Cross-cultural adaptation, reliability, and validity of the rehabilitation activities profile (RAP) in stroke patients.

IF 1.5 4区心理学 Q4 CLINICAL NEUROLOGY

Applied Neuropsychology-Adult Pub Date : 2025-06-11 DOI:10.1080/23279095.2025.2517761

Leyla Kaya Ozturk, Sedef Sahin, Orkun Tahir Aran, Meral Huri

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引用次数: 0

Abstract

Objective: The Rehabilitation Activities Profile (RAP) is an interview-based scale designed to assess both performance and self-perceived problem severity in activities of daily living (ADL). The aim of this study was to provide cultural adaptation of the RAP and to examine the reliability and validity of this adaptation individuals with stroke.

Methods: The translation and cross-cultural adaptation process followed Beaton's guidelines. A total of 81 individuals with stroke (36 female, 45 male) were included. Test-retest reliability was evaluated using the intra-class correlation coefficient (ICC), internal consistency was assessed using Cronbach's alpha, and construct validity was examined by analyzing the correlation between RAP scores and the Barthel Index (BI), a measure of ADL performance.

Results: Following the cross-cultural adaptation, minor modifications were made to enhance cultural relevance. Test-retest reliability was excellent, with ICC values of 0.976 for RAP disability and 0.986 for RAP self-perceived problem severity. Internal consistency was high, with Cronbach's alpha values of 0.953 for RAP disability and 0.911 for self-perceived problem severity. Construct validity analysis revealed a strong negative correlation between RAP scores and BI (r = -0.856, p < 0.001), supporting the validity of the scale.

Conclusion: This study provides preliminary evidence supporting the use of the Turkish RAP in clinical and research settings for comprehensive assessment of ADL-related disability and self-perceived problem severity in stroke patients.

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脑卒中患者康复活动档案（RAP）的跨文化适应、可靠性和有效性。

目的：康复活动量表（RAP）是一种基于访谈的量表，旨在评估日常生活活动（ADL）的表现和自我感知的问题严重程度。本研究的目的是提供RAP的文化适应性，并检验卒中患者这种适应性的可靠性和有效性。方法：翻译和跨文化适应过程遵循比顿的指导方针。共纳入81例脑卒中患者（女性36例，男性45例）。采用类内相关系数（ICC）评估重测信度，采用Cronbach’s alpha评估内部一致性，通过分析RAP得分与衡量ADL表现的Barthel指数（BI）之间的相关性来检验结构效度。结果：在跨文化适应之后，我们会进行一些细微的修改，以增强文化相关性。重测信度极好，RAP残障的ICC值为0.976，RAP自我感知问题严重程度的ICC值为0.986。内部一致性高，RAP残障的Cronbach’s alpha值为0.953，自我感知问题严重程度的Cronbach’s alpha值为0.911。建构效度分析显示RAP评分与BI之间存在较强的负相关（r = -0.856, p）。结论：本研究为土耳其RAP在临床和研究环境中用于卒中患者adl相关残疾和自我感知问题严重程度的综合评估提供了初步证据。

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

Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.50

自引率

11.80%

发文量

134

期刊介绍： pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.