Birol Önal, Nezire Köse, Şeyma Nur Önal, Hatice Yağmur Zengin
{"title":"Berg平衡量表在脑卒中患者不同远程评估方法中的效度和信度","authors":"Birol Önal, Nezire Köse, Şeyma Nur Önal, Hatice Yağmur Zengin","doi":"10.1111/jep.70141","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aims and Objective</h3>\n \n <p>Balance evaluation is essential for determining treatment and its effectiveness in stroke patients. Considering the widespread use of telehealth services, it is important to evaluate the applicability of balance scales for teleassessment. The aim in this study was to investigate the reliability and validity of the Berg Balance Scale (BBS) applied using synchronous and asynchronous teleassessment methods.</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>Teleassessments were performed by two physiotherapists. Synchronous assessments were conducted online in real time using the application Zoom, while asynchronous assessments involved patients recording videos according to a reference evaluation video sent to them. All tests were repeated 10 days later to assess intrarater reliability.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Thirty-six stroke patients (mean age 55.9 ± 9.5 years) participated in the study. Both synchronous and asynchronous teleassessments of the Berg Balance Scale (BBS) demonstrated excellent interrater reliability, with ICC values of 0.989 for synchronous and 0.997 for asynchronous assessments. Intrarater reliability was also high, with ICCs ranging from 0.982 to 0.997 across raters and methods. Regarding concurrent validity, synchronous teleassessment BBS scores showed a strong correlation with face-to-face BBS (<i>r</i> = 0.970) and Timed Balance Test (TBT) scores (<i>r</i> = 0.901), while asynchronous assessments also demonstrated strong correlations (BBS: <i>r</i> = 0.945; TBT: <i>r</i> = 0.885). Correlations with postural sway parameters were moderate, ranging from <i>r</i> =−0.40 to −0.54.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Our findings suggest that synchronous and asynchronous teleassessment of the BBS may be a viable alternative to face-to-face assessments. However, further research with larger samples is needed to support these findings and increase their generalizability.</p>\n </section>\n \n <section>\n \n <h3> Trial Registration</h3>\n \n <p>ClinicalTrials.gov identifier: NCT05263063.</p>\n </section>\n </div>","PeriodicalId":15997,"journal":{"name":"Journal of evaluation in clinical practice","volume":"31 4","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jep.70141","citationCount":"0","resultStr":"{\"title\":\"Validity and Reliability of the Berg Balance Scale in Different Tele-Assessment Methods in Patients With Stroke\",\"authors\":\"Birol Önal, Nezire Köse, Şeyma Nur Önal, Hatice Yağmur Zengin\",\"doi\":\"10.1111/jep.70141\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aims and Objective</h3>\\n \\n <p>Balance evaluation is essential for determining treatment and its effectiveness in stroke patients. Considering the widespread use of telehealth services, it is important to evaluate the applicability of balance scales for teleassessment. The aim in this study was to investigate the reliability and validity of the Berg Balance Scale (BBS) applied using synchronous and asynchronous teleassessment methods.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Method</h3>\\n \\n <p>Teleassessments were performed by two physiotherapists. Synchronous assessments were conducted online in real time using the application Zoom, while asynchronous assessments involved patients recording videos according to a reference evaluation video sent to them. All tests were repeated 10 days later to assess intrarater reliability.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Thirty-six stroke patients (mean age 55.9 ± 9.5 years) participated in the study. Both synchronous and asynchronous teleassessments of the Berg Balance Scale (BBS) demonstrated excellent interrater reliability, with ICC values of 0.989 for synchronous and 0.997 for asynchronous assessments. Intrarater reliability was also high, with ICCs ranging from 0.982 to 0.997 across raters and methods. Regarding concurrent validity, synchronous teleassessment BBS scores showed a strong correlation with face-to-face BBS (<i>r</i> = 0.970) and Timed Balance Test (TBT) scores (<i>r</i> = 0.901), while asynchronous assessments also demonstrated strong correlations (BBS: <i>r</i> = 0.945; TBT: <i>r</i> = 0.885). Correlations with postural sway parameters were moderate, ranging from <i>r</i> =−0.40 to −0.54.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Our findings suggest that synchronous and asynchronous teleassessment of the BBS may be a viable alternative to face-to-face assessments. 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Validity and Reliability of the Berg Balance Scale in Different Tele-Assessment Methods in Patients With Stroke
Aims and Objective
Balance evaluation is essential for determining treatment and its effectiveness in stroke patients. Considering the widespread use of telehealth services, it is important to evaluate the applicability of balance scales for teleassessment. The aim in this study was to investigate the reliability and validity of the Berg Balance Scale (BBS) applied using synchronous and asynchronous teleassessment methods.
Method
Teleassessments were performed by two physiotherapists. Synchronous assessments were conducted online in real time using the application Zoom, while asynchronous assessments involved patients recording videos according to a reference evaluation video sent to them. All tests were repeated 10 days later to assess intrarater reliability.
Results
Thirty-six stroke patients (mean age 55.9 ± 9.5 years) participated in the study. Both synchronous and asynchronous teleassessments of the Berg Balance Scale (BBS) demonstrated excellent interrater reliability, with ICC values of 0.989 for synchronous and 0.997 for asynchronous assessments. Intrarater reliability was also high, with ICCs ranging from 0.982 to 0.997 across raters and methods. Regarding concurrent validity, synchronous teleassessment BBS scores showed a strong correlation with face-to-face BBS (r = 0.970) and Timed Balance Test (TBT) scores (r = 0.901), while asynchronous assessments also demonstrated strong correlations (BBS: r = 0.945; TBT: r = 0.885). Correlations with postural sway parameters were moderate, ranging from r =−0.40 to −0.54.
Conclusion
Our findings suggest that synchronous and asynchronous teleassessment of the BBS may be a viable alternative to face-to-face assessments. However, further research with larger samples is needed to support these findings and increase their generalizability.
期刊介绍:
The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.