Psychometric properties of the Chinese (Putonghua) version of the Oxford Cognitive Screen (OCS-P) in subacute poststroke patients without neglect

Abstract

Background Oxford Cognitive Screen is designed for assessing cognitive functions of poststroke patients.This study was aimed to assess the psychometric properties of the Chinese (Putonghua) version of theOxford Cognitive Screen-Putonghua (OCS-P) for use among poststroke patientswithout neglect. Methods Expert reviewpanel evaluated content validity of theChinese-translated items. After pilot tested the translated items, the patients and healthy participants completed the OCS-P as well as theMontreal Cognitive Assessment (MoCA-ChiB) andGoldenberg’s test.Agroup of patients completedOCS-P for the second timewithin seven days.Data analyses included confirmatory factor analysis, item difficulty and item-total correlation, inter- and intrarater reliability, internal consistency, and between-group discrimination. Results One hundred patients and 120 younger ( = 60) or older ( = 60) healthy participants completed all the tests. Modifications were required for items in the “Picture Naming”, “Orientation”, and “Sentence Reading” subscales.Confirmatory factor analysis revealed a three-factor structure for theOCS-P subscales.The internal consistency coefficients for the three identified test dimensions were 0.30 to 0.52 (Cronbach’s alpha). Construct validity coefficients between the OCS-P and MoCA-ChiB subscales were 0.45 Conclusion This study generated satisfactory evidence on the content validity, substantive validity, construct validity, inter- and intrarater reliability, and known-group discrimination of theOCS-P.They support its application among poststroke patients who speak Putonghua. Future studies could review the existing five-dimension domains for improving its structural validity and internal consistency as well as generate evidence of the OCS-P for use among the poststroke patients with neglect.</p