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Comparison of the Montreal Cognitive Assessment and the Mini-Mental State Examination in screening diagnostics of Alzheimer's disease
Orlíková, Hana ; Kulišťák, Petr (advisor) ; Hrachovinová, Tamara (referee)
This thesis deals with the neuropsychological diagnosis of Alzheimer's disease. The aim is to evaluate the psychometric characteristics ofthe new Czech translation of the Montreal Cognitive Assessment (MoCA) by comparison with the Mini-Mental State Examination (MMSE), a method widely used by doctors inscreening diagnostics of Alzheimer's disease. The theoretical part deals with the diagnostics of Alzheimer's disease and mild cognitive impairment. We describe international diagnostic criteria of cognitive disorders and provide an overview of the screening neuropsychological methods most commonly used by Czech specialists. We summarize the current psychometric and psychodiagnostic findings on these methods and focuse on description of MMSE and MoCA. In the empirical part we compare Czech version of MMSE and MoCA-CZ (the new Czech translation of the test). We examined 38 patients with Alzheimer's disease and 70 cognitively healthy seniors. The results show that MoCA-CZ is sufficiently valid and reliable screening method that accurately distinguishbetween healthy subjects and patiens with Alzheimer's disease. We believe that it can enrich screening tools that are available to Czech experts. Key words: Montreal Cognitive Assessment, Mini-Mental State Examination, Alzheimer's disease, psychodiagnostics,...
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Cognitive screening tests and their potential to detect cognitive impairment in neurodegenerative diseases
Fendrych Mazancová, Adéla ; Bezdíček, Ondřej (advisor) ; Hladká, Adéla (referee) ; Hajdúk, Michal (referee)
Screening of global cognitive performance is of great importance in the detection of early cognitive impairment in neurodegenerative diseases. In contrast to complex neuropsychological assessment, cognitive screening tests offer some advantages as saving time or finance and administration of screening tests makes lower demands on clinicians. Validation of cognitive screening tests for specific diagnostic groups of patients is necessary as well as Czech normative studies that enable an objective evaluation of the cognitive performance of Czech patients. In the theoretical part, we presented the syndrome of mild cognitive impairment as a pre-dementia state in neurodegenerative diseases. We focused on the assessment of mild cognitive impairment and using five different cognitive screening tests (Mini-Mental State Examination, Montreal Cognitive Assessment, Dementia Rating Scale 2. edition, Frontal Assessment Battery, Clock Drawing Test) in the detection of cognitive impairment. Then we focused on Parkinson's disease (PD), especially on the evolution of different stages of cognitive deficit in PD and their detection by cognitive assessments. The empirical research included studies analyzing the potential of the five cognitive screening tests to detect mild cognitive impairment. We provided results...
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Issue of aphasia diagnostics in czech and foreign literature
Stehlíková, Lenka ; Klenková, Jiřina (advisor) ; Horynová, Jana (referee)
The diploma thesis deals with the issue of diagnosis of phatic disorders. The aim of this work is to provide insight into the topic of phatic disorders, especially by introducing diagnostic tests that are used in the Czech Republic and some available materials that are used in English- speaking countries. Individual diagnostic tests are processed on the basis of an analysis of professional literature in Czech and English. The diploma thesis is theoretical and is divided into four parts. The first chapter describes the impaired communication ability, aphasia in terms of definition, etiology, symptomatology and classification approaches. The second chapter presents diagnostic methods created and used in the Czech environment, which differ depending on the theoretical basis of individual experts, respectively. authors of test methods. The third chapter deals with diagnostic procedures abroad, specifically in English-speaking countries. The focus is on the presentation of the most important and available current methods, part of the chapter is a theoretical introduction to the history of aphasiology and fundamental paradigms that affect the form of the diagnostic process. The final part is devoted to the analysis and comparison of these methods. Both approaches agree on the goal of the diagnostic...
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Preventive programs offered by health insurance companies
RAJČANOVÁ, Beata
The need to provide preventive programs is highlighted by professionals across medical disciplines. Preventive programs help improve health, are an effective strategy to reduce healthcare costs, and specifically contribute to improving the quality of life of population. After all, prevention is the first thing we can do and it does not cost us anything but time. In addition, once a disease outbreaks, it may be already too late. All health insurance companies establish a prevention fund which helps to cover prevention programs for the insured. The VZP insurance company offers programs dealing with cardiovascular diseases, obesity, diabetes mellitus, vaccination, prevention of infectious diseases, medical and spa holidays, pregnancy screening tests, etc. My thesis aims to explore the use of prevention programs by the insured of the VZP insurance company. Based on the stated goal of my work, I have defined following assumed hypotheses. H1: Women use the prevention programs more than men do. H2: Insured persons who have obtained university education benefit from the preventive programs offered by the VZP health insurance company more than the insured persons without higher education. I chose qualitative research and a questionnaire survey as a suitable method for testing the set hypotheses. As a result of the research, the first hypothesis was confirmed, namely that women use preventive programs more than men. The second hypothesis was not confirmed. It has not been proven that preventive programs are used more by university educated insured persons. The thesis is focused on prevention and provides an overview of preventive programs, which are currently provided by the VZP insurance company. Therefore it is beneficial not only for VZP insured persons but also for all who are interested in prevention, and can also serve as a study material.
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Comparison of alternative version of The Montreal Cognitive Assessment (MoCA-CZ 2) with its basic version (MoCA-CZ 1).
Fayette, Dan ; Kulišťák, Petr (advisor) ; Stehlík, Luděk (referee)
The thesis discusses screening psychodiagnostics with special attention given to amnestic mild cognitive impairment and Alzheimer's disease. The theoretical part describes the concepts of healthy aging and the disorders of cognitive functions. It provides an overview of the screening methods most frequently used in the Czech Republic and the description of MoCA test. It also briefly outlines the issues of retesting in psychodiagnostics. The objective of the empirical part of the work was to verify the psychometric characteristics of the Czech alternative version MoCA-CZ and to evaluate whether it is possible to use this test in practice. The evaluation also includes a comparison of the new version with the already established standard version of MoCA-CZ test. We assigned standard and alternative versions of MoCA-CZ in a 2-month interval to 59 healthy volunteers, 35 patients with mild cognitive impairment and 41 patients with dementia resulting from Alzheimer's disease. We found a strong correlation between alternative and standard version of MoCA-CZ test. We confirmed statistically significant differences in the average scores between individual research groups in both versions of the test. We proved that the alternative version MoCA-CZ 2 is reliable. And we demonstrated that the administration and...
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Comparison of the Montreal Cognitive Assessment and the Mini-Mental State Examination in screening diagnostics of Alzheimer's disease
Orlíková, Hana ; Kulišťák, Petr (advisor) ; Hrachovinová, Tamara (referee)
This thesis deals with the neuropsychological diagnosis of Alzheimer's disease. The aim is to evaluate the psychometric characteristics ofthe new Czech translation of the Montreal Cognitive Assessment (MoCA) by comparison with the Mini-Mental State Examination (MMSE), a method widely used by doctors inscreening diagnostics of Alzheimer's disease. The theoretical part deals with the diagnostics of Alzheimer's disease and mild cognitive impairment. We describe international diagnostic criteria of cognitive disorders and provide an overview of the screening neuropsychological methods most commonly used by Czech specialists. We summarize the current psychometric and psychodiagnostic findings on these methods and focuse on description of MMSE and MoCA. In the empirical part we compare Czech version of MMSE and MoCA-CZ (the new Czech translation of the test). We examined 38 patients with Alzheimer's disease and 70 cognitively healthy seniors. The results show that MoCA-CZ is sufficiently valid and reliable screening method that accurately distinguishbetween healthy subjects and patiens with Alzheimer's disease. We believe that it can enrich screening tools that are available to Czech experts. Key words: Montreal Cognitive Assessment, Mini-Mental State Examination, Alzheimer's disease, psychodiagnostics,...
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