Patients often experience cognitive problems after a stroke, which can significantly restrict their daily life activities. The aim of our study was to evaluate the validity and reliability of the Turkish version of the Brief Assessment of Impaired Cognition (BASIC) in stroke patients. This cross-sectional study included 64 stroke patients. Internal consistency was excellent (Cronbach’s alpha = 0.909), as was test–retest reliability (ICC = 0.949). The correlation coefficients between the subcomponents of the scale and the total BASIC score ranged from 0.815 to 0.865 (p < 0.05). The total BASIC score was significantly correlated with the Mini-Mental State Examination total score (ρ = 0.749, p < 0.05). This study provides preliminary evidence that the Turkish version of BASIC may be a reliable and valid tool for assessing cognitive impairments in stroke patients. Further research with larger and more diverse samples is needed to confirm these findings.
AlparC. (2016). Applied statistics and validity and reliability with examples from sports, health and education sciences (pp. 45–67). Detay Publishing.
2.
Al-QazzazN. K.AliS. H.AhmadS. A.IslamS.MohamadK. (2014). Cognitive impairment and memory dysfunction after a stroke diagnosis: A post-stroke memory assessment. Neuropsychiatric Disease and Treatment, 10(1), 1677–1691. https://doi.org/10.2147/ndt.S67184
3.
BeatonD. E.BombardierC.GuilleminF.FerrazM. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976), 25(24), 3186–3191. https://doi.org/10.1097/00007632-200012150-00014
4.
BenaimC.WauquiezG.PérennouD.PiscicelliC.Lucas-PineauB.Bonnin-KoangH. Y.VuadensP.BinquetC.BourredjemA.DevilliersH. (2022). Cognitive assessment scale for stroke patients (CASP): A multicentric validation study. Annals of Physical and Rehabilitation Medicine, 65(3), 101594. https://doi.org/10.1016/j.rehab.2021.101594
5.
BrederR.LeiteM. A. A.PintoJ. A.Jr.CavalcanteI. P.PessoaB. L.NevesM. A. O. (2017). Low sensitivity of the mini-mental state examination for cognitive assessment of Brazilian patients with Parkinson disease. Journal of Geriatric Psychiatry and Neurology, 30(6), 311–315. https://doi.org/10.1177/0891988717731826
6.
BrodatyH.PondD.KempN. M.LuscombeG.HardingL.BermanK.HuppertF. A. (2002). The GPCOG: A new screening test for dementia designed for general practice. Journal of the American Geriatrics Society, 50(3), 530–534. https://doi.org/10.1046/j.1532-5415.2002.50122.x
7.
BurtonL.TysonS. F. (2015). Screening for cognitive impairment after stroke: A systematic review of psychometric properties and clinical utility. Journal of Rehabilitation Medicine, 47(3), 193–203. https://doi.org/10.2340/16501977-1930
8.
CummingT. B.MarshallR. S.LazarR. M. (2013). Stroke, cognitive deficits, and rehabilitation: Still an incomplete picture. International Journal of Stroke: Official Journal of the International Stroke Society, 8(1), 38–45. https://doi.org/10.1111/j.1747-4949.2012.00972.x
9.
DemeyereN.RiddochM. J.SlavkovaE. D.BickertonW. L.HumphreysG. W. (2015). The Oxford Cognitive Screen (OCS): Validation of a stroke-specific short cognitive screening tool. Psychological Assessment, 27(3), 883–894. https://doi.org/10.1037/pas0000082
DongY.SharmaV. K.ChanB. P.VenketasubramanianN.TeohH. L.SeetR. C.TanicalaS.ChanY. H.ChenC. (2010). The Montreal Cognitive Assessment (MoCA) is superior to the Mini-Mental State Examination (MMSE) for the detection of vascular cognitive impairment after acute stroke. Journal of the Neurological Sciences, 299(1-2), 15–18. https://doi.org/10.1016/j.jns.2010.08.051
12.
DraaismaL. R.WesselM. J.HummelF. C. (2020). Non-invasive brain stimulation to enhance cognitive rehabilitation after stroke. Neuroscience Letters, 719, 133678. https://doi.org/10.1016/j.neulet.2018.06.047
13.
EhrenspergerM. M.TaylorK. I.BerresM.FoldiN. S.DellenbachM.BoppI.GoldG.von GuntenA.InglinD.MüriR.RüeggerB.KressigR. W.MonschA. U. (2014). BrainCheck - a very brief tool to detect incipient cognitive decline: Optimized case-finding combining patient- and informant-based data. Alzheimer’s Research & Therapy, 6(9), 69. https://doi.org/10.1186/s13195-014-0069-y
14.
EngelhardtS.WiedmannS.RückerV.KraftP.MackenrodtD.MalzahnU.StörkS.KleinschnitzC.HeuschmannP. (2020). Entwicklung einer deutschen Telefonversion des IQCODE (Informant Questionnaire on Cognitive Decline in the Elderly) innerhalb einer Kohorte von Angehörigen von Patienten nach ischämischem Schlaganfall. Fortschritte der Neurologie - Psychiatrie, 88(11), 698–703. https://doi.org/10.1055/a-1113-7652
FuC.JinX.ChenB.XueF.NiuH.GuoR.ChenZ.ZhengH.WangL.ZhangY. (2017). Comparison of the Mini-Mental State Examination and Montreal Cognitive Assessment executive subtests in detecting post-stroke cognitive impairment. Geriatrics and Gerontology International, 17(12), 2329–2335. https://doi.org/10.1111/ggi.13069
17.
HoadleyR.CorleyE.RussK. F.PastuszakJ. P.HillB. D. (2014). Executive functioning in neurologic disorders: Applying the Miyake and Friedman model to medical patients. In HillB. D. (Ed.), Executive functioning (pp. 49–82). Hauppauge, New York: Nova Science Publishers, Inc.
18.
HoffmannT.BennettS.KohC. L.McKennaK. (2010a). A systematic review of cognitive interventions to improve functional ability in people who have cognitive impairment following stroke. Topics in Stroke Rehabilitation, 17(2), 99–107. https://doi.org/10.1310/tsr1702-99
19.
HoffmannT.BennettS.KohC. L.McKennaK. T. (2010b). Occupational therapy for cognitive impairment in stroke patients. The Cochrane Database of Systematic Reviews, 2010(9), Cd006430. https://doi.org/10.1002/14651858.CD006430.pub2
20.
IosaM.DemeyereN.AbbruzzeseL.ZoccolottiP.MancusoM. (2022). Principal component analysis of Oxford cognitive screen in patients with stroke. Frontiers in Neurology, 13, 779679. https://doi.org/10.3389/fneur.2022.779679
21.
JokinenH.MelkasS.YlikoskiR.PohjasvaaraT.KasteM.ErkinjunttiT.HietanenM. (2015). Post-stroke cognitive impairment is common even after successful clinical recovery. European Journal of Neurology, 22(9), 1288–1294. https://doi.org/10.1111/ene.12743
22.
JørgensenK.NielsenT. R.NielsenA.OxbøllA. B.GernerS. D.WaldorffF. B.WaldemarG. (2024). Diagnostic accuracy of the Brief Assessment of Impaired Cognition case-finding instrument in a general practice setting and comparison with other widely used brief cognitive tests-a cross-validation study. European Journal of Neurology, 31(10), e16418. https://doi.org/10.1111/ene.16418
23.
JørgensenK.NielsenT. R.NielsenA.WaldorffF. B.HøghP.GottrupH.VestergaardK.OxbøllA. B.WaldemarG. (2023). Validity of the Brief Assessment of Impaired Cognition case-finding instrument for identification of dementia subgroups and staging of dementia. European Journal of Neurology, 30(3), 578–586. https://doi.org/10.1111/ene.15636
24.
JørgensenK.NielsenT. R.NielsenA.WaldorffF. B.HøghP.JakobsenS.GottrupH.VestergaardK.WaldemarG. (2019). Brief Assessment of Impaired Cognition (BASIC)-Validation of a new dementia case-finding instrument integrating cognitive assessment with patient and informant report. International Journal of Geriatric Psychiatry, 34(11), 1724–1733. https://doi.org/10.1002/gps.5188
25.
KerolaT.HiltunenM.KettunenR.HartikainenS.SulkavaR.VuolteenahoO.NieminenT. (2011). Mini-Mental State Examination score and B-type natriuretic peptide as predictors of cardiovascular and total mortality in an elderly general population. Annals of Medicine, 43(8), 650–659. https://doi.org/10.3109/07853890.2010.526137
26.
KottnerJ.AudigéL.BrorsonS.DonnerA.GajewskiB. J.HróbjartssonA.RobertsC.ShoukriM.StreinerD. L. (2011). Guidelines for Reporting Reliability and Agreement Studies (GRRAS) were proposed. Journal of Clinical Epidemiology, 64(1), 96–106. https://doi.org/10.1016/j.jclinepi.2010.03.002
27.
LancuI.OlmerA. (2006). The minimental state examination--an up-to-date review. Harefuah, 145(9), 687–690.
28.
MancusoM.VaraltaV.SardellaL.CapitaniD.ZoccolottiP.AntonucciG.Italian OCS Group. (2016). Italian normative data for a stroke specific cognitive screening tool: The Oxford Cognitive Screen (OCS). Neurological Sciences: Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 37(10), 1713–1721. https://doi.org/10.1007/s10072-016-2650-6
29.
McGovernA.PendleburyS. T.MishraN. K.FanY.QuinnT. J. (2016). Test accuracy of informant-based cognitive screening tests for diagnosis of dementia and multidomain cognitive impairment in stroke. Stroke, 47(2), 329–335. https://doi.org/10.1161/strokeaha.115.011218
30.
MokkinkL. B.BoersM.van der VleutenC. P. M.BouterL. M.AlonsoJ.PatrickD. L.de VetH. C. W.TerweeC. B. (2020). COSMIN Risk of Bias tool to assess the quality of studies on reliability or measurement error of outcome measurement instruments: A Delphi study. BMC Medical Research Methodology, 20(1), 293. https://doi.org/10.1186/s12874-020-01179-5
31.
NapitupuluD.RahimR.AbdullahD.SetiawanM. I.AbdillahL. A.AhmarA. S.SimarmataJ.HidayatR.NurdiyantoH.PranoloA. (2018). Analysis of student satisfaction toward quality of service facility. Journal of Physics: Conference Series, 954(1), 012019. https://doi.org/10.1088/1742-6596/954/1/012019
32.
Öge-DaşdöğenÖ.BengisuS.YıldızH. Y.KrespiY. (2024). The Turkish version of the cognitive assessment scale for stroke patients (CASP-TR): A reliability and validity. Aphasiology, 1–23. https://doi.org/10.1080/02687038.2024.2415923
33.
OğuzÖ.ToğramB.DemeyereN. (2025). Adaptation of Oxford Cognitive Screen into Turkish (OCS-TR): Validity and reliability study in stroke survivors. BMC Psychology, 13(1), 161. https://doi.org/10.1186/s40359-025-02351-6
34.
ParikhP. K.TroyerA. K.MaioneA. M.MurphyK. J. (2016). The impact of memory change on daily life in normal aging and mild cognitive impairment. The Gerontologist, 56(5), 877–885. https://doi.org/10.1093/geront/gnv030
35.
PasslerJ. S.KennedyR. E.CroweM.ClayO. J.HowardV. J.CushmanM.UnverzagtF. W.WadleyV. G. (2021). The relationship of cognitive change over time to the self-reported Ascertain Dementia 8-item Questionnaire in a general population. Archives of Clinical Neuropsychology: The Official Journal of the National Academy of Neuropsychologists, 36(2), 243–252. https://doi.org/10.1093/arclin/acz045
36.
Rune NielsenT.JørgensenK.CanevelliM.PomatiS.Delgado-ÁlvarezA.FranzenS.Lozano-RuizA.ÖzdenM.PalissonJ.MukadamN.WaldemarG. (2025). Validation of the Brief Assessment of Impaired Cognition and Brief Assessment of Impaired Cognition Questionnaire in a multicultural memory clinic sample across six European countries. Journal of Alzheimer's Disease: JAD, 104(3), 823–834. https://doi.org/10.1177/13872877251320259
37.
WilliamsP. M.JohnsonC.SwanS.BarberC.MurphyP.DevineJ.BathulaR.CohenD.CrutchS. J. (2016). The Northwick park examination of cognition: A brief cognitive assessment tool for use in acute stroke services. International Journal of Therapy and Rehabilitation, 23(7), 314–322. https://doi.org/10.12968/ijtr.2016.23.7.314
38.
Yancar DemirE.ÖzcanT. (2015). Evaluating the relationship between education level and cognitive impairment with the Montreal cognitive assessment test. Psychogeriatrics: The Official Journal of the Japanese Psychogeriatric Society, 15(3), 186–190. https://doi.org/10.1111/psyg.12093
39.
YuanX. F.ZhangY.ZhangY.WuY. H.ShiY.ChengY.XieF. (2023). Reliability and validity of the Brief Assessment of Impaired Cognition (Chinese version) for stroke patients. Applied Neuropsychology. Adult, 30(1), 27–33. https://doi.org/10.1080/23279095.2021.1908287
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