PMID- 31097928
OWN - NLM
STAT- MEDLINE
DCOM- 20190612
LR  - 20220408
IS  - 1557-0703 (Electronic)
IS  - 0966-7903 (Print)
IS  - 0966-7903 (Linking)
VI  - 2019
DP  - 2019
TI  - Responsiveness, Minimal Clinically Important Difference, and Validity of the MoCA 
      in Stroke Rehabilitation.
PG  - 2517658
LID - 10.1155/2019/2517658 [doi]
LID - 2517658
AB  - 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.
FAU - Wu, Ching-Yi
AU  - Wu CY
AUID- ORCID: 0000-0003-4726-2916
AD  - Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, 
      College of Medicine, Chang Gung University, Taoyuan, Taiwan.
AD  - Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital 
      at Linkou, Taoyuan, Taiwan.
FAU - Hung, Shuan-Ju
AU  - Hung SJ
AD  - School of Occupational Therapy, College of Medicine, National Taiwan University, 
      Taipei, Taiwan.
FAU - Lin, Keh-Chung
AU  - Lin KC
AUID- ORCID: 0000-0003-1110-8773
AD  - School of Occupational Therapy, College of Medicine, National Taiwan University, 
      Taipei, Taiwan.
AD  - Division of Occupational Therapy, Department of Physical Medicine and 
      Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
FAU - Chen, Kai-Hua
AU  - Chen KH
AUID- ORCID: 0000-0002-8527-8620
AD  - College of Medicine, Chang Gung University, Taoyuan, Taiwan.
AD  - Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, 
      Chiayi, Taiwan.
FAU - Chen, Poyu
AU  - Chen P
AD  - Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, 
      College of Medicine, Chang Gung University, Taoyuan, Taiwan.
FAU - Tsay, Pei-Kwei
AU  - Tsay PK
AD  - School of Nursing, Chang Gung University, Taoyuan, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20190414
PL  - England
TA  - Occup Ther Int
JT  - Occupational therapy international
JID - 9433361
SB  - IM
MH  - Adult
MH  - Aged
MH  - Cognitive Dysfunction/*diagnosis
MH  - Female
MH  - Humans
MH  - Male
MH  - *Mental Status and Dementia Tests
MH  - Middle Aged
MH  - Minimal Clinically Important Difference
MH  - Psychometrics
MH  - Reproducibility of Results
MH  - Stroke/*psychology
MH  - *Stroke Rehabilitation
PMC - PMC6487084
EDAT- 2019/05/18 06:00
MHDA- 2019/06/14 06:00
PMCR- 2019/04/14
CRDT- 2019/05/18 06:00
PHST- 2018/09/17 00:00 [received]
PHST- 2019/03/13 00:00 [accepted]
PHST- 2019/05/18 06:00 [entrez]
PHST- 2019/05/18 06:00 [pubmed]
PHST- 2019/06/14 06:00 [medline]
PHST- 2019/04/14 00:00 [pmc-release]
AID - 10.1155/2019/2517658 [doi]
PST - epublish
SO  - Occup Ther Int. 2019 Apr 14;2019:2517658. doi: 10.1155/2019/2517658. eCollection 
      2019.