Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand

Objectives This study was conducted to develop the Mobility to Participation Assessment Scale for Stroke (MPASS) and assess its content validity, internal consistency, inter-rater and intra-rater reliability, and convergent validity in people with stroke living in the community. Methods The MPASS wa...

Full description

Bibliographic Details
Main Authors: Jiraphat Nawarat, Kanda Chaipinyo
Format: Article
Language:English
Published: Korean Society for Preventive Medicine 2022-07-01
Series:Journal of Preventive Medicine and Public Health
Subjects:
Online Access:http://jpmph.org/upload/pdf/jpmph-21-605.pdf
_version_ 1811344040954691584
author Jiraphat Nawarat
Kanda Chaipinyo
author_facet Jiraphat Nawarat
Kanda Chaipinyo
author_sort Jiraphat Nawarat
collection DOAJ
description Objectives This study was conducted to develop the Mobility to Participation Assessment Scale for Stroke (MPASS) and assess its content validity, internal consistency, inter-rater and intra-rater reliability, and convergent validity in people with stroke living in the community. Methods The MPASS was developed using published data on mobility-related activity and participation timing in elderly individuals, and then reviewed by community physical therapists. Content validity was established by reaching a consensus of experienced physical therapists in a focus group. The MPASS was scored for 32 participants with stroke (mean age 61.75±4.92 years) by 3 individual testers. Reliability was examined using the intraclass correlation coefficient (ICC), internal consistency using the Cronbach alpha coefficient (α), and convergent validity using the Pearson correlation coefficient (r) to compare the MPASS to the Modified Rivermead Mobility Index as a referent test of mobility. Results The MPASS consists of 8 items, and its scoring system provides information on the ability of people with stroke to reach a movement level enabling them to live in society, including interactions with other people and safe living in the community. The inter-rater and intra-rater reliability were excellent (ICC, 0.948; 95% confidence interval [CI], 0.893 to 0.982 and ICC, 0.967; 95% CI, 0.933 to 0.989, respectively). Internal consistency was good (α=0.877). The convergent validity was moderate (r=0.646; p<0.001). Conclusions The newly developed MPASS showed acceptable construct validity and high reliability. The MPASS is suitable for use in people with stroke, especially those who have been discharged and live in the community with the ability to initiate sitting.
first_indexed 2024-04-13T19:40:42Z
format Article
id doaj.art-12cba89142854815b4b069fb9438ece3
institution Directory Open Access Journal
issn 1975-8375
2233-4521
language English
last_indexed 2024-04-13T19:40:42Z
publishDate 2022-07-01
publisher Korean Society for Preventive Medicine
record_format Article
series Journal of Preventive Medicine and Public Health
spelling doaj.art-12cba89142854815b4b069fb9438ece32022-12-22T02:32:54ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212022-07-0155433434110.3961/jpmph.21.6052228Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in ThailandJiraphat Nawarat0Kanda Chaipinyo1Faculty of Physical Therapy, Srinakharinwirot University, Nakhonnayok, ThailandFaculty of Physical Therapy, Srinakharinwirot University, Nakhonnayok, ThailandObjectives This study was conducted to develop the Mobility to Participation Assessment Scale for Stroke (MPASS) and assess its content validity, internal consistency, inter-rater and intra-rater reliability, and convergent validity in people with stroke living in the community. Methods The MPASS was developed using published data on mobility-related activity and participation timing in elderly individuals, and then reviewed by community physical therapists. Content validity was established by reaching a consensus of experienced physical therapists in a focus group. The MPASS was scored for 32 participants with stroke (mean age 61.75±4.92 years) by 3 individual testers. Reliability was examined using the intraclass correlation coefficient (ICC), internal consistency using the Cronbach alpha coefficient (α), and convergent validity using the Pearson correlation coefficient (r) to compare the MPASS to the Modified Rivermead Mobility Index as a referent test of mobility. Results The MPASS consists of 8 items, and its scoring system provides information on the ability of people with stroke to reach a movement level enabling them to live in society, including interactions with other people and safe living in the community. The inter-rater and intra-rater reliability were excellent (ICC, 0.948; 95% confidence interval [CI], 0.893 to 0.982 and ICC, 0.967; 95% CI, 0.933 to 0.989, respectively). Internal consistency was good (α=0.877). The convergent validity was moderate (r=0.646; p<0.001). Conclusions The newly developed MPASS showed acceptable construct validity and high reliability. The MPASS is suitable for use in people with stroke, especially those who have been discharged and live in the community with the ability to initiate sitting.http://jpmph.org/upload/pdf/jpmph-21-605.pdfstrokepatient peported outcome measuresmovementlocomotionmotor activity
spellingShingle Jiraphat Nawarat
Kanda Chaipinyo
Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand
Journal of Preventive Medicine and Public Health
stroke
patient peported outcome measures
movement
locomotion
motor activity
title Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand
title_full Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand
title_fullStr Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand
title_full_unstemmed Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand
title_short Construction of the Mobility to Participation Assessment Scale for Stroke (MPASS) and Testing Its Validity and Reliability in Persons With Stroke in Thailand
title_sort construction of the mobility to participation assessment scale for stroke mpass and testing its validity and reliability in persons with stroke in thailand
topic stroke
patient peported outcome measures
movement
locomotion
motor activity
url http://jpmph.org/upload/pdf/jpmph-21-605.pdf
work_keys_str_mv AT jiraphatnawarat constructionofthemobilitytoparticipationassessmentscaleforstrokempassandtestingitsvalidityandreliabilityinpersonswithstrokeinthailand
AT kandachaipinyo constructionofthemobilitytoparticipationassessmentscaleforstrokempassandtestingitsvalidityandreliabilityinpersonswithstrokeinthailand