Questionnaire assessment of usual practice in mood and cognitive assessment in Scottish stroke units

Figures & data

Figure 1. Survey response rates across Scottish NHS regions.

Table 1. Cognitive/mood assessment modalities used across various clinical settings.

	Total (n) and % of respondents using the test
Test	All settings	Acute stroke	Rehabilitation	Outpatient
Cognitive Assessments
Folstein’s Mini Mental State Examination	103 (59%)	70 (40%)	76 (44%)	43 (25%)
Hodkinson’s Abbreviated Mental Test	82 (47%)	70 (40%)	32 (18%)	23 (13%)
Addenbrooke’s Cognitive Examination	76 (44%)	24 (14%)	63 (36%)	17 (10%)
Montreal Cognitive Assessment	53 (30%)	23 (13%)	42 (24%)	15 (9%)
Cambridge Cognitive Examination	6 (3%)	2 (1%)	4 (2%)	1 (1%)
Mood Assessments
Hospital Anxiety and Depression Scale	76 (44%)	30 (17%)	63 (36%)	25 (14%)
Geriatric Depression Scale	47 (27%)	21 (12%)	36 (21%)	14 (8%)
Depression Intensity Scale Circles	10 (6%)	2 (1%)	9 (5%)	3 (2%)
Patient Health Questionnaire	7 (4%)	1 (1%)	5 (3%)	3 (2%)
Hamilton Rating Scale of Depression	5 (3%)	0	5 (3%)	0

Table 2. Respondents reporting cognitive and mood assessment described by professional group.

Professional group	Routinely assess cognition, n (%)	Routinely assess mood, n (%)
Medical	59 (96.7%)	49 (80.3%)
Occupational therapy	26 (96.3%)	20 (74.1%)
Other health professionals	23 (85.2%)	17 (63%)
Nursing	20 (87%)	17 (73.9%)
Psychology	13 (100%)	12 (92.3%)
Physiotherapy	5 (41.7%)	4 (33.3%)
Speech therapy	6 (54.5%)	3 (27.3%)

Table 3. Cognitive assessment.

N (%) of each staff group performing cognitive assessment
STAFF GROUP	TOTAL	MoCA	R-CAMCOG	AMT	ACE-R	MMSE
Nurses	22	4 (18%)	0	3 (14%)	2 (9%)	10 (45%)
Speech therapy	11	0	0	1 (9%)	1 (9%)	1 ((%)
Physiotherapy	12	0	0	2 (17%)	1 (8%)	0
OT	27	14 (52%)	0	4 (15%)	17/63%)	8 (30%)
Medical	61	10 (16%)	2 (3%)	42 (69%)	10 (16%)	38 (62%)
Psychology	13	3 (23%)	0	0	7 (54%)	3 (23%)
Other AHP	27	2 (7%)	0	5 (19%)	55 (19%)	6 (22%)

AHP, Allied Health Professional; OT, Occupational Therapy; SALT, Speech and Language Therapy; MoCA, Montreal Cognitive Assessment; R-CAMCOG, Cambridge Cognitive examination Revised; AMT, Hodkinson’s Abbreviated Mental Test; ACE-R, Addenbrooke’s Cognitive Examination Revised; MMSE, Folstein’s Mini Mental State Examination

HADS, Hospital Anxiety and Depression Scale; PHQ-9, Patient Health Questionnaire; GHQ, General Health Questionnaire; DISCS, Depression Intensity Scale Circles; GDS, Geriatric Depression Scale; HRDS, Hamilton Rating Scale of Depression.

Table 4. Mood assessment.

N (%) of each staff group performing mood assessment
STAFF GROUP	TOTAL	HADS	PHQ-9	GHQ	DISCS	GDS	HRDS
Nurses	22	6 (27%)	4 (18%)	4 (18%)	2 (9%)	4 (18%)	0
SALT	11	0	1 (9%)	0	1 (9%)	0	0
Physiotherapy	12	0	0	0	0	0	0
OT	27	14 (52%)	1 (4%)	0	3 (11%)	1 (4%)	0
Medical	61	12 (20%)	0	0	2 (3%)	21 (34%)	1 (2%)
Psychology	13	9 (69%)	0	2 (15%)	3 (23%)	5 (38%)	0
Other AHP	27	5 (19%)	0	0	0	3 (11%)	1 (4%)

Tables 3 and 4 indicate the cognitive and mood assessments performed by staff groups.

AHP, Allied Health Professional; OT, Occupational Therapy; SALT, Speech and Language Therapy; MoCA, Montreal Cognitive Assessment; R-CAMCOG, Cambridge Cognitive examination Revised; AMT, Hodkinson’s Abbreviated Mental Test; ACE-R, Addenbrooke’s Cognitive Examination Revised; MMSE, Folstein’s Mini Mental State Examination

HADS, Hospital Anxiety and Depression Scale; PHQ-9, Patient Health Questionnaire; GHQ, General Health Questionnaire; DISCS, Depression Intensity Scale Circles; GDS, Geriatric Depression Scale; HRDS, Hamilton Rating Scale of Depression.