Further validation of the Orientation and Cognitive Logs: Their relationship to the Mini-Mental State Examination

Short Title:
Further validation of the Orientation and Cognitive Logs: Their relationship to the Mini-Mental State Examination
Model System:
TBI
Reference Type:
Journal Article
Accession No.:
Journal:
Archives of Physical Medicine and Rehabilitation
Year, Volume, Issue, Page(s):
2007, vol. 88, issue 10, pp 1360-1361
Publication Website:
Abstract:
OBJECTIVE: To further evaluate the construct validity of bedside screening measures of orientation (Orientation Log [O-Log]) and cognition (Cognitive-Log [Cog-Log]) by examining the relationship between these measures and the Mini-Mental State Examination (MMSE). DESIGN: Correlational analysis used to assess the degree of overlapping variance among the O-Log, Cog-Log, and MMSE. Qualitative item analysis used to assess strengths and weaknesses of the measures. SETTING: Inpatient rehabilitation center affiliated with a large university medical school. PARTICIPANTS: Participants were 45 inpatients receiving neurorehabilitation. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: The O-Log, Cog-Log, and MMSE. RESULTS: The MMSE correlated significantly with both measures (O-Log, r=.65, P<.001; Cog-Log, r=.75, P<.001). The O-Log and C-Log were significantly related to each other (r=.75, P<.001). CONCLUSIONS: The results indicated good construct validity of the O-Log and Cog-Log. These measures may be better suited for a population with moderate to severe brain injury in a rehabilitation setting, compared with the MMSE, because scales were developed to give partial credit based on partially correct answers. Further, the O-Log and C-Log do not have a written component, allowing administration for persons with hemiparesis.
Author(s):
Penna, S.; Novack, T. A.
Author Address(es):
Department of Physical Medicine and Rehabilitation, University of Alabama, Birmingham, AL 35249, USA

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