Title

A Systematic Review: Evaluating the Effectiveness of Cognitive Standardized Assessments Following Stroke in Acute Care

Document Type

Presentation

Publication Date

5-5-2015

Comments

Faculty mentors:

Teal Benevides, PhD, MS, OTR/L; Department of Occupational Therapy, Thomas Jefferson University

E. Adel Herge, OTD, OTR/L, FAOTA; Department of Occupational Therapy, Thomas Jefferson University

Gary Kaplan- Senior Information Services Librarian; Scott Memorial Library, Thomas Jefferson University

Paul Hunter- Clinical Informatics Librarian; Scott Memorial Library, Thomas Jefferson University

Abstract

Objectives of Presentation:

Upon conclusion of this presentation, participants will be able to:

• Identify valid, reliable, and sensitive standardized cognitive assessments found within our systematic review that can be utilized within the acute care setting with adults following stroke.

• Describe how the current literature presented from this systematic search of standardized cognitive assessments influences safe discharge planning in acute care.

• Discuss the feasibility of implementing standardized assessments into daily practice.

Clinical Question:

What is the evidence supporting the use of standardized cognitive assessments in acute care for patients who have experienced a stroke?

Methods:

• Databases: CINAHL and PubMed; Searched completed with population and outcome terms (i.e. cognitive, stroke, CVA)

• The PRISMA diagram was used and 9 out of the 153 articles were used for our systematic review based off of our inclusion/exclusion criteria

• Appraisal of articles: Quality Appraisal for Clinical Measurement Research Evaluation11

• Appraisal of assessments: Adapted Outcome Measure Rating11

Psychometrics Properties Defined:

• Reliability: the overall consistency of a measure

• Inter-rater reliability: assesses the degree of agreement between two or more raters in their appraisals

• Internal consistency reliability: assesses the consistency of results across items within a test

• Test- retest: is a measure of how consistent the results of a test are over time

• Validity: refers to the extent to which a study actually captures or measures what it claims to examine

• Sensitivity: refers to the ability of a tool to detect a disease or condition when it is actually present

• Specificity: refers to the ability of a tool to exclude a condition when it is not present16

Presentation: 34 minutes

Benedetto et al (2015) Cognitive Standardized Assessments (2).pdf (41 kB)
Handout with results and references