牛津数字多重跑腿测试(OxMET)对中风后功能预后的预测有效性。

IF 1.7 3区 心理学 Q4 NEUROSCIENCES
Neuropsychological Rehabilitation Pub Date : 2024-08-01 Epub Date: 2023-08-17 DOI:10.1080/09602011.2023.2247152
Sam S Webb, Nele Demeyere
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引用次数: 0

摘要

牛津数字多重任务测试(OxMET)是一种基于计算机平板电脑的简短认知筛查,旨在对执行功能障碍进行生态学上有效的评估。我们研究了与功能结果相关的预测有效性。我们从一家讲英语的中风康复住院机构招募了参与者(中风后≤2个月)。参与者完成了 OxMET从医疗记录中收集了巴特尔指数、治疗结果测量(TOMS)和改良Rankin量表(mRS)。6 个月后对参与者进行随访,并完成诺丁汉日常生活活动扩展量表(NEADL)。共招募了 117 名参与者(中位数 = 中风后 26.18 天(标度 = 25.16),平均年龄 74.44 岁(标度 = 12.88),NIHSS 中位数 8.32(IQR = 5-11))。66 人完成了随访(平均 73.94 岁(标清 = 12.68),NIHSS 中位数为 8(IQR = 4-11))。TOMS和mRS之间存在显著关联。在 6 个月的随访中,我们发现 OxMET 的准确性与 NEADL 之间存在中度预测关系(R2 = .29, p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictive validity of the Oxford digital multiple errands test (OxMET) for functional outcomes after stroke.

The Oxford Digital Multiple Errands Test (OxMET) is a brief computer-tablet based cognitive screen, intended as an ecologically valid assessment of executive dysfunction. We examined aspects of predictive validity in relation to functional outcomes. Participants (≤ 2 months post-stroke) were recruited from an English-speaking stroke rehabilitation in-patient setting. Participants completed OxMET. The Barthel Index, Therapy Outcome Measure (TOMS), and modified Rankin Scale (mRS) were collected from medical notes. Participants were followed up after 6-months and completed the Nottingham Extended Activities of Daily Living (NEADL) scale. 117 participants were recruited (M = 26.18 days post-stroke (SD = 25.16), mean 74.44yrs (SD  = 12.88), median NIHSS 8.32 (IQR = 5-11)). Sixty-six completed a follow-up (M = 73.94yrs (SD  = 12.68), median NIHSS 8 (IQR = 4-11)). Significant associations were found between TOMS and mRS. At 6-month follow up, we found a moderate predictive relationship between the OxMET accuracy and NEADL (R2 = .29, p < .001), and we did not find this prediction with MoCA taken at 6-months. The subacute OxMET associated with measures of functionality and disability in a rehabilitation context, and in activities of daily living. The OxMET is an assessment of executive function with good predictive validity on clinically relevant functional outcome measures that may be more predictive than other cognitive tests.

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来源期刊
Neuropsychological Rehabilitation
Neuropsychological Rehabilitation 医学-神经科学
CiteScore
6.30
自引率
7.40%
发文量
78
审稿时长
>12 weeks
期刊介绍: Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.
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