Effective serial measurement of cognitive orientation in rehabilitation: the Orientation Log.
OBJECTIVE
To introduce a brief quantitative measure of cognitive orientation (to place, time, and situation) developed for daily use at bedside with rehabilitation inpatients. The Orientation Log (O-Log) is a 10-item scale that allows for partial credit based on responsiveness to logical, multiple-choice, or phonemic cueing. It is formatted for rapid visual analysis of orientation trends that can be used to evaluate pharmacologic and cognitive-behavioral interventions.


METHODS
Descriptive study of the O-Log's reliability (interrater and internal consistency).


METHODS
Inpatient rehabilitation center affiliated with a large university medical school.


METHODS
Fifteen neurorehabilitation inpatients.


RESULTS
For individual items, Spearman rho interrater reliability coefficients ranged from .851 to 1.00. The interrater reliability of the total score was .993. O-Log internal consistency (coefficient alpha) was .922.


CONCLUSIONS
The O-Log is a reliable and easily administered scale that promises to be a useful tool in monitoring cognitive recovery during rehabilitation.
Jackson
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WT
Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, 35294-0018, USA.
Novack
T A
TA
Dowler
R N
RN
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001930:Brain Injuries / Q000534:rehabilitation*; D002561:Cerebrovascular Disorders / Q000534:rehabilitation*; D003071:Cognition; D003463:Cues; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records / Q000592:standards*; D008875:Middle Aged; D009460:Neurologic Examination / Q000379:methods*; D015588:Observer Variation; D009949:Orientation; D011594:Psychometrics; D015203:Reproducibility of Results