Vision impairments are more prevalent in geriatric individuals with dementia. The most widely used cognitive screening assessments, used before the diagnosis of dementia, consist of testing items that involve vision modalities. However, there is limited knowledge about modifications for cognitive assessments that accommodate individuals with these comorbidities. This could affect diagnosing dementia and monitoring the progress of people with dementia (PwD) and visual impairments. Consequently, this creates a burden on PwD and their quality of life (QoL) is significantly impacted. Previous literature concluded the modification of cognitive assessments is an essential step to improve the QoL for this demographic. Since then, there have been many proposed study protocols for the modifications of dementia screening tools used for PwD with vision impairments. A similar systematic review was published on July 10, 2017. Therefore, studies included were original research articles published in the English language and published after July 10, 2017. Two hundred and forty articles from PubMed and Scopus were screened. Six articles were included in the final analysis after removing duplicates and screening articles with the inclusion criteria. Results show the need for visual modifications to existing dementia assessments. When healthcare professionals screen for dementia, they use assessments that require good vision; however, many older adults do not have good vision. Vision is essential in the evaluation of dementia. Therefore, all study protocol modifications should integrate vision modifications to the cognitive assessments. The modifications should address both impairments to ensure healthcare professionals can accurately diagnose the patient and develop a treatment plan. Future modifications should be flexible, personalized, patient-centered, and interdisciplinary.
Smith, MS, MPH(c), Jacquelyn; Leader, DrPH, MPH, Amy; and Frasso, PhD, CPH, Rosemary, "Modifications in Cognitive Interventions for Geriatric Individuals with Vision Impairments to Improve Quality of Life" (2020). Master of Public Health Capstone Presentations. Presentation 351.