A Comparison of Test-Retest Reliability and Practice Effects of Short Portable Mental State Questionnaire and Montreal Cognitive Assessment in Patients with Stroke.

IF 2.9 4区医学 Q2 CLINICAL NEUROLOGY Journal of Geriatric Psychiatry and Neurology Pub Date : 2025-01-01 Epub Date: 2024-07-24 DOI:10.1177/08919887241266793

Ta-Cheng Chen, Ya-Chen Lee, Yi-Ching Wang, Ton-Lin Hsieh, Mei-Hsiang Chen

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Abstract

Objective: To compare the test-retest reliabilities and minimal detectable change (MDC) of the Short Portable Mental State Questionnaire (SPMSQ) and the Montreal Cognitive Assessment (MoCA) in patients with stroke.

Methods: 63 patients were recruited from 1 medical center. The SPMSQ and MoCA were administered twice, 2 weeks apart.

Results: Both measures showed high intraclass correlation coefficients (SPMSQ: 0.87; MoCA: 0.89) and acceptable MDC%s (SPMSQ: 14.8%; MoCA: 19.6%). A small correlation (r = 0.30) was found between the absolute difference and average in each pair of assessments in the SPMSQ, which was close to the criterion of heteroscedasticity. A small practice effect was observed in the MoCA (Cohen's d = 0.30).

Conclusion: The SPMSQ demonstrated smaller random measurement error and an absence of practice effect. When comparing the psychometric properties of the SPMSQ and MoCA as outcome measures for assessing cognitive function in patients with stroke, the SPMSQ appears to be a more suitable choice than the MoCA.

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脑卒中患者的便携式精神状态短问卷与蒙特利尔认知评估的测试-重测可靠性和实践效果比较。

目的比较脑卒中患者的便携式精神状态短问卷（SPMSQ）和蒙特利尔认知评估（MoCA）的测试再测可靠性和最小可检测变化（MDC）。方法：从 1 个医疗中心招募 63 名患者，两次进行 SPMSQ 和 MoCA 测试，每次间隔 2 周：结果：两种测量均显示出较高的类内相关系数（SPMSQ：0.87；MoCA：0.89）和可接受的 MDC%（SPMSQ：14.8%；MoCA：19.6%）。在 SPMSQ 中，每对评估的绝对差异和平均值之间存在微小的相关性（r = 0.30），接近异方差标准。在MoCA中观察到了较小的练习效应（Cohen's d = 0.30）：结论：SPMSQ 的随机测量误差较小，不存在练习效应。在比较 SPMSQ 和 MoCA 作为评估脑卒中患者认知功能的结果测量工具的心理测量特性时，SPMSQ 似乎比 MoCA 更合适。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Geriatric Psychiatry and Neurology 医学-精神病学

CiteScore

6.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Geriatric Psychiatry and Neurology (JGP) brings together original research, clinical reviews, and timely case reports on neuropsychiatric care of aging patients, including age-related biologic, neurologic, and psychiatric illnesses; psychosocial problems; forensic issues; and family care. The journal offers the latest peer-reviewed information on cognitive, mood, anxiety, addictive, and sleep disorders in older patients, as well as tested diagnostic tools and therapies.