Cross-cultural adaptation and psychometric evaluation of the Chinese version of the short version of the Cognitive Reserve Index Questionnaire (s-CRIq): a cross-sectional study
摘要
Assessing cognitive reserve (CR) is crucial for identifying the risk of cognitive impairment, predicting disease progression, and informing targeted interventions. However, the Cognitive Reserve Index Questionnaire (CRIq), a widely used tool for evaluating CR, has practical limitations including its length, complex collection requiring interviewer involvement, and time burdens for participants and interviewers. To address these, a self-administered short-form version (s-CRIq) was updated in 2023, which retains the original scale’s core structure and dimensions while significantly improving convenience and efficiency. This study aimed to develop a Chinese version of the s-CRIq (s-CRIq-C) through rigorous cross-cultural adaptation and evaluate its psychometric properties.
MethodsFollowed Beaton’s guidelines for cross-cultural adaptation to translate the s-CRIq-C. Seven experts evaluated the content validity index and translation validity index. Independent samples t-tests were used to assess gender differences, while one-way ANOVA with post-hoc analyses was employed to examine age group differences. To verify the construct validity of the s-CRIq-C, Pearson correlation analysis was performed to assess the relationship between the total scale score and the three dimension scores. Concurrent validity was tested using the full-length CRIq as the criterion to further confirm its construct validity. Reliability was evaluated through internal consistency and test-retest reliability.
ResultsA total of 315 healthy adult participants were included. The mean total CRI score was 94.28 ± 14.94, indicating a medium level of CRI. The total CRI score showed strong correlations with the three dimensions—CRI-Education (r = 0.818), CRI-WorkingActivity (r = 0.812), and CRI-LeisureTime (r = 0.819)—while moderate to weak correlations were observed among the dimensions themselves. Concurrent validity analysis revealed a high correlation between the s-CRIq-C and the long version of CRIq (r = 0.932, p < 0.001). The s-CRIq-C exhibited good reliability, with a Cronbach’s α coefficient of 0.777, McDonald’s ω coefficient of 0.780, and test-retest reliability of 0.968.
ConclusionsThe s-CRIq-C demonstrated good reliability and validity, supporting its utility as a brief and dependable tool for assessing CR in both clinical and scientific investigations.
Trial registrationThe trial was registered at the Chinese Clinical Trial Registry with the registration number ChiCTR2500104640. Registered on 20 June 2025.