意大利语版蒙特利尔认知评估 (MoCA) 在非痴呆帕金森病患者中的可靠变化指数。

IF 2.2 3区 医学 Q3 CLINICAL NEUROLOGY
Edoardo Nicolò Aiello, Federica Solca, Silvia Torre, Beatrice Curti, Giulia De Luca, Ruggero Bonetti, Francesco Scheveger, Eleonora Colombo, Alessio Maranzano, Marco Olivero, Claudia Morelli, Alberto Doretti, Luca Maderna, Federico Verde, Roberta Ferrucci, Sergio Barbieri, Fabiana Ruggiero, Denise Mellace, Angelica Marfoli, Angelica De Sandi, Alberto Priori, Gabriella Pravettoni, Vincenzo Silani, Nicola Ticozzi, Andrea Ciammola, Barbara Poletti
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引用次数: 0

摘要

背景: .本研究旨在为意大利非痴呆帕金森病(PD)患者队列中的蒙特利尔认知评估(MoCA)得出基于回归的可靠变化指数(RCIs):N = 33 名连续的非痴呆帕金森病患者,每隔 5-8 个月(M = 6.6;SD = 0.6)进行一次 MoCA 随访。通过因变量 t 检验和类内相关 (ICC) 系数分别评估了练习效果和重测可靠性。通过考虑基线混杂因素(即人口统计学、病程和统一帕金森病评定量表评分)和重测间隔,采用基于标准化回归的方法分别得出原始和人口统计学调整后的MoCA评分的RCI:没有发现练习效应(t(32) = 0.29; p = .778),检测到的重测可靠性也可以接受(ICC = 0.67)。事实证明,在原始分数模型和调整分数模型中,MoCA T0 分数是预测 MoCA T1 成绩的唯一显著指标(ps 结论:本研究为意大利从业人员和研究人员提供了基于回归的非痴呆型帕金森病患者 MoCA RCIs,该 RCIs 可在重测间隔≥ 5 个月和≤ 8 个月时可靠使用,且不会产生任何实践效应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reliable change indices for the Italian version of the Montreal Cognitive Assessment (MoCA) in non-demented Parkinson's disease patients.

Background: . The present study aimed at deriving regression-based reliable change indices (RCIs) for the Montreal Cognitive Assessment (MoCA) in an Italian cohort of non-demented Parkinson's disease (PD) patients.

Methods: N = 33 consecutive, non-demented PD patients were followed-up at a 5-to-8-month interval (M = 6.6; SD = 0.6) with the MoCA. Practice effects and test-retest reliability were assessed via dependent-sample t-tests and intra-class correlation (ICC) coefficients, respectively. RCIs were derived separately for raw and demographically adjusted MoCA scores according to a standardized regression-based approach by accounting for both baseline confounders (i.e., demographics, disease duration and Unified Parkinson's Disease Rating Scale scores) and retest interval.

Results: No practice effects were found (t(32) = 0.29; p = .778), with acceptable test-retest reliability being detected (ICC = 0.67). MoCA scores at T0 proved to be the only significant predictor of T1 MoCA performances within both the model addressing raw scores and that addressing adjusted scores (ps < 0.001).

Conclusions: The present study provides Italian practitioners and researchers with regression-based RCIs for the MoCA in non-demented PD patients, which can be reliably adopted for retest interval ≥ 5 and ≤ 8 months without encountering any practice effect.

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来源期刊
BMC Neurology
BMC Neurology 医学-临床神经学
CiteScore
4.20
自引率
0.00%
发文量
428
审稿时长
3-8 weeks
期刊介绍: BMC Neurology is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of neurological disorders, as well as related molecular genetics, pathophysiology, and epidemiology.
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