scholarly journals Reliability and Validity of the Balance Evaluation Systems Test (BESTest) in People With Subacute Stroke

2014 ◽  
Vol 94 (11) ◽  
pp. 1632-1643 ◽  
Author(s):  
Butsara Chinsongkram ◽  
Nithinun Chaikeeree ◽  
Vitoon Saengsirisuwan ◽  
Nitaya Viriyatharakij ◽  
Fay B. Horak ◽  
...  
Keyword(s):  
Functional Ability ◽  
Convergent Validity ◽  
Functional Disability ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Intrarater Reliability ◽  
Evaluation Systems ◽  
Subacute Stroke ◽  
Ceiling Effects

Background The Balance Evaluation Systems Test (BESTest) is a new clinical balance assessment tool, but it has never been validated in patients with subacute stroke. Objective The purpose of this study was to examine the reliability and validity of the BESTest in patients with subacute stroke. Design This was an observational reliability and validity study. Methods Twelve patients participated in the interrater and intrarater reliability study. Convergent validity was investigated in 70 patients using the Berg Balance Scale (BBS), Postural Assessment Scale for Stroke (PASS), Community Balance and Mobility Scale (CB&M), and Mini-BESTest. The receiver operating characteristic curve was used to calculate the sensitivity, specificity, and accuracy of the BESTest, Mini-BESTest, and BBS in classifying participants into low functional ability (LFA) and high functional ability (HFA) groups based on Fugl-Meyer Assessment motor subscale scores. Results The BESTest showed excellent intrarater reliability and interrater reliability (intraclass correlation coefficient=.99) and was highly correlated with the BBS (Spearman r=.96), PASS (r=.96), CB&M (r=.91), and Mini-BESTest (r=.96), indicating excellent convergent validity. No floor or ceiling effects were observed with the BESTest. In contrast, the Mini-BESTest and CB&M had a floor effect in the LFA group, and the BBS and PASS demonstrated responsive ceiling effects in the HFA group. In addition, the BESTest showed high accuracy as the BBS and Mini-BESTest in separating participants into HFA and LFA groups. Limitation Whether the results are generalizable to patients with chronic stroke is unknown. Conclusion The BESTest is reliable, valid, sensitive, and specific in assessing balance in people with subacute stroke across all levels of functional disability.

CODEM Instrument

GeroPsych ◽  
2014 ◽  
Vol 27 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Anne Kuemmel (This author contributed eq ◽  
Julia Haberstroh (This author contributed ◽  
Johannes Pantel
Keyword(s):  
Convergent Validity ◽  
Interrater Reliability ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Well Being ◽  
Communication Behavior ◽  
People With Dementia ◽  
Pearson's R ◽  
Pearson’S R

Communication and communication behaviors in situational contexts are essential conditions for well-being and quality of life in people with dementia. Measuring methods, however, are limited. The CODEM instrument, a standardized observational communication behavior assessment tool, was developed and evaluated on the basis of the current state of research in dementia care and social-communicative behavior. Initially, interrater reliability was examined by means of videoratings (N = 10 people with dementia). Thereupon, six caregivers in six German nursing homes observed 69 residents suffering from dementia and used CODEM to rate their communication behavior. The interrater reliability of CODEM was excellent (mean κ = .79; intraclass correlation = .91). Statistical analysis indicated that CODEM had excellent internal consistency (Cronbach’s α = .95). CODEM also showed excellent convergent validity (Pearson’s R = .88) as well as discriminant validity (Pearson’s R = .63). Confirmatory factor analysis verified the two-factor solution of verbal/content aspects and nonverbal/relationship aspects. With regard to the severity of the disease, the content and relational aspects of communication exhibited different trends. CODEM proved to be a reliable, valid, and sensitive assessment tool for examining communication behavior in the field of dementia. CODEM also provides researchers a feasible examination tool for measuring effects of psychosocial intervention studies that strive to improve communication behavior and well-being in dementia.

Validity and reliability of the Mandarin version of the Treatment Burden Questionnaire among stroke patients in Mainland China

2021 ◽  
Author(s):  
Qi Zhang ◽  
Ke Zhang ◽  
Miao Li ◽  
Jiaxin Gu ◽  
Xintong Li ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Convergent Validity ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Therapeutic Interventions ◽  
Treatment Burden ◽  
Validity And Reliability ◽  
Stroke Patients ◽  
Retest Reliability ◽  
Test Retest Reliability

Abstract Objectives To examine the validity and reliability of the Mandarin version of the Treatment Burden Questionnaire (TBQ) among stroke patients. Background Stroke patients need long-term management of symptoms and life situation, and treatment burden has recently emerged as a new concept that can influence the health outcomes during the rehabilitation process. Methods The convenience sampling method was used to recruit 187 cases of stroke patients in a tertiary grade hospital in Tianjin for a formal investigation. Item analysis, reliability and validity tests were carried out. The reliability test included internal consistency and test–retest reliability. And as well as content, structure and convergent validity were performed for the validity test. Results Of the 187 completed questionnaires, only 180 (96.3%) were suitable for analysis. According to the experts’ evaluation, the I-CVI of each item was from 0.833 to 1.000, and the S-CVI was 0.967. The exploratory factor analysis yielded three-factor components with a cumulative variation of 53.054%. Convergent validity was demonstrated using measures of Morisky’s Medication Adherence Scale 8 (r = –0.450, P < 0.01). All correlations between items and global scores ranged from 0.403 to 0.638. Internal consistency reliability and test–retest reliability were found to be acceptable, as indicated by a Cronbach’s α of 0.824 and an intraclass correlation coefficient of 0.846, respectively. Conclusions The Mandarin TBQ had acceptable validity and reliability. The use of TBQ in the assessment of treatment burden of stroke survivor may benefit health resources allocation and provide tailor therapeutic interventions to construct minimally disruptive care.

scholarly journals Reliability and Validity of the Japanese Version of the Mini-balance Evaluation Systems Test in Patients with Subacute Stroke

2018 ◽  
Vol 3 (0) ◽  
pp. n/a
Author(s):  
Chisato Oyama ◽  
Yohei Otaka ◽  
Katsuya Onitsuka ◽  
Hideyuki Takagi ◽  
Emiko Tan ◽  
...  
Keyword(s):  
Reliability And Validity ◽  
Japanese Version ◽  
Evaluation Systems ◽  
Subacute Stroke

scholarly journals Quantitative Mechanical Properties of the Relaxed Biceps and Triceps Brachii Muscles in Patients with Subacute Stroke: A Reliability Study of the Myoton-3 Myometer

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Li-ling Chuang ◽  
Ching-yi Wu ◽  
Keh-chung Lin ◽  
Shih-yu Lur
Keyword(s):  
Standardized Testing ◽  
Muscle Tone ◽  
Intraclass Correlation ◽  
Minimal Detectable Change ◽  
Intrarater Reliability ◽  
Triceps Brachii ◽  
Muscle Properties ◽  
Subacute Stroke ◽  
Test Retest Reliability ◽  
Standard Error Of Measurement

Objective. Test-retest reliability of the myotonometer was investigated in patients with subacute stroke.Methods. Twelve patients with substroke (3 to 9 months poststroke) were examined in standardized testing position twice, 60 minutes apart, with the Myoton-3 myometer to measure tone, elasticity, and stiffness of relaxed bilateral biceps and triceps brachii muscles. Intrarater reliability of muscle properties was determined using intraclass correlation coefficient (ICC), the standard error of measurement (SEM), and the minimal detectable change (MDC).Results. Intrarater reliability of muscle properties of bilateral biceps and triceps brachii muscles were good (ICCs=0.79–0.96) except for unaffected biceps tone (ICC=0.72). The SEM and MDC of bilateral biceps and triceps brachii muscles indicated small measurement error (SEM%<10%, MDC%<25%).Conclusion. The Myoton-3 myometer is a reliable tool for quantifying muscle tone, elasticity, and stiffness of the biceps and triceps brachii in patients with subacute stroke.

scholarly journals Validation of the Indonesian version of the graded chronic pain scale 2.0 in pain-related temporomandibular disorders

2020 ◽  
Vol 29 (1) ◽  
pp. 42-6
Author(s):  
Ira Tanti ◽  
Vivi Vidya Waty Wira ◽  
Yenni Pragustine ◽  
Laura Susanti Himawan ◽  
Nina Ariani
Keyword(s):  
Chronic Pain ◽  
Internal Consistency ◽  
Temporomandibular Disorders ◽  
Convergent Validity ◽  
Discriminant Validity ◽  
Assessment Tool ◽  
Intraclass Correlation ◽  
Pain Scale ◽  
Disability Score ◽  
Positive Correlation

BACKGROUND Pain associated with oral problems is one of the most frequent chronic pain of temporomandibular disorders (TMDs). This study was conducted to analyze the psychometric properties of the Indonesian version of the graded chronic pain scale 2.0 (GCPS-ID) in Indonesian patients with TMDs. METHODS The English version of the GCPS version 2.0 was translated and back-translated according to international guidelines. This study conducted from June to December 2016 at the Dental Hospital, Faculty of Dentistry, Universitas Indonesia, and the participants were 202 TMDs patients who had never undergone temporomandibular joint surgery or suffered facial pain for more than 6 months. The evaluation of the GCPS-ID included the internal consistency test, test-retest reliability, and construct validity tests. RESULTS The GCPS-ID had a high internal consistency (Cronbach’s alpha = 0.896). The intraclass correlation coefficient of the pain intensity and the disability score were 0.789 and 0.706, respectively. The convergent validity demonstrated a moderately positive correlation between the GCPS-ID and the Indonesian version of oral health impact profile for TMD for pain (r = 0.595; p<0.001) and disability (r = 0.488; p<0.001). The discriminant validity between GCPS-ID and the subjective patient’s quality of life revealed a weak positive correlation (r = 0.195; p = 0.191). CONCLUSIONS GCPS-ID is a reliable and valid assessment tool for evaluating TMD pain in Indonesia.

scholarly journals T234. MEASURING PERSONAL RECOVERY IN PEOPLE WITH A PSYCHOTIC DISORDER BASED ON CHIME: A COMPARISON OF RELIABILITY AND VALIDITY PROPERTIES ON THREE VALIDATED MEASURES

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S322-S322
Author(s):  
Jelle Sjoerd Vogel ◽  
Jojanneke Bruins ◽  
Levi Halbersma ◽  
Rianne Janine Lieben ◽  
Steven de Jong ◽  
...  
Keyword(s):  
Social Support ◽  
Psychotic Disorder ◽  
Internal Consistency ◽  
Content Validity ◽  
Convergent Validity ◽  
Reliability And Validity ◽  
Personal Recovery ◽  
Residual Symptoms ◽  
Instrument Choice ◽  
Ceiling Effects

Abstract Background Living well in spite of residual symptoms of mental illness is measured with the construct of personal recovery. The CHIME framework might be suitable to evaluate personal recovery measures and guide instrument choice. Methods Three validated measures were evaluated in Dutch patients with a psychotic disorder (N=52). We compared the Recovery Assessment Scale [RAS], the Mental Health Recovery Measure [MHRM] and the Netherlands Empowerment List [NEL]. The measures were assessed on six criteria: content validity (based on CHIME), convergent validity with a social support measure, internal consistency, floor and ceiling effects, item interpretability and ease of administration. Results The MHRM scored high on content validity with a balanced distribution of items covering the CHIME framework. The MHRM and NEL showed moderate convergent validity with social support. In all three measures internal consistency was moderate and floor and ceiling effects were absent. The NEL scores demonstrated a high degree of item interpretability. Ease of administration was moderate for all three measures. Finally, the CHIME framework demonstrated good utility as a framework in guiding instrument choice and evaluation of personal recovery measures. Discussion The MHRM showed the best overall result. However, differences between measures were minimal. Generalization of the results is limited by cultural and linguistic factors in the assessment for the subjective measures (i.e. content validity and item interpretability). The broad and multi-dimensional construct of personal recovery might lead to ambiguous interpretations. Scientific consensus on a well-defined personal recovery construct is needed.

scholarly journals The Brazilian version of the Neuropsychiatric Inventory-Clinician rating scale (NPI-C): reliability and validity in dementia

2013 ◽  
Vol 25 (9) ◽  
pp. 1503-1511 ◽  
Author(s):  
Florindo Stella ◽  
Orestes Vicente Forlenza ◽  
Jerson Laks ◽  
Larissa Pires de Andrade ◽  
Michelle A. Ljubetic Avendaño ◽  
...  
Keyword(s):  
Concurrent Validity ◽  
Convergent Validity ◽  
Rating Scale ◽  
Neuropsychiatric Symptoms ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Neuropsychiatric Inventory ◽  
Rater Reliability ◽  
Clinician Rating

ABSTRACTBackground:Patients with dementia may be unable to describe their symptoms, and caregivers frequently suffer emotional burden that can interfere with judgment of the patient's behavior. The Neuropsychiatric Inventory-Clinician rating scale (NPI-C) was therefore developed as a comprehensive and versatile instrument to assess and accurately measure neuropsychiatric symptoms (NPS) in dementia, thereby using information from caregiver and patient interviews, and any other relevant available data. The present study is a follow-up to the original, cross-national NPI-C validation, evaluating the reliability and concurrent validity of the NPI-C in quantifying psychopathological symptoms in dementia in a large Brazilian cohort.Methods:Two blinded raters evaluated 312 participants (156 patient-knowledgeable informant dyads) using the NPI-C for a total of 624 observations in five Brazilian centers. Inter-rater reliability was determined through intraclass correlation coefficients for the NPI-C domains and the traditional NPI. Convergent validity included correlations of specific domains of the NPI-C with the Brief Psychiatric Rating Scale (BPRS), the Cohen-Mansfield Agitation Index (CMAI), the Cornell Scale for Depression in Dementia (CSDD), and the Apathy Inventory (AI).Results:Inter-rater reliability was strong for all NPI-C domains. There were high correlations between NPI-C/delusions and BPRS, NPI-C/apathy-indifference with the AI, NPI-C/depression-dysphoria with the CSDD, NPI-C/agitation with the CMAI, and NPI-C/aggression with the CMAI. There was moderate correlation between the NPI-C/aberrant vocalizations and CMAI and the NPI-C/hallucinations with the BPRS.Conclusion:The NPI-C is a comprehensive tool that provides accurate measurement of NPS in dementia with high concurrent validity and inter-rater reliability in the Brazilian setting. In addition to universal assessment, the NPI-C can be completed by individual domains.

scholarly journals Assessing Balance Function in Patients With Total Knee Arthroplasty

2015 ◽  
Vol 95 (10) ◽  
pp. 1397-1407 ◽  
Author(s):  
Andy C.M. Chan ◽  
Marco Y.C. Pang
Keyword(s):  
Total Knee Arthroplasty ◽  
Internal Consistency ◽  
Knee Arthroplasty ◽  
Convergent Validity ◽  
Interrater Reliability ◽  
Intraclass Correlation ◽  
Cronbach Alpha ◽  
Ceiling Effects ◽  
Total Knee ◽  
Abc Scale

BackgroundThe Balance Evaluation Systems Test (BESTest) is a relatively new balance assessment tool. Recently, the Mini-BESTest and the Brief-BESTest, which are shortened versions of the BESTest, were developed.ObjectiveThe purpose of this study was to estimate interrater and intrarater-interoccasion reliability, internal consistency, concurrent and convergent validity, and floor and ceiling effects of the 3 BESTests and other related measures, namely, the Berg Balance Scale (BBS), Functional Gait Assessment (FGA), and Activities-specific Balance Confidence (ABC) Scale, among patients with total knee arthroplasty (TKA).DesignThis was an observational measurement study.MethodsTo establish interrater reliability, the 3 BESTests were administered by 3 independent raters to 25 participants with TKA. Intrarater-interoccasion reliability was evaluated in 46 participants with TKA (including the 25 individuals who participated in the interrater reliability experiments) by repeating the 3 BESTests, BBS, and FGA within 1 week by the same rater. Internal consistency of each test also was assessed with Cronbach alpha. Validity was assessed in another 46 patients with TKA by correlating the 3 BESTests with BBS, FGA, and ABC. The floor and ceiling effects also were examined.ResultsThe 3 BESTests demonstrated excellent interrater reliability (intraclass correlation coefficient [ICC] [2,1]=.96–.99), intrarater-interoccasion reliability (ICC [2,1]=.92–.96), and internal consistency (Cronbach alpha=.96–.98). These values were comparable to those for the BBS and FGA. The 3 BESTests also showed moderate-to-strong correlations with the BBS, FGA, and ABC (r=.35–.81), thus demonstrating good concurrent and convergent validity. No significant floor and ceiling effects were observed, except for the BBS.LimitationsThe results are generalizable only to patients with TKA due to end-stage knee osteoarthritis.ConclusionsThe 3 BESTests have good reliability and validity for evaluating balance in people with TKA. The Brief-BESTest is the least time-consuming and may be more useful clinically.

scholarly journals Test-Retest Reliability and Validity of the Six Minute Stepper Test to Evaluate Functional Exercise Capacity in Patients with Ankylosing Spondylitis

2021 ◽  
Author(s):  
Selin Bayram ◽  
Deran Oskay ◽  
Nurten Gizem Tore ◽  
Fulden Sari ◽  
Devrim Can Saraç ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Exercise Capacity ◽  
Convergent Validity ◽  
Pearson Correlation ◽  
Physiological Responses ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Rank Test ◽  
Retest Reliability ◽  
Test Retest Reliability

ABSTRACT Objectives The 6-minute stepper test (6MST) is a submaximal test that requires little space to assess exercise capacity compared to the 6-minute walk test (6MWT). The study aims to investigate the test-retest reliability and convergent validity of 6MST and to compare physiological responses, dyspnea, fatigue perception with 6MST and 6MWT in patients with ankylosing spondylitis (AS). Methods To test the convergent validity of 6MST, 65 patients performed both 6MWT and 6MST on the first day and correlation between two tests were assessed with Pearson correlation test. In order to investigate the test-retest reliability of the 6MST, thirty-two of the 65 patients performed 6MST one week later and intraclass correlation coefficients (ICC) were calculated. Dyspnea and fatigue perception were analyzed with using Wilcoxon signed-rank test, physiological responses were analyzed using paired sample t-test. Results Excellent test-retest reliability was observed for 6MST (ICC: 0.988). There was a significant correlation between 6MST and 6MWT (r: 0.725, p&lt;0.001). Dyspnea and leg fatigue perception were significantly higher in 6MST (p&lt;0.05). Physiological responses and fatigue perception were similar in both 6MST and 6MWT (p&gt;0.05). Conclusion This study demonstrated that the 6MST is reliable and valid method to evaluate exercise capacity in patients with AS. 6MST can be used to evaluate exercise capacity of patients with AS.

Evaluation of Stereo Acuity in Professional Baseball and LPGA Athletes Compared to Non-Athletes

2017 ◽  
pp. 34-42
Keyword(s):  
Convergent Validity ◽  
High Reliability ◽  
Intraclass Correlation ◽  
Reliability And Validity ◽  
Correlation Coefficients ◽  
Professional Women ◽  
Professional Baseball ◽  
Baseball Players ◽  
Intraclass Correlation Coefficients ◽  
Stereo Acuity

Purpose: To investigate stereo acuity of professional athletes in an open (baseball) and closed (golf) skilled sport compared to nonathletes using a new digitized version of the Titmus Stereo Test/Wirt Circles. Additionally, to examine the new test for reliability and validity. Methods: Participants included professional baseball players (PBP; n = 265) and professional women golfers (LPGA; n = 52), and nonathletes (n = 107). All participants were tested on the RightEye Fine Depth Perception (FDP) test and a subset (n = 20) was retested to determine reliability and internal consistency. A different subset (n = 81) was tested for validity comparing the Titmus Stereo Test/Wirt Circles to the RightEye FDP test. Cronbach’s Alpha, intraclass correlation coefficients (ICC) were examined for reliability and ANOVA was conducted to determine convergent validity as well as differences in stereo acuity between groups. Results: Results: The test was revealed to have high reliability and validity, therefore being a good measure of stereo acuity. Furthermore, significant differences (p<.001) between athletes and non-athletes were found. Both PBP and LPGA athletes were significantly different from non-athletes (p<.05). No differences were found between athlete groups. Conclusions: The RightEye FDP test is both reliable and valid and can therefore be used confidently as a measure of static stereo acuity. Elite athletes in open and closed skills show significantly better stereo acuity than non-athletes.

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