• Title of article

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

  • Author/Authors

    Wu , Ching-Yi DepartmentofOccupationalTherapyandGraduateInstituteofBehavioralSciences - CollegeofMedicine - ChangGungUniversity - Taoyuan, Taiwan , Chen, Poyu DepartmentofOccupationalTherapyandGraduateInstituteofBehavioralSciences - CollegeofMedicine - ChangGungUniversity - Taoyuan, Taiwan , Hung, Shuan-Ju SchoolofOccupationalTherapy - CollegeofMedicine - NationalTaiwanUniversity Taipei,Taiwan , Lin , Keh-chung SchoolofOccupationalTherapy - CollegeofMedicine - NationalTaiwanUniversity Taipei,Taiwan , Chen , Kai-Hua DivisionofOccupationalTherapy - DepartmentofPhysicalMedicineandRehabilitation - NationalTaiwanUniversityHospital - Taipei,Taiwan , Tsay , Pei-Kwei SchoolofNursing - ChangGungUniversity - Taoyuan, Taiwan

  • Pages
    8
  • From page
    1
  • To page
    8
  • Abstract
    Personswithstrokefrequentlysufferfromcognitiveimpairment.TheMontrealCognitiveAssessment(MoCA),a recentlydevelopedscreeningtool,issensitivetopoststrokecognitivedeficits.Thepresentstudyassesseditspsychometricand clinimetricproperties(i.e.,responsiveness,minimalclinicallyimportantdifference(MCID),andcriterionvalidity)instroke survivorsreceivingrehabilitativetherapy.Method.TheMoCAandtheStrokeImpactScale(SIS)wereadministeredto65stroke survivorsbeforeandafter4to5weeksoftherapy.Theeffectsizeandstandardizedresponsemean(SRM)werecalculatedfor responsiveness.Anchor-anddistribution-basedmethodswereusedtoestimatetheMCID.Criterionvaliditywasmeasuredwith theSpearmancorrelationcoefficient.Results.TheresponsivenessoftheMoCAwasmoderate(SRM=067).Participants exceedingtheMCIDaccordingtotheanchor-anddistribution-basedapproacheswere33(50.77%)and20(30.77%), respectively.FairtogoodconcurrentvaliditywasreportedbetweentheMoCAandtheSIScommunicationsubscale.TheMoCA hadsatisfactorypredictivevaliditywiththeSIScommunicationandmemorysubscales.Conclusion.Thisstudymaysupportthe responsiveness,MCID,andcriterionvalidityoftheMoCAinstrokepopulations.Futurestudieswithlargersamplesizesare neededtovalidatethecurrentfindings.
  • Keywords
    Responsiveness , Minimal Clinically Important Difference , Validity , MoCA , Stroke Rehabilitation , MCID
  • Journal title
    Occupational Therapy International
  • Serial Year
    2019
  • Full Text URL
    downloads.hindawi.com/journals/oti/2019/2517658.pdf
  • Record number

    2616209

    • Link To Document
    https://search.isc.ac/dl/search/defaultta.aspx?DTC=10&DC=2616209