Long-term cognitive functional limitations post stroke: objective assessment compared with self-evaluations and spouse reports

Wendel, Kerstin, Risberg, Jarl, Pessah-Rasmussen, Helene, Ståhl, Agneta and Iwarsson, Susanne (2008) Long-term cognitive functional limitations post stroke: objective assessment compared with self-evaluations and spouse reports. International Journal of Rehabilitation Research, 31 3: 231-239. doi:10.1097/MRR.0b013e3283021912


Author Wendel, Kerstin
Risberg, Jarl
Pessah-Rasmussen, Helene
Ståhl, Agneta
Iwarsson, Susanne
Title Long-term cognitive functional limitations post stroke: objective assessment compared with self-evaluations and spouse reports
Journal name International Journal of Rehabilitation Research   Check publisher's open access policy
ISSN 0342-5282
1473-5660
Publication date 2008-09-01
Sub-type Article (original research)
DOI 10.1097/MRR.0b013e3283021912
Volume 31
Issue 3
Start page 231
End page 239
Total pages 9
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Abstract This study was part of a Swedish interdisciplinary research project targeting accessibility problems in public transport for people with cognitive functional limitations (CFLs). The objective was to describe and compare different assessment perspectives of long-term CFLs among community citizens having had CFLs in the acute stroke phase but with moderate physical limitations. Eighty-four participants in ordinary housing 18-36 months post stroke, initially sampled from a national quality stroke register, received data collection home-visits. The Cognistat screening instrument was used for an objective assessment, and a study-specific questionnaire for self-evaluations of CFLs. A revised form of the latter questionnaire was used for reports from spouses of a subset of 30 participants. The agreement between self-evaluated CFLs and spouse reports was analysed by percentage agreement and Cohen's κ, whereas differences in ratings were tested by McNemar's test, as were differences between objective and self-evaluated/spouse-reported occurrence of CFLs. Regardless of the different perspectives applied, CFLs were frequent. In absence of significant difference in ratings, the percentage agreement between self-evaluations and spouse reports was good or very good, whereas κ values were less encouraging. Overall, participants and spouses expressed more CFLs, as compared with the screening. Most consistency was demonstrated for the area of calculation. When researchers and clinicians solely rely on cognitive screenings in their investigations, there is a considerable risk for underestimations of CFLs.
Keyword Cerebrovascular accident
Cognition disorder
Self-evaluation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 10 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 12 times in Scopus Article | Citations
Google Scholar Search Google Scholar
Created: Tue, 08 Jul 2014, 21:30:09 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work