Banca de DEFESA: ANA LOYSE DE SOUZA MEDEIROS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ANA LOYSE DE SOUZA MEDEIROS
DATE: 29/08/2024
TIME: 09:00
LOCAL: Remoto
TITLE:

Intra- and Inter-Examiner Reliability of the Mini-Mental State Examination for the Post-Stroke Subjects

KEY WORDS:

Stroke, Reliability e Cognition

PAGES: 32
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Among the numerous sequelae following a stroke (AVC), cognitive deficits stand out as they negatively impact the individuals affected. In this context, the Mini-Mental State Examination (MMSE) is a screening tool for assessing the cognitive state of individuals. The instrument is widely used in the post-stroke population; however, there is a lack of psychometric data for the MMSE in the Brazilian population based on the translated version. Objective: The objective of this study was to evaluate the intra- and inter-rater reliability of the MMSE for the post-stroke population in Brazil. Methods: Thirty post-stroke individuals were included, recruited non-probabilistically for an in-person evaluation using the MMSE, which was recorded on video. For inter-rater reliability (E2 and E3), two raters, different from the one who conducted the initial assessment (E1), analyzed the content of the recordings and scored the test. To investigate intra-rater reliability, E1 reviewed the video content of the MMSE session and scored it a second time, seven days after the initial analysis. Inter- and intra-rater reliability were assessed using the Intraclass Correlation Coefficient (ICC), with ICC 2,1 and ICC 3,1 model applied, respectively. Results: The results demonstrated excellent inter-rater reliability in the total MMSE score, with ICC scores of 0.96 (E1 and E2), 0.98 (E1 and E3), and 0.97 (E2 and E3). In the sub-item analysis, low inter-rater reliability (0.20 – E1 and E2; 0.34 – E1 and E3; 0.15 – E2 and E3) was observed for visuospatial ability. Regarding intra-rater reliability, the instrument showed excellent reliability, with an ICC of 0.99. Conclusion: The Brazilian version of the MMSE exhibited high inter- and intra-rater reliability for the studied post-stroke population, except for visuospatial ability. However, careful adaptations are necessary when applying it to post-stroke patients to ensure that the results accurately reflect the individuals' cognitive abilities.

COMMITTEE MEMBERS:
Presidente - 2682777 - ROBERTA DE OLIVEIRA CACHO
Interno - 1716016 - ENIO WALKER AZEVEDO CACHO
Externo ao Programa - 3310274 - MARCUS VINICIUS COSTA ALVES - UFRNExterno à Instituição - KELSON JAMES SILVA DE ALMEIDA - UFPI