Related Experiment Video
Updated: May 6, 2026
Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
[Spanish validation of the MacArthur Competence Assessment Tool for Treatment interview to assess patients competence
Ignacio Alvarez Marrodán1, Beatriz Baón Pérez2, Mercedes Navío Acosta3
1Servicio de Psiquiatría, Hospital de Día Irubide, Servicio Navarro de Salud, Pamplona, Navarra, España.
Background And Objective:
To validate the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) Spanish version, which assesses the mental capacity of patients to consent treatment, by examining 4 areas (Understanding, Appreciation, Reasoning and Expressing a choice).
Sample:
160 subjects (80 Internal Medicine inpatients, 40 Psychiatric inpatients and 40 healthy controls).
Instruments:
MacCAT-T, Mini-Mental Status Examination (MMSE).
Procedure:
Feasibility study, reliability and validity calculations (against to gold standard of clinical expert).
Results:
Mean duration of the MacCAT-T interview was 18min. Inter-rater reliability: Intraclass correlation coefficient for Understanding=0.98, Appreciation=0.97, Reasoning=0.98, Expressing a choice=0.91. Internal consistency (Cronbach's alpha): Understanding=0.87, for Appreciation=0.76, for Reasoning=0.86. Patients considered to be incapable (gold standard) scored lower in all the MacCAT-T areas. Poor performance on the MacCAT-T was related to cognitive impairment assessed by MMSE.
Conclusions:
Spanish version of the MacCAT-T is feasible, reliable, and valid for assessing the capacity of patients to consent treatment.
Related Concept Videos
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
01:24Treatment Strategies for Psychological Disorders
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...