The Brief Assessment of Cognition for Schizophrenia: Validity and - - PowerPoint PPT Presentation
The Brief Assessment of Cognition for Schizophrenia: Validity and - - PowerPoint PPT Presentation
The Brief Assessment of Cognition for Schizophrenia: Validity and Reliability of the Filipino Version INTRODUCTION METHODS AND PROCEDURES Subject Selection/Population/Sam pling Inclusion Criteria 30 patients not less than 2 years
INTRODUCTION
METHODS AND PROCEDURES
Subject Selection/Population/Sam pling
Inclusion Criteria 30 patients not less than 2 years and not more than 5 years,
literate
stable in terms of symptoms
30 non-clinical respondents who are of sound cognitive function were also gathered.
Subject Selection/Population/Sa mpling
Exclusion Criteria Respondents who are suffering from any
neurological, substance abuse, or mental retardation are not included in the study.
Conduct of the Study
Preparation Phase
Transaction Letter addressed to R. Keefe Agreement, Licensure, Shipment Translation Lay-outing, Editing Ethics Review
Translation of the Manual
Forward- Translation (Commission of the Filipino Language) Back Translation (Individual Translator) Lay-out, Editing 1 and a half months 2 weeks 6 months
Ethics Review (EAC)
Informed Consent and Consent Form (Clinical and Controlled Group) Approval (Mariveles Mental Hospital)
Phase III. Data Gathering
Clinical
Initial Meeting with LAR for Consent 1 session
Control
Initial Meeting for consent and reschedule for test B
2 sessions (Test A & B) 1 week testing interval
Analysis of Data
Discriminant Analysis (Validity) Reliability (Internal Consistency; Crohn Bach’s
Alpha)
Reliability (Test-retest)
Statistical Tool
The system used was IBM SSPS version 20. Cronbach’s Alpha: Internal Consistency Reliability was also measured through test-retest. Discriminant Analysis: Validity
RESULTS AND DISCUSSION
Cronbach’s Alpha N of items .776 7
Table 1. Cronbach’s Alpha (Internal Consistency) Reliability Statistics
Table 1.1. Item-Total Statistics
Scale Mean if item deleted Scale Variance if item deleted Corrected Item total correlation Cronbach’s Alpha if item deleted Clinical Verbal Memory 97.90 3276.093 .672 .774 Clinical Digit Sequencing 93.30 2952.493 .831 .737 Clinical Token Motor Task 50.30 1145.114 .779 .844 Clinical Category Instances 93.50 2883.017 .640 .739 Clinical Oral Word Association Task 97.80 3131.062 .733 .758 Clinical Symbol Coding 87.23 2392.530 .723 .699 Clinical Tower of London 95.37 2891.482 .809 .731
Table 2. Summary of Test-Restest Reliability
Subtest r p Verbal Memory r=.614 p=<.05 Digit Sequencing r=.505 p=<.05 Token Motor Task r=.581 p=<.05 Category Instances r=.512 p=<.05 Word Association r=.407 p=<.05 Symbol Coding r=.671 p=<.05 Tower of London r=.788 p=<.05
Table 3. Discriminant Analysis/ Validity
Subtest t Sig value Mean Difference Verbal Memory
- 9.109
.000
- 6.233
Digit Sequencing
- 9.245
.000
- 11.867
Token Motor Task
- 6.549
.000
- 36.900
Category Instances
- 5.862
.000
- 9.733
Word Association
- 7.609
.000
- 8.300
Symbol Coding
- 13.811
.000
- 43.433
Tower of London
- 6.506
.000
- 8.567
Results show that in all subtest, there is a significant
difference between control group and clinical group making the BACS-F statistically valid.
CONCLUSION & RECOMMENDATION
Overall, the BACS-F is an easy, portalble, and effective
tool for evaluating the cognitive function of patients with Schizophrenia.
The study shows that the BACS-F is a highly valid and
reliable tool.
Future Work on BACS-F
Increase sample size. Match demographics of clinical and controlled
respondents.
Conduct a test-retest reliability on the same clinical
group.
Develop sets of manuals through translation into
different dialects.
References:
Kaneda et al; (2007), Brief Assessment of Cognition in Schizophrenia: Validation of the Japanese Version ; Psychiatry and Clinical Neurosciences Journal, 61, 602–609 doi:10.1111/j.1440- 1819.2007.01725.x
R.S.E. Keefe et al. / Schizophrenia Research 68 (2004) 283–297; Elsevier
Diagnostic and Statistical Manual of Mental Disorders (2013); 5th Ed., American Psychiatric Publishing, Washington DC
- J. Cooper-Kahn (2015); What is Executive Function; Ldonline;
National Joint Committee on Learning Disabilities (NJCLD); Washington DC
McLeod (2012), Working Memory Model; Simply Psychology