Validation of tele-assessment of disability and health after stroke using WHODAS 2.0 through video call in a middle-income country.

IF 2.2 4区医学 Q1 REHABILITATION

Topics in Stroke Rehabilitation Pub Date : 2024-09-19 DOI:10.1080/10749357.2024.2403811

Ariadne Cardoso da Silva, Léia Cordeiro de Oliveira, Heyriane Martins Dos Santos, Bibiana Caldeira Monteiro, Gabriela Santos Pereira, Shamyr Sulyvan de Castro, Soraia Micaela Silva

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引用次数: 0

Abstract

Background: The validity, reliability, and accuracy of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) for face-to-face assessment in the stroke population are well established. However, the validity and reliability of WHODAS 2.0 through tele-assessment remain uncertain. OBJECTIVE: To assess the reliability, agreement, internal consistency, criterion and discriminant validity of WHODAS 2.0 when administered through video calls.

Methods: A longitudinal methodological study included fifty individuals with chronic stroke. Both in-person and video call assessments were conducted, and their sequence was randomized. The reliability was determined using the Intraclass Correlation Coefficient (ICC2,1). Measurement errors were assessed using the standard error of measurement (SEM) and smallest detectable change (SDC). Internal consistency was assessed using Cronbach's α. Criterion validity was determined by conducting Pearson's correlation coefficient analysis between in-person and video call assessments. Discriminant validity was examined using the Receiver Operating Characteristic (ROC) curve to distinguish disability levels, with the Modified Rankin Scale as the reference standard.

Results: The participants had a mean age of 56.10 ± 10.8 years, with an equal distribution of genders. Adequate reliability was observed between the two methods (ICC2,1 = 0.88; 95% CI = 0.79-0.93; p < 0.001), and internal consistency was also adequate (Cronbach's α = 0.88). The criterion validity revealed a strong correlation (r = 0.78; p < 0.001). Discriminant validity demonstrated satisfactory accuracy in distinguishing disability levels via video call (AUC = 0.67; p = 0.04).

Discussion: This study offers evidence supporting the validity and reliability of the WHODAS 2.0 assessment through video call. Teleassessment using WHODAS 2.0 proves suitable for individuals who have had a stroke, enabling remote evaluation and care.

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在中等收入国家通过视频通话使用 WHODAS 2.0 对中风后的残疾和健康状况进行远程评估的验证。

背景：世界卫生组织残疾评估表 2.0（WHODAS 2.0）在卒中人群中进行面对面评估的有效性、可靠性和准确性已得到公认。然而，WHODAS 2.0 通过远程评估的有效性和可靠性仍不确定。目的：评估通过视频通话进行评估时 WHODAS 2.0 的可靠性、一致性、内部一致性、标准效度和判别效度：方法：一项纵向方法学研究纳入了 50 名慢性中风患者。进行了面对面和视频通话两种评估，其顺序是随机的。信度采用类内相关系数（ICC2,1）确定。测量误差采用测量标准误差（SEM）和最小可检测变化（SDC）进行评估。内部一致性采用 Cronbach's α 进行评估。标准效度是通过对面对面评估和视频通话评估进行皮尔逊相关系数分析来确定的。以改良朗肯量表为参考标准，使用接收者操作特征曲线（ROC）来区分残疾程度，从而检验判别效度：参与者的平均年龄为（56.10 ± 10.8）岁，性别分布均衡。两种方法之间具有足够的可靠性（ICC2,1 = 0.88; 95% CI = 0.79-0.93; p r = 0.78; p p = 0.04）：本研究为通过视频通话进行WHODAS 2.0评估的有效性和可靠性提供了证据。使用 WHODAS 2.0 进行远程评估适用于中风患者，可实现远程评估和护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.