Responsiveness, Minimal Clinically Important Difference, and Validity of the MoCA in Stroke Rehabilitation

Joint Authors

Lin, Keh-Chung
Wu, Ching-Yi
Tsay, Pei-Kwei
Hung, Shuan-Ju
Chen, Poyu
Chen, Kai-Hua

Source

Occupational Therapy International

Issue

Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2019-04-14

Country of Publication

Egypt

No. of Pages

7

Main Subjects

Medicine

Abstract EN

Objective.

Persons with stroke frequently suffer from cognitive impairment.

The Montreal Cognitive Assessment (MoCA), a recently developed screening tool, is sensitive to poststroke cognitive deficits.

The present study assessed its psychometric and clinimetric properties (i.e., responsiveness, minimal clinically important difference (MCID), and criterion validity) in stroke survivors receiving rehabilitative therapy.

Method.

The MoCA and the Stroke Impact Scale (SIS) were administered to 65 stroke survivors before and after 4 to 5 weeks of therapy.

The effect size and standardized response mean (SRM) were calculated for responsiveness.

Anchor- and distribution-based methods were used to estimate the MCID.

Criterion validity was measured with the Spearman correlation coefficient.

Results.

The responsiveness of the MoCA was moderate (SRM=0.67).

Participants exceeding the MCID according to the anchor- and distribution-based approaches were 33 (50.77%) and 20 (30.77%), respectively.

Fair to good concurrent validity was reported between the MoCA and the SIS communication subscale.

The MoCA had satisfactory predictive validity with the SIS communication and memory subscales.

Conclusion.

This study may support the responsiveness, MCID, and criterion validity of the MoCA in stroke populations.

Future studies with larger sample sizes are needed to validate the current findings.

American Psychological Association (APA)

Wu, Ching-Yi& Hung, Shuan-Ju& Lin, Keh-Chung& Chen, Kai-Hua& Chen, Poyu& Tsay, Pei-Kwei. 2019. Responsiveness, Minimal Clinically Important Difference, and Validity of the MoCA in Stroke Rehabilitation. Occupational Therapy International،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1206681

Modern Language Association (MLA)

Wu, Ching-Yi…[et al.]. Responsiveness, Minimal Clinically Important Difference, and Validity of the MoCA in Stroke Rehabilitation. Occupational Therapy International No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1206681

American Medical Association (AMA)

Wu, Ching-Yi& Hung, Shuan-Ju& Lin, Keh-Chung& Chen, Kai-Hua& Chen, Poyu& Tsay, Pei-Kwei. Responsiveness, Minimal Clinically Important Difference, and Validity of the MoCA in Stroke Rehabilitation. Occupational Therapy International. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1206681

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1206681