Ekvivalence alternativních verzí Montrealského kognitivního testu

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Autoři: O. Bezdíček ^1,2; H. Georgi ²; E. Panenková ³; S. M. Mcclintock ^4,5; T. Nikolai ¹; E. Růžička ¹; M. Kopeček ^2,6
Působiště autorů: Department of Neurology, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic ¹; National Institute of Mental Health, Klecany, Czech Republic ²; Department of Psychology, Faculty of Arts, Charles University, Prague, Czech Republic ³; Department of Psychiatry, UT Southwestern Medical Center, Dallas, TX, USA ⁴; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA ⁵; Department of Psychiatry, Third Faculty of Medicine, Charles University, Prague, Czech Republic ⁶
Vyšlo v časopise: Cesk Slov Neurol N 2019; 82(3): 332-340
Kategorie: Původní práce
doi: https://doi.org/10.14735/amcsnn2019332

Souhrn

Cíl: Cílem studie je popis psychometrických vlastností standardní verze Montrealského kognitivního testu (MoCA-SV) a dvou alternativních forem (MoCA-AV). V české verzi je nedostatek informací o test-retestovém efektu a reliabilitě MoCA.

Metodika: Sedmdesát kognitivně zdravých osob (průměrný věk 50,33 ± 26,47) bylo vyšetřeno v jednom sezení pomocí MoCA-SV a MoCA-AV (7.2 a 7.3) ve znáhodněném pořadí.

Výsledky: Mezi MoCA-SV a MoCA-AV 7.3 neexistuje statisticky významný rozdíl v celkovém hrubém skóru, zatímco v MoCA-AV 7.2 je obtížnější verze testu ve srovnání s MoCA-SV a MoCA-AV 7.3. Hlubší analýza odhalila další rozdíly mezi subtesty verzí MoCA. Celkové skóry MoCA však ve všech verzích naznačují přijatelné hodnoty konvergentní a diskriminační validity.

Závěr: Naše data naznačují, že MoCA-SV i MoCA-AV 7.3 jsou ekvivalentní a užitečné pro opakovanou administraci a minimalizaci test-retestového efektu.

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Klíčová slova:

Montrealský kognitivní test – reliabilita – ekvivalence – vnitřní konzistence – alternativní verze

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