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Reliability and Validity of a New Transfer Assessment Form for Stroke Patients
Author(s) -
Kitamura Shin,
Otaka Yohei,
Murayama Yudai,
Ushizawa Kazuki,
Narita Yuya,
Nakatsukasa Naho,
Kondo Kunitsugu,
Sakata Sachiko
Publication year - 2021
Publication title -
pmandr
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.617
H-Index - 66
eISSN - 1934-1563
pISSN - 1934-1482
DOI - 10.1002/pmrj.12400
Subject(s) - cronbach's alpha , reliability (semiconductor) , content validity , concurrent validity , physical therapy , psychological intervention , rehabilitation , activities of daily living , test (biology) , rank correlation , wheelchair , stroke (engine) , physical medicine and rehabilitation , medicine , psychology , psychometrics , internal consistency , clinical psychology , statistics , computer science , psychiatry , mathematics , mechanical engineering , paleontology , power (physics) , physics , quantum mechanics , world wide web , engineering , biology
Introduction Transferring is a basic skill that is essential for mobility independence and indispensable for expanding activities of daily living of stroke patients using a wheelchair. Therefore, transfer independence is an important issue that greatly affects daily life in the hospital and at home. To offer an effective intervention to acquire a skill, developing an assessment for individual subtasks that comprise transferring would assist the identification of specific tasks that prevent independence in patients and facilitate interventions to improve transferring independence. Objective To examine the reliability and validity of a newly developed transfer assessment form, the Bed‐wheelchair transfer Tasks Assessment Form (BTAF), for stroke patients to evaluate subtasks required for transferring. Design Validation and test‐retest studies. Setting Subacute rehabilitation wards in Japan. Participants A total of 82 therapists for verifying content validity; 30 patients for validation and test‐retest study. Interventions Not applicable. Main Outcome Measures The content validity was initially assessed based on a questionnaire. Subsequently, four occupational therapists used the form to evaluate the video‐recorded transferring performances of stroke participants. Two assessors evaluated each performance once and then 2 weeks later. The inter‐rater reliability, intra‐rater reliability, internal consistency, and concurrent validity were examined. Results Fleiss's κ coefficient for inter‐rater reliability for each item of the form was 0.66 or more. Cohen's κ coefficient for intra‐rater reliability for each item was 0.73 or more. Cronbach's coefficient alpha ranged from 0.90 to 0.93. Spearman's rank correlation coefficients between the mean scores of our form and scores of the functional independence measure item “transfer to bed/chair/wheelchair” ranged from 0.53 to 0.78 ( P < .01). Conclusions The form demonstrated good reliability and validity. Its usefulness and efficacy should be further investigated in stroke patients to facilitate rehabilitation.