ArticleBMJ open2016
Psychometric evaluation of the Holden Communication Scale (HCS) for persons with dementia.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04168463 (Exploring Use of Companion Robot Pets for Older Adults in Care Homes, an 8-month Stepped-wedge, Cluster Randomised Control Trial.), which is not on this map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Exploring Use of Companion Robot Pets for Older Adults in Care Homes, an 8-month Stepped-wedge, Cluster Randomised Control Trial.
Who cites it
10 citing papers in PubMed, 18 citations in OpenAlex.
- Measures used to evaluate psychosocial interventions in dementia care: A narrative review and synthesis.Journal of Alzheimer's disease : JAD · 2026Review
- Assessing communication in people with dementia : A scoping review of existing tools.Zeitschrift fur Gerontologie und Geriatrie · 2026Review
- A Protocol for Enhancing Allied Health Care for Older People in Residential Care: The EAHOP Intervention.Healthcare (Basel, Switzerland) · 2025Article
- Article
- Validity and reliability of the Turkish version of the Holden Communication Scale.Brain and behavior · 2023Article
- Cognitive interventions for memory and psychological well-being in aging and dementias.Frontiers in psychology · 2023Review
- Article
- Animal-Assisted Therapy Improves Communication and Mobility among Institutionalized People with Cognitive Impairment.International journal of environmental research and public health · 2020Article
- Virtual individual cognitive stimulation therapy (V-iCST): Mixed methods feasibility randomised controlled trial.International journal of clinical and health psychology : IJCHPArticle
- Effect of the Sonas Programme on Communication in People with Dementia: A Randomized Controlled Trial.Dementia and geriatric cognitive disorders extraArticle
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo investigate the psychometric properties of the Holden Communication Scale (HCS) and the association between scores on HCS and cognitive function among persons with dementia.
methodInternal consistency was assessed by the Cronbach's α coefficient and inter-item correlations. Test-retest was carried out to test the instrument's stability. An exploratory factor analysis with the principal components extraction method and oblimin rotation was performed to evaluate construct validity. Pearson's correlation coefficients were calculated to explore associations between the scores on the HCS and cognitive function.
resultsA total of 128 persons with moderate-to-severe cognitive impairment (mean Mini-Mental State Examination (MMSE) score 8.9 (SD 7.0)) participated. The mean age was 85.2 (SD 7.2) and 101 of the participants were women. The Cronbach's α of the HCS was 0.94 and test-retest reliability was r=0.71. The corrected item-total correlation ranged from 0.63 to 0.79 and factor analysis showed a 1-factor structure of the HCS, which explained 63% of the variance. However, a forced 3-factor structure explained 76% of the variance. The correlation between cognitive function as measured by the MMSE and ability to communicate as measured with HCS was found to be moderate for those with an MMSE score of 0-10 (-0.61) and low for persons with an MMSE score of 11-20 (-0.06).
conclusionsThe HCS is a reliable and valid scale for assessing communication ability in persons with moderate and severe cognitive impairment, and might have a 1-factor or 3-factor structure.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.