PMID- 33275562
OWN - NLM
STAT- MEDLINE
DCOM- 20201208
LR  - 20220418
IS  - 0272-9490 (Print)
IS  - 0272-9490 (Linking)
VI  - 74
IP  - 6
DP  - 2020 Nov/Dec
TI  - Minimal Clinically Important Difference of the Loewenstein Occupational Therapy 
      Cognitive Assessment-Geriatric (LOTCA-G) in People With Dementia.
PG  - 7406205020p1-7406205020p7
LID - 10.5014/ajot.2020.040550 [doi]
AB  - IMPORTANCE: The Loewenstein Occupational Therapy Cognitive Assessment-Geriatric 
      (LOTCA-G) can provide multifaceted and comprehensive measures of cognitive 
      function with reduced literacy demands; however, its minimal clinically important 
      difference (MCID) has not been determined for interpreting the change scores. 
      OBJECTIVE: To establish the LOTCA-G MCID for people with dementia. DESIGN: 
      Psychometric field study. SETTING: Data were collected in communities. 
      PARTICIPANTS: Forty-nine participants with mild to moderate dementia who were 
      enrolled in previous research investigating the effects of cognitive 
      stimulation-related interventions with equivalent training hours. OUTCOMES AND 
      MEASURES: The Mini-Mental State Examination and LOTCA-G were used to assess 
      cognitive function before and after the interventions. The anchor-based and 
      distribution-based approaches were used to estimate the LOTCA-G MCID. RESULTS: 
      Using the anchor-based method, we defined 16 participants as the improvement 
      group, with a mean change score of 5.75 points (the first MCID estimate). The 
      second MCID estimate was 6.23 points, which we calculated from the 49 
      participants by using the distribution-based method with the medium effect size. 
      CONCLUSIONS AND RELEVANCE: Current results suggest that a LOTCA-G change score 
      greater than 5.75 points should be considered as meaningful change for people 
      with dementia. It is important to consider the LOTCA-G MCID as one of the indexes 
      for determining the success of interventions in people with dementia. WHAT THIS 
      ARTICLE ADDS: This study is the first to report the LOTCA-G MCID for dementia. 
      Establishing an MCID for standardized cognitive assessment tools for the aging 
      population can be used to support evidence-based practice in rehabilitation 
      clinics.
CI  - Copyright (c) 2020 by the American Occupational Therapy Association, Inc.
FAU - Li, Kuan-Yi
AU  - Li KY
AD  - Kuan-Yi Li, PhD, OTR, is Associate Professor, Department of Occupational Therapy 
      and Graduate Institute of Behavioral Sciences, Healthy Aging Research Center, 
      Chang Gung University, Taoyuan, Taiwan, and Associate Research Fellow, Movement 
      Disorders Section, Department of Neurology, Chang Gung Memorial Hospital, Linkou, 
      Taiwan.
FAU - Lin, Li-Jung
AU  - Lin LJ
AD  - Li-Jung Lin, PhD, CTRS, HTR, is Associate Professor, Graduate Institute of Sport, 
      Leisure, and Hospitality Management, National Taiwan Normal University, Taipei, 
      Taiwan; maru641220@ntnu.edu.tw.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Occup Ther
JT  - The American journal of occupational therapy : official publication of the 
      American Occupational Therapy Association
JID - 7705978
SB  - IM
MH  - Aged
MH  - Cognition
MH  - *Dementia
MH  - Humans
MH  - Minimal Clinically Important Difference
MH  - *Occupational Therapy
MH  - Psychometrics
EDAT- 2020/12/05 06:00
MHDA- 2020/12/15 06:00
CRDT- 2020/12/04 17:09
PHST- 2020/12/04 17:09 [entrez]
PHST- 2020/12/05 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
AID - 10.5014/ajot.2020.040550 [doi]
PST - ppublish
SO  - Am J Occup Ther. 2020 Nov/Dec;74(6):7406205020p1-7406205020p7. doi: 
      10.5014/ajot.2020.040550.