Ask the BCAT Faculty: Information about the Psychometrics of the BCIS
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Our Company uses the BCAT Test System and the Working Memory Exercise Book routinely for our older patients.  However, we started a new dementia program recently, and we have started using the Brief Cognitive Impairment Scale (BCIS).  I know that the BCIS is part of the BCAT Test System, but I know less about the BCIS than the full BCAT.  Is there a good resource that describes the development of the BCIS in general, and its factor scores in particular?  THANK YOU!

Melissa, OTR/L


BCAT Faculty Response:

Thank you for your question Melissa, and we are happy that you use the BCAT Approach in general, and now the BCIS.  The BCIS is a unique cognitive assessment for a number of reasons, and was designed specifically for identifying strengths and weaknesses in adults and older adults with dementia. First, it can identify those individuals who have severe dementia.  This tends to be an overlooked group, and consequently, they often do not receive appropriate rehab and other interventions.  They are also most likely to exhibit BPSD (behavioral and psychological symptoms of dementia). Second, the BCIS has three factor scores that can help direct care.  Two factors pertain to the ability of the person to cognitively process verbal directions/instructions, and the third factor measures what we call “interpersonal tolerance”.  Interpersonal tolerance refers to the ability to tolerate, without getting agitated, social stimulation and interpersonal contact.  In this respect, it may be an important predictor of aggression in older adults with dementia, especially during personal care.

To read about the development and psychometrics of the BCIS, click here.

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