Test-retest and inter-method reliability of the self-rating Barthel Index
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- Kenji Hachisuka
- Department of Rehabilitation Medicine, University of Occupational and Environmental Health Japan, Kitakyushu
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- Hajime Ogata
- Department of Rehabilitation Medicine, University of Occupational and Environmental Health Japan, Kitakyushu
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- Hidenobu Ohkuma
- Department of Rehabilitation Medicine, Chikuho Rosai Hospital, lizuka
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- Shoichi Tanaka
- Department of Rehabilitation Medicine, Yokohama Rosai Hospital, Yokohama
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- Koichiro Dozono
- Department of Rehabilitation Medicine, Hamamatsu Rosai Hospital, Hamamatsu, Japan
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説明
<jats:p> Objective: To develop a self-rating Barthel Index questionnaire (SB) for assessing stroke patients living at home, the test-retest reliability of SB versions 1 and 2 and the inter-method reliability of SB version 3 were examined. </jats:p><jats:p> Design: Case series. </jats:p><jats:p> Setting: Clinics of the Department of Rehabilitation Medicine at the University Hospital and two affiliated hospitals. </jats:p><jats:p> Patients: Thirty-one, 140 and 65 chronic stroke patients living at home, being seen for regular follow-up, and having no severe aphasia for SB versions 1, 2 and 3, respectively. </jats:p><jats:p> Main outcome measure: Kappa coefficients of items in SB versions 1 and 2 for test-retest reliability; intra-class correlation coefficients of the self-care index, mobility index and total score, kappa coefficients of items and Friedman's two-way ANOVAs of ranking in SB version 3 among the self-ratings, family ratings and occupational therapist (OT) ratings; a regression analysis of age, gender, duration, time for filling in the SB, OT ratings, Mini-Mental State score and aphasia. </jats:p><jats:p> Results: Kappa coefficients in SB version 2 were higher than those in version 1. Intra-class correlation coefficients in SB version 3 among the three ratings were good, and kappa coefficients in each item were also good or excellent. By Friedman's two-way ANOVA, all the items except walking up/down stairs had no significant difference in ranking. Regression analysis revealed that OT ratings and time for filling in the SB affected the absolute difference of scores between the self-ratings and OT ratings. </jats:p><jats:p> Conclusion: SB version 3 is sufficiently reliable for practical use. </jats:p>
収録刊行物
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- Clinical Rehabilitation
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Clinical Rehabilitation 11 (1), 28-35, 1997-02
SAGE Publications
