Equating norms between the ALS Cognitive Behavioral Screen (ALS-CBS™) and the Edinburgh Cognitive and Behavioural ALS Screen (ECAS) in non-demented ALS patients

Aiello, Edoardo Nicolò; Solca, Federica; Greco, Lucia Catherine; Torre, Silvia; Carelli, Laura; Morelli, Claudia; Doretti, Alberto; Colombo, Eleonora; Messina, Stefano; Pain, Debora; Radici, Alice; Casiraghi, Jacopo; Cerri, Federica; Woolley, Susan; Murphy, Jennifer; Tremolizzo, Lucio; Appollonio, Ildebrando; Verde, Federico; Sansone, Valeria; Lunetta, Christian; Silani, Vincenzo; Ticozzi, Nicola; Poletti, Barbara

doi:10.1007/s00415-023-11749-4

Cited by 1 publication

(4 citation statements)

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“…As well as evidence of convergent validity between the ECASc and ALS-CBSc ( 25 , 26 , 42 , 44 ), there was also evidence of convergent validity between the ALS-CBSc and the Mini-ACE ( 26 ). In addition, there was evidence of convergent validity between the ALS-CBSc and other cognitive tests ( 45 , 46 ).…”

Section: Resultsmentioning

confidence: 91%

“…Convergent validity was demonstrated between the ECASc and the ALS-CBSc ( 25 , 26 , 42 , 44 ), between the ECASc and Montreal Cognitive Assessment (MoCA) ( 15 , 23 , 30 , 32 , 33 , 49 ) between the ECASc and the Frontal Assessment Battery (FAB) ( 14 , 23 , 29 , 30 , 33 , 49 ), and between the ECASc and other cognitive tests ( 30 , 50 , 51 ). Evidence of the convergent validity of the ECASc was, therefore, very strong.…”

Section: Resultsmentioning

confidence: 97%

“…For the ALS-CBSc, nine studies reported validity statistics ( 10 , 25 , 42–47 ) ( Table 7 ). Three studies with good methodological quality examined the clinical validity of the ALS-CBSc ( 10 , 43 , 47 ) ( Table 7 ).…”

Section: Resultsmentioning

confidence: 99%

“…The findings of this systematic review do not contradict this statement, but this is true of all of the assessed cognitive and behavioral screening tools, with the exception of the ECASc. It was previously highlighted ( 5 ) that the evidence of behavioral screening tool validity was limited; this is still the case, although eight studies have since contributed to the evidence-base ( 25 , 26 , 29 , 30 , 34 , 35 , 37 , 42 ). The results of the current review concur with previous conclusions ( 5 ) that the validity of the BBI and ALS-FTD-Q is similar but as the BBI is more comprehensive, it may be the better option.…”

Section: Discussionmentioning

confidence: 99%

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What is the extent of reliability and validity evidence for screening tools for cognitive and behavioral change in people with ALS? A systematic review

Didcote,

Vitoratou,

Al-Chalabi

et al. 2024

Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration

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Objective: This systematic review provides an updated summary of the existing literature on the validity of screening tools for cognitive and behavioral impairment in people with Amyotrophic Lateral Sclerosis (pwALS), and also focuses on their reliability. Method: The following cognitive and behavioral screening tools were assessed in this review: the Edinburgh Cognitive and Behavioral ALS Screen (ECAS); the ALS Cognitive Behavioral Screen (ALS-CBS), the Mini Addenbrooke’s Cognitive Examination (Mini-ACE), the Beaumont Behavioral Interview (BBI); the MND Behavior Scale (MiND-B); and the ALS-FTD Questionnaire (ALS-FTD-Q). A search, using Medline, PsychINFO and Embase (21/09/2023), generated 37 results after exclusion criteria were applied. Evidence of internal consistency, item-total correlations, inter-rater reliability, clinical validity, convergent validity, and structural validity were extracted and assessed and risk of bias was evaluated. Results: The cognitive component of the ECAS was the tool with most evidence of reliability and validity for the assessment of cognitive impairment in ALS. It is well-suited to accommodate physical symptoms of ALS. For behavioral assessment, the BBI or ALS-FTD-Q had the most evidence of reliability and validity. The BBI is more thorough, but the ALS-FTD-Q is briefer. Conclusions: There is good but limited evidence for the reliability and validity of cognitive and behavioral screens. Further evidence of clinical and convergent validity would increase confidence in their clinical and research use.

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