Checklist for cognitive and emotional consequences following stroke (CLCE-24): Development, usability and quality of the self-report version

• Published in: Clinical neurology and neurosurgery Vol. 109; no. 3; pp. 257 - 262
• Main Authors: van Heugten, C, Rasquin, S, Winkens, I, Beusmans, G, Verhey, F
• Format: Journal Article
• Language: English
• Published: Amsterdam Elsevier B.V 01.04.2007; Elsevier Science; Elsevier Limited
• Subjects: Aged; Biological and medical sciences; Cognition; Cognition Disorders - diagnosis; Cognition Disorders - etiology; Emotion; Expressed Emotion; Female; Humans; Male; Mass Screening - methods; Medical sciences; Mood Disorders - diagnosis; Mood Disorders - etiology; Neurology; Neuropsychological Tests; Neurosurgery; Older people; Quality; Rehabilitation; Reproducibility of Results; Screening; Severity of Illness Index; Stroke; Stroke - complications; Stroke - diagnostic imaging; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surveys and Questionnaires; Tomography, X-Ray Computed; Screening; Stroke; Cognition; Emotion; Quality; Nervous system diseases; Cardiovascular disease; Emotion emotionality; Medical screening; Cerebral disorder; Vascular disease; Surgery; Central nervous system disease; Cerebrovascular disease
• ISSN: 0303-8467; 1872-6968
• DOI: 10.1016/j.clineuro.2006.10.002

Abstract Objective In this paper a new checklist (CLCE-24) for identification of cognitive and emotional problems after stroke is presented. The CLCE-24 is intended to support a clinical interview by health care professionals other than the trained (neuro)psychologist. Methods Patients were interviewed with the CLCE-24, 6 months post stroke. Usability was determined by interviews. Quality of the self-report version was determined using reference instruments (MMSE, CAMCOG). Results Sixty-nine patients participated in the study (37 men; mean age 66 years). Both patients and assessors were positive about the use of the CLCE-24. Eighty percent of the patients had cognitive and/or emotional problems (73% cognitive; 51% emotional problems). Patients with complaints on the CLCE-24 also showed problems on the MMSE and the CAMCOG ( p < 0.05). The CLCE-24 was a predictor of the MMSE and CAMCOG (Adj. R2 = 0.13 and 0.16, respectively) at 12 months post stroke. Internal consistency of the CLCE-24 was good (alpha of 0.81). Conclusions The CLCE-24 is a usable and valid instrument for cognitive screening by health care professionals in the stroke service in the chronic phase after stroke.