This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Hachisuka, K. Articles by Dozono, K. Search for Related Content PubMed PubMed Citation Articles by Hachisuka, K. Articles by Dozono, K. Social Bookmarking                   What's this?

Test-retest and inter-method reliability of the self-rating Barthel Index

Department of Rehabilitation Medicine, University of Occupational and Environmental Health Japan, Kitakyushu

Hajime Ogata

Department of Rehabilitation Medicine, University of Occupational and Environmental Health Japan, Kitakyushu

Hidenobu Ohkuma

Department of Rehabilitation Medicine, Chikuho Rosai Hospital, lizuka

Shoichi Tanaka

Department of Rehabilitation Medicine, Yokohama Rosai Hospital, Yokohama

Koichiro Dozono

Department of Rehabilitation Medicine, Hamamatsu Rosai Hospital, Hamamatsu, Japan

Objective: To develop a self-rating Barthel Index questionnaire (SB) for assessing stroke patients living at home, the test-retest reliability of SB versions 1 and 2 and the inter-method reliability of SB version 3 were examined.

Design: Case series.

Setting: Clinics of the Department of Rehabilitation Medicine at the University Hospital and two affiliated hospitals.

Patients: Thirty-one, 140 and 65 chronic stroke patients living at home, being seen for regular follow-up, and having no severe aphasia for SB versions 1, 2 and 3, respectively.

Main outcome measure: Kappa coefficients of items in SB versions 1 and 2 for test-retest reliability; intra-class correlation coefficients of the self-care index, mobility index and total score, kappa coefficients of items and Friedman's two-way ANOVAs of ranking in SB version 3 among the self-ratings, family ratings and occupational therapist (OT) ratings; a regression analysis of age, gender, duration, time for filling in the SB, OT ratings, Mini-Mental State score and aphasia.

Results: Kappa coefficients in SB version 2 were higher than those in version 1. Intra-class correlation coefficients in SB version 3 among the three ratings were good, and kappa coefficients in each item were also good or excellent. By Friedman's two-way ANOVA, all the items except walking up/down stairs had no significant difference in ranking. Regression analysis revealed that OT ratings and time for filling in the SB affected the absolute difference of scores between the self-ratings and OT ratings.

Conclusion: SB version 3 is sufficiently reliable for practical use.

Clinical Rehabilitation, Vol. 11, No. 1, 28-35 (1997)
DOI: 10.1177/026921559701100105


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				M.-H. Chen, C.-L. Hsieh, H.-F. Mao, and S.-L. Huang Differences between patient and proxy reports in the assessment of disability after stroke Clinical Rehabilitation, April 1, 2007; 21(4): 351 - 356. [Abstract] [PDF]

				C. Hocking, M. Williams, J. Broad, and J. Baskett Sensitivity of Shah, Vanclay and Cooper's modified Barthel Index Clinical Rehabilitation, February 1, 1999; 13(2): 141 - 147. [Abstract] [PDF]