Development of the Italian version of the modified Barthel index and preliminary reliability in adults with stroke.

IF 2.3 4区医学 Q1 REHABILITATION

Journal of Rehabilitation Medicine Pub Date : 2025-09-30 DOI:10.2340/jrm.v57.44279

Stefano Doronzio, Diego Longo, Michele Piazzini, Angela M Politi, Tommaso Ciapetti, Monica Barnabé, Chiara Castagnoli, Donata Bardi, Julieta Giacani, Maria L Del Vicario, Giulio Cherubini, Marco Baccini, Francesca Cecchi

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引用次数: 0

Abstract

Objective: This study aimed to develop the Italian version of the modified Barthel Index and assess its reliability within stroke survivors.

Design: Single-centre, prospective observational study for measure validation.

Subjects/patients: To pre-test the pre-final scale, stroke survivors, caregivers, and health professionals were enrolled. For reliability, only stroke survivors were enrolled. Inclusion of stroke survivors: adults presenting ADL limitation; exclusion: severe visual/hearing impairment, Mini-Mental State Examination <21; severe language disorder, clinical instability.

Methods: The Italian modified Barthel Index was developed through forward-and-back translation, and interdisciplinary review. Clarity was evaluated by a sample of all participants. Inter-rater reliability was assessed by 2 independent physiotherapists, and test-retest examined 1-3 days later. Intraclass correlation coefficient (ICC), Spearman's correlation, quadratic weighted Kappa, and agreement percentages were calculated.

Results: Clarity was evaluated with 30 participants (10 per group); minor semantic adjustments were made. Reliability was assessed within 51 stroke survivors, showing Spearman's correlation of 0.990 (test-retest) and 0.985 (inter-rater). ICCs were 0.990 and 0.987, respectively. Weighted Kappa values ranged from 0.76 to 0.98.

Conclusion: The Italian Modified Barthel Index showed high reliability, supporting its use in Italian-speaking stroke populations. The validation of its other psychometric properties needs further research.

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意大利版改良Barthel指数的发展及其在成人脑卒中中的初步可靠性。

目的：本研究旨在开发意大利版的改良Barthel指数，并评估其在脑卒中幸存者中的可靠性。设计：单中心、前瞻性观察性研究，用于测量验证。受试者/患者：为预测试终前量表，纳入中风幸存者、护理人员和卫生专业人员。为了可靠性，只有中风幸存者被纳入研究。纳入脑卒中幸存者：表现ADL受限的成年人；检查方法：意大利语修改Barthel指数是通过前后翻译和跨学科的回顾来开发的。清晰度由所有参与者的样本进行评估。评估者间信度由2名独立物理治疗师评估，并在1-3天后进行重测。计算类内相关系数（ICC）、Spearman相关、二次加权Kappa和一致性百分比。结果：30名参与者（每组10人）评估清晰度；对语义进行了轻微的调整。对51例中风幸存者进行信度评估，Spearman相关系数为0.990（测试-再测试）和0.985 （inter-rater）。ICCs分别为0.990和0.987。加权Kappa值为0.76 ~ 0.98。结论：意大利语修正Barthel指数具有较高的可靠性，支持其在意大利语卒中人群中的应用。其其他心理测量特性的验证有待进一步研究。

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

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.