. D. (2002). Dementia epidemiology. Medical Clinics of North America, 86, 573–590. First citation in articleCrossrefGoogle Scholar

  • Law, S., & Wolfson, C. (1995). Validation of a French version of an informant-based questionnaire as a screening test for Alzheimer’s disease. The British Journal of Psychiatry, 167, 541–544. First citation in articleCrossrefGoogle Scholar

  • McDowell, I. (2001). Alzheimer’s disease: Insights from epidemiology. Aging Clinical and Experimental Research, 13, 143–162. First citation in articleCrossrefGoogle Scholar

  • McKinley, R. K., Manku-Scott, T., Hastings, A. M., French, D. P., & Baker, R. (1997). Reliability and validity of a new measure of patient satisfaction with out of hours primary medical care in the United Kingdom: Development of a patient questionnaire. BMJ, 314(7075), 193–198. First citation in articleCrossrefGoogle Scholar

  • Messick, S. (1995). Validity of psychological assessment: Validation of inferences from persons’ responses and performances as scientific inquiry into score meaning. American Psychologist, 50, 741–749. First citation in articleCrossrefGoogle Scholar

  • Messick, S. (1998). Test validity: A matter of consequence. Social Indicators Research, 45, 35–44. First citation in articleCrossrefGoogle Scholar

  • Michell, J. (1999). Measurement in psychology. Cambridge, UK: Cambridge University Press. First citation in articleCrossrefGoogle Scholar

  • Ministry of Health Treatment and Medical Education. (2007). Elderly situation in Iran – 2002. Tehran, Iran: Author. First citation in articleGoogle Scholar

  • Morales, J.-M., Bermejo, F., Romero, M., & Del-Ser, T. (1997). Screening of dementia in community-dwelling elderly through informant report. International Journal of Geriatric Psychiatry, 12, 808–816. First citation in articleCrossrefGoogle Scholar

  • Park, M. H. (2017). Informant questionnaire on cognitive decline in the elderly (IQCODE) for classifying cognitive dysfunction as cognitively normal, mild cognitive impairment, and dementia. International Psychogeriatrics, 29, 1461–1467. First citation in articleCrossrefGoogle Scholar

  • Phung, T. K. T., Chaaya, M., Asmar, K., Atweh, S., Ghusn, H., Khoury, R. M., Prince, M., & Waldemar, G. (2015). Performance of the 16-item Informant Questionnaire on Cognitive Decline for the Elderly (IQCODE) in an Arabic-speaking older population. Dementia and Geriatric Cognitive Disorders, 40(5–6), 276–289. First citation in articleCrossrefGoogle Scholar

  • Prince, M., Bryce, R., Albanese, E., Wimo, A., Ibeiro, W., & Ferri, C. (2013). The global prevalence of dementia: A systematic review and metaanalysis. Alzheimer’s & Dementia, 9, 63–75. First citation in articleCrossrefGoogle Scholar

  • Rajan, K. B., Weuve, J., Barnes, L. L., Wilson, R. S., & Evans, D. A. (2019). Prevalence and incidence of clinically diagnosed Alzheimer’s disease dementia from 1994 to 2012 in a population study. Alzheimer’s & Dementia, 15, 1–7. First citation in articleCrossrefGoogle Scholar

  • Rashedi, V., Asadi-Lari, M., Foroughan, M., Delbari, A., & Fadayevatan, R. (2017). Mental health and pain in older adults: Findings from Urban HEART-2. Community Mental Health Journal, 53, 719–724. First citation in articleCrossrefGoogle Scholar

  • Rashedi, V., Foroughan, M., Nazari, H., Seeher, K., & Brodaty, H. (2019). Validity and reliability of the Persian version of general practitioner assessment of cognition (P-GPCOG). Aging & Mental Health, 23(8), 961–965. First citation in articleCrossrefGoogle Scholar

  • Senanarong, V., Assavisaraporn, S., Sivasiriyanonds, N., Printarakul, T., Jamjumrus, P., Udompunthuruk, S., & Poungvarin, N. (2001). The IQCODE: An alternative screening test for dementia for low-educated Thai elderly. Journal of the Medical Association of Thailand, 84, 648–655. First citation in articleGoogle Scholar

  • Seyedian, M., Fallah, M., Nourozian, M., Nedjat, S., Delavar, A., & Ghasemzadeh, H. (2007). Preparation and validation of the Persian version of Mini-Mental State Examination (MMSE). Journal of Medical Council of Iran, 25, 408–414. First citation in articleGoogle Scholar

  • Statistical Center of Iran. (2018). Population and Housing Census. Retrieved from http://www.amar.org.ir/Default.aspx?tabid=1190 First citation in articleGoogle Scholar

  • Zurique, C. S., Cadena, M. S., Zurique, M. S., Camacho, P. L., Sánchez, M. S., Hernández, S. H., … Ustate, A. V. (in press). Prevalence of dementia in the elderly in Latin America: A systematic review. Revista Espanola de Geriatriay Gerontologia. First citation in articleGoogle Scholar