title: The Cognistat (neurobehavioural cognitive status exam): Administering the full test in stroke patients for optimal results.
abstract: BACKGROUND
  One of the most commonly administered tools occupational therapists use for stroke patients is the Cognistat, which was designed as a brief screening tool of cognitive functioning. Evaluations in samples of patients have identified a high false-negative rate if the Cognistat is administered using the 'screen metric' approach. Assessing the Cognistat based on its intended design can ensure consistency and accuracy among occupational therapists for this commonly administered tool. Thus, this study examined the accuracy of administering the entire Cognistat in comparison to the screen-metric approach and the factor analytic structure within stroke patients.
  
  
  METHODS
  The full Cognistat was administered to stroke patients receiving inpatient rehabilitation.
  
  
  RESULTS
  Seventy-five patients who experienced a recent stroke met inclusion criteria. An inconsistency between the screen and metric items was found for five of 10 subscales. Additionally, a principal component analysis (PCA) found the Cognistat to be a two factor structure with six of the subscales loading on Factor 1, while the remaining subscales loaded on Factor 2.
  
  
  CONCLUSIONS
  Our findings confirm that occupational therapists should administer the full Cognistat to stroke patients rather than the original screen-metric approach. A two-factor structure was also supported in our results, suggesting that occupational therapists' scoring practices should reflect this finding and use the differentiated score out of 10 rather than a global sum. However, additional research is necessary to consider the clinical and theoretical significance of the Cognistats' subscale clustering.
authors.affiliation: Lawson Health Research Institute, St. Joseph's Health Care, London, Ontario, Canada.
authors.forename: Danielle
authors.initials: D
authors.lastname: Rice
authors.forename: Nerissa
authors.initials: N
authors.lastname: Campbell
authors.forename: Lauren
authors.initials: L
authors.lastname: Friedman
authors.forename: Mark
authors.initials: M
authors.lastname: Speechley
authors.forename: Robert W
authors.initials: RW
authors.lastname: Teasell
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology / Q000534:rehabilitation*; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D011594:Psychometrics; D015203:Reproducibility of Results; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation
keywords: cognition; occupational therapy; psychometric properties