| Titre : | Development of a Computerized Adaptive Testing System of the Functional Assessment of Stroke (2018) |
| Auteurs : | Gong-Hong Lin ; Yi-Jing Huang ; Shih-Chieh Lee |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 4, 2018) |
| Article en page(s) : | p. 676-683 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Psychométrie ; Rééducation et réadaptation |
| Mots-clés: | Psychometrics ; Reproducibility of results ; Reproductibilité des résultats ; Stroke ; Validation studies as topic ; Études de validation comme sujet |
| Résumé : |
Objective To develop a computerized adaptive testing system of the Functional Assessment of Stroke (CAT-FAS) to assess upper- and lower-extremity (UE/LE) motor function, postural control, and basic activities of daily living with optimal efficiency and without sacrificing psychometric properties in patients with stroke. Design Simulation study. Setting One rehabilitation unit in a medical center. Participants Patients with subacute stroke (N=301; mean age, 67.3+10.9; intracranial infarction, 74.5%). Interventions Not applicable. Main Outcome Measures The UE and LE subscales of the Fugl-Meyer Assessment, Postural Assessment Scale for Stroke Patients, and Barthel Index. Results The CAT-FAS adopting the optimal stopping rule (limited reliability increase of <.010 had good rasch reliability across the domains and needed few items for whole administration on average concurrent validity vs original tests pearson r=".91–.95)" responsiveness response mean .65 of cat-fas were in patients with stroke.> Conclusions We developed the CAT-FAS, and our results support that the CAT-FAS has sufficient efficiency, reliability, concurrent validity, and responsiveness in patients with stroke. The CAT-FAS can be used to simultaneously assess patients' functions of UE, LE, postural control, and basic activities of daily living using, on average, no more than 10 items; this efficiency is useful in reducing the assessment burdens for both clinicians and patients. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/journal/archives-of-physical-medicine-and-rehabilitation |
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