国际功能、残疾和健康分类》中文版 "参与和活动筛查量表 "在脑卒中患者中的心理测试。

IF 2.2 4区 医学 Q1 REHABILITATION
Tai Wa Liu, Lily Y W Ho, Cynthia Y Y Lai, Thomson W L Wong, Billy C L So, Richard H Xu, Peiming Chen, Joshua Tsoh, Shamay S M Ng
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引用次数: 0

摘要

背景:临床医生需要一种有效的方法来评估中国脑卒中患者的活动和参与情况:临床医生需要一种有效的方法来评估中国脑卒中患者的活动和参与情况:在社区居住的脑卒中患者中对国际功能、残疾和健康分类参与和活动量表(C-IMPACT-S)的中文(粤语)版本进行文化适应和心理测试:我们按照标准翻译程序对 C-IMPACT-S 进行了文化适应性调整。然后,我们对 100 名脑卒中患者和 50 名健康患者进行了 C-IMPACT-S 心理测量学测试,包括天花板效应和地板效应、内部一致性、测试-重测、测量误差、最小可检测变化、与其他结果测量的相关性、已知组有效性和最佳截断分数:结果:C-IMPACT-S 没有下限效应,但第 5 项有上限效应。其内部一致性从差到优(克朗巴赫系数α=0.56-95),测试-再测可靠性从一般到优(类内相关系数=0.58-1.00)。C-IMPACT-S 的总平均分以及活动和参与部分的平均分与 Fugl-Meyer 评估、中文版老年抑郁量表、疲劳评估量表、Lawton 日常生活活动工具量表和社区融入测量法无统计学意义的弱相关。中风患者的 C-IMPACT-S 评分低于健康患者。C-IMPACT-S 总分以及活动和参与领域的最佳临界分数分别为 88.02%(灵敏度 72%,特异度 80%)、80.56%(灵敏度 86%,特异度 68%)和 91.67%(灵敏度 68%,特异度 80%):C-IMPACT-S 是评估慢性卒中患者活动和参与水平的可靠有效的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychometric testing of the Chinese version of the International Classification of Functioning, Disability, and Health Measure of Participation and Activities Screener in people with stroke.

Background: Clinicians need a validated measure to assess the activity and participation of Chinese people with stroke.

Objectives: To culturally adapt and psychometrically test the Chinese (Cantonese) version of the International Classification of Functioning, Disability and Health Measure of Participation and Activities (C-IMPACT-S) in community-dwelling people with stroke.

Methods: We followed the standard translation procedures to culturally adapt the C-IMPACT-S. Then we administered the C-IMPACT-S to 100 people with stroke and 50 healthy counterparts for psychometric testing, including the ceiling and floor effects, internal consistency, test - retest, measurement error, minimal detectable change, correlations with other outcome measures, known-group validity and optimal cutoff scores.

Results: The C-IMPACT-S has no floor effects but ceiling effects in item 5. It has poor to excellent (Cronbach's α = 0.56-95) internal consistency and fair to excellent (Intraclass correlation coefficients = 0.58-1.00) test-retest reliability. The overall C-IMPACT-S mean score and activity and participation component mean scores had statistically significant no to weak correlations with the Fugl-Meyer Assessment, the Chinese versions of Geriatric Depression Scale, Fatigue Assessment Scale, Lawton Instrumental Activities of Daily Living Scale and Community Integration Measure. The stroke participants had lower C-IMPACT-S scores then their health counterparts. The optimal cutoff scores of the overall C-IMPACT-S and activity and participation domains were 88.02% (sensitivity 72%, specificity 80%), 80.56% (sensitivity 86%, specificity 68%) and 91.67% (sensitivity 68%, specificity 80%), respectively.

Conclusions: C-IMPACT-S is a reliable and valid measure for assessing the levels of activity and participation of people with chronic stroke.

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来源期刊
Topics in Stroke Rehabilitation
Topics in Stroke Rehabilitation 医学-康复医学
CiteScore
5.10
自引率
4.50%
发文量
57
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.
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