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All Journal CRJIM (Clinical and Research Journal in Internal Medicine)
Setyabudhi, Verina
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Validity and Reliability of MoCA-Ina for Assessing Cognitive Function in Dialysis Patients with Chronic Kidney Disease Sagala, Ida Meita; Rifai, Achmad; Satiti, Ika Ayu Dewi; Setyabudhi, Verina
Clinical and Research Journal in Internal Medicine Vol. 6 No. 1 (2025): Volume 6 No 1, May 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2025.006.01.07

Abstract

BACKGROUND: Montreal Cognitive Assessment (MoCA) is widely used for assessing cognitive function in chronic kidney disease (CKD) patients, but its effectiveness in Indonesian CKD populations remains unclear compared to studies in other regions. OBJECTIVES: To evaluate the reliability and validity of the translated MoCA in assessing cognitive impairment among dialysis patients. METHODS: This cross-sectional study was conducted at the hemodialysis and Continuous Ambulatory Peritoneal Dialysis (CAPD) unit of RSUD Dr. Saiful Anwar in Indonesia from January to February 2024. The study utilized the Indonesian Version of MoCA for cognitive assessment. Reliability and validity of the questionnaire were evaluated using Cronbach's Alpha and Pearson validity test methods. RESULTS: In this study, 43 participants were enrolled, including 21 undergoing hemodialysis and 22 receiving CAPD. MoCA's reliability was confirmed with Cronbach's Alpha values of 0.648 for hemodialysis and 0.737 for CAPD, indicating strong internal consistency. The questionnaire exhibited favorable discriminatory power, with corrected item-total correlation scores exceeding 0.3 for all items in both groups. Validity demonstrated strong construct validity, with critical values surpassing standard references. All statistical significance levels were below 0.05, affirming MoCA's reliability in assessing cognitive function in dialysis patients. CONCLUSION: In conclusion, our study has demonstrated that the translated MoCA is valid and reliable for assessing cognitive function in CKD patients undergoing dialysis.
Validity and Reliability of Renal Dialysis Patient Dependency Classification (RDPDC) in Indonesian to Assess Dialysis Dependency in Patients Undergoing Dialysis for Chronic Kidney Disease Setyabudhi, Verina; Rifai, Achmad; Satiti, Ika Ayu Dewi; Sagala, Ida Meita
Clinical and Research Journal in Internal Medicine Vol. 6 No. 2 (2025): Volume 6 No 2, November 2025
Publisher : Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.crjim.2025.006.02.05

Abstract

Background: Patients with chronic kidney disease (CKD) are at risk of becoming more dependent on dialysis, which can be caused by a variety of risk factors, including physical, psychological, social, dialysis access, and medical factors. As a result, it is critical to raise awareness of this issue by using the Renal Dialysis Patient Dependency Classification (RDPDC) score tool to assess dialysis dependency in CKD patients. Aim: The purpose of this study was to determine the reliability and validity of the RDPDC scoring tool in its translated form. Methods: The RDPDC scoring tool was used to evaluate 40 CKD patients on dialysis. The assessment was carried out utilizing the Indonesian version of RDPDC. The questionnaire's reliability and validity were assessed using Cronbach's Alpha (CA) and the Pearson Validity Test. Each item's reliability was also assessed using the corrected item-total correlation. The scale is dependable if its CA value is more than 0.6 and valid if its r-value exceeds the expected r on Pearson's table. Results: The assessment tool was deemed reliable based on the CA values of both respondent groups: 0.820 for hemodialysis (HD) and 0.673 for continuous ambulatory peritoneal dialysis (CAPD). All aspects measured by RDPDC were also deemed reliable with a significance level <0.05. Pearson's validity test showed that the translated RDPDC was valid for all aspects examined, with a significance value <0.05. Conclusion: The translated RDPDC is a valid and reliable instrument for determining dialysis dependency in CKD patients undergoing regular dialysis.
Co-Authors ACHMAD RIFAI Sagala, Ida Meita Satiti, Ika Ayu Dewi