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  1. NTU Scholars
  2. 醫學院
  3. 醫學系
Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/200758
Title: Psychometric Characteristics of the Barthel Adl Index in Stroke Patients
Authors: HUSEH, I-PING
LEE, MING-MEI
HSIEH, CHING-LIN
薛漪平
Keywords: STROKE;BARTHEL INDEX;RELIABILITY;VALIDITY;RESPONSIVENESS
Issue Date: 2001
Journal Volume: v.100
Journal Issue: n.8
Start page/Pages: 526-532
Source: JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION 
Abstract: 
Background and purpose: Although the Barthel activities of daily living ( ADL) index (BI) is widely used to measure disability in Taiwan, the usage of the BI has not been scientifically justified. This study examined the reliability, validity and responsiveness of the BI in a cohort of stroke patients who were followed for half a year after stroke. Methods: One hundred and twenty-one patients were assessed using the BI at 14, 30, 90, and 180 days after stroke (DAS). Reliability of the BI was determined by the estimation of inter-rater agreement and internal consistency . Validity of the BI was determined by examining convergent construct validity and predictive validity. Responsiveness was determined using effect size and t-statistics calculations. Results: There was moderate to excellent agreement between raters for individual items (kappa values ranged from 0.53 to 0.94) and total score (ICC = 0.94). An excellent internal consistency was found within the BI at four DAS points (alpha value range, 0.89-0.92). The BI scores closely correlated with scores of the Fugl-Meyer motor assessment ( measuring impairment) and the Berg balance scale (measuring balance) (Pearson's r > or = 0.78, p < 0.0001). The Frenchay activities index (measuring instrumental ADL) at 180 DAS showed moderate correlation with the BI scores obtained at 14, 30, and 90 DAS (Pearson's r > or = 0.59, p < 0.0001). The effect size d, standardized response mean, t- statistics, and p-values showed that the BI was moderately to highly responsive at each stage of stroke recovery except the late stage (90-180 DAS). CONCLUSION: This study has demonstrated that the BI is a useful instrument with high inter-rater reliability, internal consistency, convergent and predictive validity, and adequate responsiveness in assessing ADL functions in stroke patients in Taiwan.
URI: http://ntur.lib.ntu.edu.tw//handle/246246/103489
Appears in Collections:醫學系

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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

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