Cognitive assessment tools for Arabic‐speaking older adults: A systematic review

Abstract This systematic review aims to identify available cognitive assessments for Arabic‐speaking older adults and to assess their validity and performance. A comprehensive search was conducted using Medline, Embase, and APA PsycInfo up to November 2023, encompassing studies validating or using cognitive tools in Arabic for individuals aged ≥ 50. We identified 29 validation studies for 20 cognitive tools and 125 studies using cognitive tools. Three tools were validated in more than one study/setting. Cut‐offs for dementia were validated for 16 tools (including two domain‐specific tools) and for cognitive impairment for three tools. The Mini‐Mental State Examination and Montreal Cognitive Assessment were the most frequently validated and used tools. The results highlight a large need for improved psychometric data for cognitive assessments for Arabic‐speaking older adults and identify important gaps in knowledge regarding domain‐specific tools, the detection of cognitive changes, and the suitability of assessments across different settings and subgroups. Highlights We reviewed the availability and properties of cognitive assessments in Arabic. Psychometric data on cognitive tools for older Arabic‐speaking adults are scarce. Only three tools are validated in more than one study/setting. Data are largely lacking for domain‐specific tools and early cognitive changes. The review identifies important methodology, reporting, and reproducibility issues.