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Levels of Cognitive Functioning Assessment Scale: Italian cross-cultural adaptation and validation
G Galeoto1, S Turriziani2, A Berardi3
1Department of Public Health and Infectious Diseases, Sapienza University of Rome, Italy.
The Italian version of the Levels of Cognitive Functioning Assessment Scale (LOCFAS-I) is a reliable tool for assessing cognitive function in Italian patients recovering from coma after brain injury.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Psychometrics
Background:
- Assessing cognitive function after acquired brain injury (ABI) is crucial for rehabilitation planning.
- The Levels of Cognitive Functioning Assessment Scale (LOCFAS) is a valuable tool, but an Italian version was lacking.
- Standardized cognitive assessment tools are essential for consistent patient evaluation.
Purpose of the Study:
- To translate and culturally adapt the LOCFAS into Italian (LOCFAS-I).
- To evaluate the reliability and validity of the LOCFAS-I in patients with ABI in an early post-coma state.
- To establish a dependable measure for cognitive functioning in the Italian-speaking population.
Main Methods:
- Cross-sectional study involving translation and adaptation of the original LOCFAS.
- Intra-rater reliability assessed using the intraclass correlation coefficient (ICC).
- Concurrent validity examined using Pearson's correlation with International Classification of Functioning, Disability and Health (ICF) components.
Main Results:
- The LOCFAS-I was administered to 38 subjects.
- High test-retest reliability was demonstrated with an ICC of 0.996 (p<0.01).
- Strong concurrent validity was found, with Pearson correlation coefficients > 0.536 (p<0.01) with ICF components.
Conclusions:
- The LOCFAS-I is a reliable and valid instrument for assessing cognitive functioning in Italian patients post-coma.
- This validated scale will aid in the accurate assessment and management of cognitive deficits following ABI.
- The LOCFAS-I facilitates standardized cognitive evaluation within the Italian neurorehabilitation context.
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