Checklist for cognitive and emotional consequences following stroke (CLCE-24): development, usability and quality of the self-report version.
OBJECTIVE
In this paper a new checklist (CLCE-24) for identification of cognitive and emotional problems after stroke is presented. The CLCE-24 is intended to support a clinical interview by health care professionals other than the trained (neuro)psychologist.


METHODS
Patients were interviewed with the CLCE-24, 6 months post stroke. Usability was determined by interviews. Quality of the self-report version was determined using reference instruments (MMSE, CAMCOG).


RESULTS
Sixty-nine patients participated in the study (37 men; mean age 66 years). Both patients and assessors were positive about the use of the CLCE-24. Eighty percent of the patients had cognitive and/or emotional problems (73% cognitive; 51% emotional problems). Patients with complaints on the CLCE-24 also showed problems on the MMSE and the CAMCOG (p<0.05). The CLCE-24 was a predictor of the MMSE and CAMCOG (Adj. R(2)=0.13 and 0.16, respectively) at 12 months post stroke. Internal consistency of the CLCE-24 was good (alpha of 0.81).


CONCLUSIONS
The CLCE-24 is a usable and valid instrument for cognitive screening by health care professionals in the stroke service in the chronic phase after stroke.
van Heugten
C
C
Institute for Rehabilitation Research, Hoensbroek, The Netherlands. c.vanheugten@irv.nl
Rasquin
S
S
Winkens
I
I
Beusmans
G
G
Verhey
F
F
D000368:Aged; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology*; D019260:Expressed Emotion; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D019964:Mood Disorders / Q000175:diagnosis / Q000209:etiology*; D009483:Neuropsychological Tests; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D020521:Stroke / Q000150:complications* / Q000000981:diagnostic imaging; D011795:Surveys and Questionnaires; D014057:Tomography, X-Ray Computed