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Harmonisation and Between-Country Differences of the Lifetime of Experiences Questionnaire in Older Adults

Ourry, V; Marchant, NL; Schild, AK; Coll-Padros, N; Klimecki, OM; Krolak-Salmon, P; Goldet, K; ... Arenaza-Urquijo, EM; + view all (2021) Harmonisation and Between-Country Differences of the Lifetime of Experiences Questionnaire in Older Adults. Frontiers in Aging Neuroscience , 13 , Article 740005. 10.3389/fnagi.2021.740005. Green open access

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Abstract

Background: The Lifetime of Experiences Questionnaire (LEQ) assesses complex mental activity across the life-course and has been associated with brain and cognitive health. The different education systems and occupation classifications across countries represent a challenge for international comparisons. The objectives of this study were four-fold: to adapt and harmonise the LEQ across four European countries, assess its validity across countries, explore its association with brain and cognition and begin to investigate between-country differences in life-course mental activities. Method: The LEQ was administered to 359 cognitively unimpaired older adults (mean age and education: 71.2, 13.2 years) from IMAP and EU-funded Medit-Ageing projects. Education systems, classification of occupations and scoring guidelines were adapted to allow comparisons between France, Germany, Spain and United Kingdom. We assessed the LEQ's (i) concurrent validity with a similar instrument (cognitive activities questionnaire - CAQ) and its structural validity by testing the factors' structure across countries, (ii) we investigated its association with cognition and neuroimaging, and (iii) compared its scores between countries. Results: The LEQ showed moderate to strong positive associations with the CAQ and revealed a stable multidimensional structure across countries that was similar to the original LEQ. The LEQ was positively associated with global cognition. Between-country differences were observed in leisure activities across the life-course. Conclusions: The LEQ is a promising tool for assessing the multidimensional construct of cognitive reserve and can be used to measure socio-behavioural determinants of cognitive reserve in older adults across countries. Longitudinal studies are warranted to test further its clinical utility.

Type: Article
Title: Harmonisation and Between-Country Differences of the Lifetime of Experiences Questionnaire in Older Adults
Open access status: An open access version is available from UCL Discovery
DOI: 10.3389/fnagi.2021.740005
Publisher version: https://doi.org/10.3389/fnagi.2021.740005
Language: English
Additional information: This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
Keywords: Cognitive reserve, lifetime of experiences questionnaire, life-course, older adults, harmonisation, cross-cultural validation
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10138003
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