What is the clinical evidence from this study?

Study design: Systematic Review. Population: Type 2 Diabetes Mellitus and Mild Cognitive Impairment. Intervention: Functional assessment instruments. Primary outcome: Instruments used to assess functionality and their psychometric properties.

What question did this study set out to answer?

This scoping review aims to identify and evaluate the functional assessment tools for individuals with T2DM and MCI.

June 19, 2026DiabetologyOpen Access

Functional Assessment in Diabetic Cognitive Impairment: A Scoping Review of Activities of Daily Living Screening Tools

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Key result

Functional assessment tools for T2DM and MCI lack validation and show marked heterogeneity.

Population

Individuals with Type 2 Diabetes Mellitus (T2DM) and Mild Cognitive Impairment (MCI)

Design

Systematic_review

Authors

ILIsabel Cristina Ensina Lavadinho NCNídia Calado JSJosé Augusto SimõesUniversity of Beira Interior

Discussion

Member takes

Implication

Highlights shortage of validated tools for functional assessment in T2DM with MCI; leaves open need for targeted psychometric validation before clinical adoption.

Key Points

This scoping review aims to identify and evaluate the functional assessment tools for individuals with T2DM and MCI.
Conducted a scoping review based on JBI methodology and PRISMA-ScR guidelines.
Performed literature search across electronic databases including PubMed and Cochrane Library up to March 2026.
Focused on instruments assessing functionality in T2DM and MCI populations.
Only three studies met eligibility criteria for inclusion.
Functional instruments evaluated were the ADCS-ADL scale, the A-FAQ, and a predictive nomogram including the Lawton-Brody scale.
High variability in methodological approaches and lack of comparative validation studies among T2DM cohorts were reported.

Study Design

Type

Systematic Review

Structured PICO

Population

A scoping review of 3 studies evaluating functional assessment instruments in individuals with Type 2 Diabetes Mellitus and Mild Cognitive Impairment.

Exposure

Functional assessment instruments (ADCS-ADL scale, A-FAQ, predictive nomogram including Lawton-Brody scale)

Outcome

Identification of instruments used to assess functionality and mapping of their psychometric properties

There is a critical shortage of validated functional assessment instruments for individuals with Type 2 Diabetes Mellitus and Mild Cognitive Impairment, highlighting a need for future longitudinal validation studies.

Limitations

Notable scarcity and marked heterogeneity of the available literature
No comparative validation studies conducted among homogeneous T2DM cohorts
Psychometric properties remain unvalidated in this specific population
scarcity of available literature
marked heterogeneity of available literature

Cite This Study

Lavadinho et al. (2026) conducted a systematic review in Type 2 Diabetes Mellitus and Mild Cognitive Impairment. Functional assessment instruments was evaluated on Instruments used to assess functionality and their psychometric properties. Functional assessment instruments for individuals with T2DM and MCI were evaluated in only three studies, revealing marked heterogeneity and a lack of validation in this specific population.

synapsesocial.com/papers/6a35982fdd3be7785e70ed00 https://doi.org/10.3390/diabetology7060119

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Implication

Highlights shortage of validated tools for functional assessment in T2DM with MCI; leaves open need for targeted psychometric validation before clinical adoption.

Functional Assessment in Diabetic Cognitive Impairment: A Scoping Review of Activities of Daily Living Screening Tools

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Limitations

Cite This Study

Functional Assessment in Diabetic Cognitive Impairment: A Scoping Review of Activities of Daily Living Screening Tools

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Limitations

Cite This Study

Also Consider

Also Consider