Developing a Cantonese Version of Birmingham Cognitive Screen for Stroke Survivors in Hong Kong

2017 ◽  
Vol 39 (3) ◽  
pp. 387-401 ◽  
Author(s):  
Anthony Pak-Hin Kong ◽  
John Chan ◽  
Johnny King-L. Lau ◽  
Wai-Ling Bickerton ◽  
Brendan Weekes ◽  
...  

The Birmingham Cognitive Screen (BCoS) is a neuropsychological battery designed to assess impairment to a variety of cognitive domains including language in patients with brain injuries. Twenty-two stroke participants and 16 gender-, age-, and education-matched controls were recruited in Hong Kong. The stroke participants were administered HK-BCoS as well as standardized batteries of cognitive and language functions validated for the Cantonese-speaking population in Hong Kong, including the Cantonese version of the Western Aphasia Battery, Cantonese Mini-Mental State Examination, and the Hong Kong–Montreal Cognitive Assessment. Results showed that HK-BCoS demonstrated good concurrent validity with all standardized batteries. HK-BCoS could discriminate between cognitive impairments in stroke patients and normal participants. Furthermore, HK-BCoS was found to have excellent intrarater and interrater reliabilities, good test–retest reliability, and fair split-half reliability as judged according to international criteria. In sum, HK-BCoS is a valid and reliable tool for assessing cognitive processing in Cantonese speakers in Hong Kong.

2021 ◽  
Author(s):  
Margaret Jane Moore ◽  
Nele Demeyere

AbstractBackground and PurposeThis large-scale lesion-symptom mapping study aimed to investigate the necessary neuro-anatomical substrates of 5 cognitive domains frequently affected post stroke: Language, Attention, Praxis, Number, and Memory. This study aims to demonstrate the validity of using routine clinical brain imaging from a large, real-world patient cohort for lesion-symptom mapping.MethodsBehavioural cognitive screening data from the Oxford Cognitive Screen and routine clinical neuroimaging from 573 acute patients was used in voxel-based lesion-symptom mapping analyses. Patients were classed as impaired or not on each of the subtests within 5 cognitive domains.ResultsDistinct patterns of lesion damage were associated with different domains. Language functions were associated with damage to left hemisphere fronto-temporal areas. Visuo-spatial functions were associated with damage to posterior occipital areas (Visual Field) and the right temporo-parietal region (Visual Neglect). Different memory impairments were linked to distinct voxel clusters within the left insular and opercular cortices. Deficits which were not associated with localised voxels (e.g. praxis, executive function) represent distributed functions.ConclusionThe standardised, brief Oxford Cognitive Screen was able to reliably differentiate distinct neural correlates critically involved in supporting domain-specific cognitive abilities. By demonstrating and replicating known brain anatomy correlates within real-life clinical cohorts using routine CT scans, we open up VLSM techniques to a wealth of clinically relevant studies which can capitalise on using existing clinical brain imaging.


2018 ◽  
Vol 30 (12) ◽  
pp. 1652-1662 ◽  
Author(s):  
Sophie J. M. Rijnen ◽  
Sophie D. van der Linden ◽  
Wilco H. M. Emons ◽  
Margriet M. Sitskoorn ◽  
Karin Gehring

2018 ◽  
Vol 26 (4) ◽  
pp. 530-536 ◽  
Author(s):  
Ka-Man Leung ◽  
Pak-Kwong Chung ◽  
Tin-Lok Yuen ◽  
Jing Dong Liu ◽  
Donggen Wang

This study evaluated the psychometric properties of a Chinese version of the 24-item Social Environment Questionnaire (SEQ-C). Confirmatory factor analysis was used to examine the factor validity and measurement invariance (Purpose 1) of the SEQ-C in 453 older adults in Hong Kong. Convergent validity (Purpose 2) and test–retest reliability (Purpose 3) were also measured. The results of the confirmatory factor analysis and measurement invariance supported the four-factor structure (representing companionship, encouragement, neighborhood social cohesion, and role models) of the SEQ-C, in a 15-item model that closely fitted the data. The SEQ-C was also found to have acceptable to satisfactory internal consistency, test–retest reliability, composite reliability, and moderate convergent validity in correlating perceived social support. This study showed that the SEQ-C is a suitable means of measuring the social environments of older adults in Hong Kong.


1996 ◽  
Vol 2 (6) ◽  
pp. 556-564 ◽  
Author(s):  
Stephen M. Sawrie ◽  
Gordon J. Chelune ◽  
Richard I. Naugle ◽  
Hans O. Lüders

AbstractTraditional methods for assessing the neurocognitive effects of epilepsy surgery are confounded by practice effects, test-retest reliability issues, and regression to the mean. This study employs 2 methods for assessing individual change that allow direct comparison of changes across both individuals and test measures. Fifty-one medically intractable epilepsy patients completed a comprehensive neuropsychological battery twice, approximately 8 months apart, prior to any invasive monitoring or surgical intervention. First, a Reliable Change (RC) index score was computed for each test score to take into account the reliability of that measure, and a cutoff score was empirically derived to establish the limits of statistically reliable change. These indices were subsequently adjusted for expected practice effects. The second approach used a regression technique to establish “change norms” along a common metric that models both expected practice effects and regression to the mean. The RC index scores provide the clinician with a statistical means of determining whether a patient's retest performance is “significantly” changed from baseline. The regression norms for change allow the clinician to evaluate the magnitude of a given patient's change on 1 or more variables along a common metric that takes into account the reliability and stability of each test measure. Case data illustrate how these methods provide an empirically grounded means for evaluating neurocognitive outcomes following medical interventions such as epilepsy surgery. (JINS, 1996, 2, 556–564.)


1994 ◽  
Vol 74 (3) ◽  
pp. 975-978
Author(s):  
Christopher A. Sink ◽  
Douglas E. Harrington

The performances of 49 brain-injured community college students (41% women; M age = 34.0 yr., SD = 13.6) on two neo-Lurian assessment batteries were investigated. Pearson correlations among the 11 clinical subtests of the Luria-Nebraska Neuropsychological Battery, Form I and 10 Planning, Attention, Simultaneous Processing, and Successive Processing (PASS) experimental tasks are reported. While the correlations were largely weak to moderate, a few interpretable trends in these relationships emerged. Over-all, the irregular and diffuse pattern of significant correlations may, in part, reflect the heterogeneity of the Luria-Nebraska battery's subscales. Implications for the cognitive assessment and remediation of patients with brain injuries are briefly discussed.


Author(s):  
Chelsea Jones ◽  
Lorraine Smith-MacDonald ◽  
Suzette Brémault-Phillips

Lay Summary Canadian Armed Forces (CAF) Service Members (SMs) experience mild traumatic brain injuries (mTBI), which can affect cognitive functioning. Adequate cognitive functioning is needed to perform military duties safely and function in all aspects of life. A standardized process that includes cognitive screen/assessment within a mTBI rehabilitation strategy is not widely used within Canadian Forces Health Services (CFHS). A qualitative thematic analysis nested within an implementation science approach was used to explore the experiences of 17 CFHS health care professionals who perform cognitive screens/assessments. Perceived facilitators, barriers, and recommendations for improving cog-nitive assessment practices for injured CAF-SMs were identified within 5 themes. Development and implementation of cognitive screen/assessment policies and protocols will enable CFHS to best assess and treat cognitive dysfunction among CAF-SMs.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500023p1-7512500023p1
Author(s):  
Shu-Chun Lee ◽  
Yi-Ching Wu ◽  
David Leland Roberts ◽  
Kuang-Pei Tseng ◽  
Wen-Yin Chen

Abstract Date Presented 04/19/21 The Social Cognition Screening Questionnaire–Taiwan version (SCSQT) was designed to assess multiple domains of social cognition in people with schizophrenia in Taiwan. The SCSQT contains five subscales and provides estimates of the core domains of mentalizing and social perception and an overall social cognition score. Our validation of SCSQT indicated that the SCSQT had good test–retest reliability, acceptable random measurement error, and negligible practice effects. Primary Author and Speaker: Shu-Chun Lee Additional Authors and Speakers: Trudy Mallinson Contributing Authors: Alison M. Cogan, Ann Guernon, Katherine O'Brien, and Piper Hansen


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Adam Polnay ◽  
Helen Walker ◽  
Christopher Gallacher

Purpose Relational dynamics between patients and staff in forensic settings can be complicated and demanding for both sides. Reflective practice groups (RPGs) bring clinicians together to reflect on these dynamics. To date, evaluation of RPGs has lacked quantitative focus and a suitable quantitative tool. Therefore, a self-report tool was designed. This paper aims to pilot The Relational Aspects of CarE (TRACE) scale with clinicians in a high-secure hospital and investigate its psychometric properties. Design/methodology/approach A multi-professional sample of 80 clinicians were recruited, completing TRACE and attitudes to personality disorder questionnaire (APDQ). Exploratory factor analysis (EFA) determined factor structure and internal consistency of TRACE. A subset was selected to measure test–retest reliability. TRACE was cross-validated against the APDQ. Findings EFA found five factors underlying the 20 TRACE items: “awareness of common responses,” “discussing and normalising feelings;” “utilising feelings,” “wish to care” and “awareness of complicated affects.” This factor structure is complex, but items clustered logically to key areas originally used to generate items. Internal consistency (α = 0.66, 95% confidence interval (CI) = 0.55–0.76) demonstrated borderline acceptability. TRACE demonstrated good test–retest reliability (intra-class correlation = 0.94, 95% CI = 0.78–0.98) and face validity. TRACE indicated a slight negative correlation with APDQ. A larger data set is needed to substantiate these preliminary findings. Practical implications Early indications suggested TRACE was valid and reliable, suitable to measure the effectiveness of reflective practice. Originality/value The TRACE was a distinctive measure that filled a methodological gap in the literature.


2003 ◽  
Vol 182 (4) ◽  
pp. 347-353 ◽  
Author(s):  
Fiona M. Cuthill ◽  
Colin A. Espie ◽  
Sally-Anne Cooper

BackgroundThere is no reliable and valid self-report measure of depressive symptoms for people with learning disabilities.AimsTo develop a scale for individuals with learning disability, and a supplementary scale for carers.MethodItems were generated from a range of assessment scales and through focus groups. A draft scale was piloted and field tested using matched groups of people with or without depression, and their carers. The scale was also administered to a group without learning disabilities for criterion validation.ResultsThe Glasgow Depression Scale for people with a Learning Disability (GDS–LD) differentiated depression and non-depression groups, correlated with the Beck Depression Inventory – II (r=0.88), had good test – retest reliability (r=0.97) and internal consistency (Cronbach's α=0.90), and a cut-off score (13) yielded 96% sensitivity and 90% specificity. The Carer Supplement was also reliable (r=0.98; α=0.88), correlating with the GDS–LD (r=0.93).ConclusionsBoth scales appear useful for screening, monitoring progress and contributing to outcome appraisal.


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