Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivors
Abstract Stroke survivors frequently experience difficulties in daily activities, such as bathing, feeding, and mobility. This study aimed to evaluate the reliability and validity of a computer-adaptive test-Longshi scale (CAT-LS) for assessing activities of daily living (ADL) in stroke survivors. T...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-04-01
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| Series: | Scientific Reports |
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| Online Access: | https://doi.org/10.1038/s41598-024-57671-1 |
| _version_ | 1827291569045110784 |
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| author | Jing Zhou Fubing Zha Fang Liu Li Wan Mingchao Zhou Jianjun Long Miaoling Chen Kaiwen Xue Yulong Wang |
| author_facet | Jing Zhou Fubing Zha Fang Liu Li Wan Mingchao Zhou Jianjun Long Miaoling Chen Kaiwen Xue Yulong Wang |
| author_sort | Jing Zhou |
| collection | DOAJ |
| description | Abstract Stroke survivors frequently experience difficulties in daily activities, such as bathing, feeding, and mobility. This study aimed to evaluate the reliability and validity of a computer-adaptive test-Longshi scale (CAT-LS) for assessing activities of daily living (ADL) in stroke survivors. This cross-sectional study collected data using an electronic application. The ADL function of stroke survivors in rehabilitation departments of hospitals was assessed using both the CAT-LS and BI. Correlations between the CAT-LS and Barthel index (BI) and concurrent validity were evaluated using Pearson’s correlation test and multiple linear regression. Interrater reliability was evaluated using the intraclass correlation coefficient based on a two-way random effect. The internal consistency of the CAT-LS was assessed using Cronbach’s coefficient (α) and corrected item-total correlations. Overall, 103 medical institutions in China were used in this study. In total, 7151 patients with stroke were included in this study. The CAT-LS classified patients into three ADL groups (bedridden, domestic, and community) with significantly different BI scores (P < 0.05). The CAT-LS results obtained using the decision-tree scoring model were consistent with the scores for each BI item. A strong correlation was observed between CAT-LS and BI (Pearson’s r: 0.6–0.894, P < 0.001). The CAT-LS demonstrated good internal consistency (Cronbach’s α, 0.803–0.894) and interrater reliability (ICC, 0.928–0.979). CAT-LS is time-efficient and requires < 1 min to administer. The CAT-LS is a reliable and valid tool for assessing ADL function in stroke survivors and can provide rapid and accurate assessments that reduce the burden on healthcare professionals. Further validation of this tool in other populations and settings is necessary. Study registration number: No.: ChiCTR2000034067; http://www.chictr.org.cn/showproj.aspx?proj=54770 . |
| first_indexed | 2024-04-24T12:40:15Z |
| format | Article |
| id | doaj.art-3290bf00efb84d428c569cfd08cda1a1 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T12:40:15Z |
| publishDate | 2024-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-3290bf00efb84d428c569cfd08cda1a12024-04-07T11:17:09ZengNature PortfolioScientific Reports2045-23222024-04-0114111210.1038/s41598-024-57671-1Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivorsJing Zhou0Fubing Zha1Fang Liu2Li Wan3Mingchao Zhou4Jianjun Long5Miaoling Chen6Kaiwen Xue7Yulong Wang8Department of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalDepartment of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalDepartment of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalDepartment of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalDepartment of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalDepartment of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalDepartment of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalDepartment of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalDepartment of Rehabilitation, First Affiliated Hospital of Shenzhen University/Shenzhen Second People’s HospitalAbstract Stroke survivors frequently experience difficulties in daily activities, such as bathing, feeding, and mobility. This study aimed to evaluate the reliability and validity of a computer-adaptive test-Longshi scale (CAT-LS) for assessing activities of daily living (ADL) in stroke survivors. This cross-sectional study collected data using an electronic application. The ADL function of stroke survivors in rehabilitation departments of hospitals was assessed using both the CAT-LS and BI. Correlations between the CAT-LS and Barthel index (BI) and concurrent validity were evaluated using Pearson’s correlation test and multiple linear regression. Interrater reliability was evaluated using the intraclass correlation coefficient based on a two-way random effect. The internal consistency of the CAT-LS was assessed using Cronbach’s coefficient (α) and corrected item-total correlations. Overall, 103 medical institutions in China were used in this study. In total, 7151 patients with stroke were included in this study. The CAT-LS classified patients into three ADL groups (bedridden, domestic, and community) with significantly different BI scores (P < 0.05). The CAT-LS results obtained using the decision-tree scoring model were consistent with the scores for each BI item. A strong correlation was observed between CAT-LS and BI (Pearson’s r: 0.6–0.894, P < 0.001). The CAT-LS demonstrated good internal consistency (Cronbach’s α, 0.803–0.894) and interrater reliability (ICC, 0.928–0.979). CAT-LS is time-efficient and requires < 1 min to administer. The CAT-LS is a reliable and valid tool for assessing ADL function in stroke survivors and can provide rapid and accurate assessments that reduce the burden on healthcare professionals. Further validation of this tool in other populations and settings is necessary. Study registration number: No.: ChiCTR2000034067; http://www.chictr.org.cn/showproj.aspx?proj=54770 .https://doi.org/10.1038/s41598-024-57671-1Activities of daily livingBarthel indexComputer adaptive test-Longshi ScaleStroke |
| spellingShingle | Jing Zhou Fubing Zha Fang Liu Li Wan Mingchao Zhou Jianjun Long Miaoling Chen Kaiwen Xue Yulong Wang Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivors Scientific Reports Activities of daily living Barthel index Computer adaptive test-Longshi Scale Stroke |
| title | Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivors |
| title_full | Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivors |
| title_fullStr | Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivors |
| title_full_unstemmed | Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivors |
| title_short | Reliability and validity of a graphical computerized adaptive test Longshi scale for rapid assessment of activities of daily living in stroke survivors |
| title_sort | reliability and validity of a graphical computerized adaptive test longshi scale for rapid assessment of activities of daily living in stroke survivors |
| topic | Activities of daily living Barthel index Computer adaptive test-Longshi Scale Stroke |
| url | https://doi.org/10.1038/s41598-024-57671-1 |
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