Evidence map›Paper›PMID 42251187›Full record

ArticleScientific reports2026

Minimal clinically important difference for cognitive scales in people with Parkinson's disease with cognitive impairment.

Ghorban Taghizadeh, Negin Eissazade, Javier Pagonabarraga, Saul Martinez-Horta, Jaime Kulisevsky, Parvaneh Taghavi Azar Sharabiani, Azar Sharabiani, Pouria Akbarikoli, Seyede Zohreh Jazaeri, Maryam Mehdizadeh

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Ghorban Taghizadeh *Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Negin Eissazade *Cellular and Molecular Research Center, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-0795-8732
Javier PagonabarragaMovement Disorders Unit, Neurology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Saul Martinez-HortaMovement Disorders Unit, Neurology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Jaime KulisevskyMovement Disorders Unit, Neurology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Parvaneh Taghavi Azar SharabianiDepartment of Occupational Therapy, Shafa Yahyaeian Hospital, Iran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-7841-7979
Azar SharabianiDepartment of Occupational Therapy, Shafa Yahyaeian Hospital, Iran University of Medical Sciences, Tehran, Iran.
Pouria AkbarikoliBrain and Cognition Clinic, Institute for Cognitive Sciences Studies, Tehran, Iran.
Seyede Zohreh JazaeriDepartment of Neuroscience, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.
Maryam MehdizadehGeriatric Mental Health Research Center, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Shahid Hemmat Highway, Tehran, 1449614535, Iran. Maryam.mehdizadeh_22@yahoo.com.ORCID 0000-0003-2977-3421

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive impairment (CI) is a significant non-motor symptom of Parkinson's disease (PD), necessitating effective assessment tools to evaluate treatment efficacy. Minimal Clinically Important Difference (MCID) thresholds provide critical benchmarks for interpreting cognitive intervention outcomes. This study establishes MCID values for PD Cognitive Rating Scale (PD-CRS), Scales for Outcomes in PD-Cognition (SCOPA-COG), and Montreal Cognitive Assessment (MoCA) in PD-CI. A total of 110 patients with PD-CI were recruited; 105 (mean age 71.96 ± 2.40 years) completed the 12-week Dual-Task Training (DTT) program and were included in the final analyses. Cognitive function was assessed using PD-CRS, SCOPA-COG, and MoCA at baseline and post-intervention, with the Global Rating of Change (GRoC) questionnaire serving as an anchor. The MCID value was determined using anchor-based and distribution-based approaches. Receiver Operating Characteristic (ROC) analysis was employed to evaluate these thresholds. Significant improvements were observed across all cognitive measures post-intervention. The anchor-based MCID values were 7.70 points for PD-CRS, 3.11 points for SCOPA-COG, and 2.05 points for MoCA, respectively. Additionally, ROC curve analysis further determined that MCID cut-off points were > 3 points for the PD-CRS, > 2 points for the SCOPA-COG, and > 1 point for the MoCA. The distribution-based MCID values ranged from 1.48 to 4.10 points for PD-CRS, 1.37 to 5.95 points for SCOPA-COG, and 0.54 to 3.71 points for MoCA. This study established MCID thresholds for PD-CRS, SCOPA-COG, and MoCA in PD-CI, providing essential tools for clinicians and researchers to assess clinically meaningful changes after cognitive intervention.

Indexed as

CognitionCognitive DysfunctionMinimal Clinically Important DifferenceParkinson DiseaseAgedDual-Task TestsFemaleHumansMaleMental Status and Dementia TestsNeuropsychological TestsROC CurveAnchor-BasedClinicalCognitive ImpairmentDistribution-BasedParkinson’s Disease

Identifiers

PMID42251187
PMCPMC13486826

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LicenceCC BY-NC-ND
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Registered trials

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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.