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 Google Scholar Articles by Piercy, M. Articles by Wade, D. T Search for Related Content PubMed PubMed Citation Articles by Piercy, M. Articles by Wade, D. T Social Bookmarking                   What's this?

Inter-rater reliability of the Frenchay Activities Index in patients with stroke and their carers

Occupational Therapy Department, Oxford Brookes University, Oxford, UK

Judy Carter

Rivermead Rehabilitation Centre, Oxford, UK

Jonathan Mant

Department of General Practice, University of Birmingham, Birmingham, Oxford, UK

Derick T Wade

Rivermead Rehabilitation Centre, Oxford, UK

Objective: To measure the inter-rater reliability of the interview-administered version of the Frenchay Activities Index (FAI).

Design: Comparison of FAI score on the same person when administered by two raters (mean time between interviews 15.2 days).

Subjects: Fifty-nine Oxfordshire residents who either had had a stroke (n = 35) or were the main carer (n = 24).

Results: The 95% limits of agreement for the FAI totals were –9.9 to +8.4. The kappa statistic for nine of the 15 items showed a good level of agreement between the two research interviews (0.64–0.80). The other six items showed fair or moderate strength of agreement (0.26–0.52). Three items showed significant differences between the two raters p < 0.05 (Wilcoxon's sign paired rank sum test). The mean difference between the total scores was –0.76 (95% confidence interval from –1.98 to 0.46). Spearman's rho correlation coefficient for FAI totals of rater B against A was r(59) = 0.93 (p < 0.001).

Conclusion: The FAI is a reliable tool for measuring outcome following stroke. Suggestions are made to strengthen the reliability, and consequently the validity of the measure.

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

This article has been cited by other articles:

				C.-H. Wang, I-P. Hsueh, C.-F. Sheu, and C.-L. Hsieh Discriminative, Predictive, and Evaluative Properties of a Trunk Control Measure in Patients With Stroke Physical Therapy, September 1, 2005; 85(9): 887 - 894. [Abstract] [Full Text] [PDF]

				I-P. Hsueh, W.-C. Wang, C.-F. Sheu, and C.-L. Hsieh Rasch Analysis of Combining Two Indices to Assess Comprehensive ADL Function in Stroke Patients Stroke, March 1, 2004; 35(3): 721 - 726. [Abstract] [Full Text] [PDF]

				L. R Tooth, K. T McKenna, and M. Smith Further evidence for the agreement between patients with stroke and their proxies on the Frenchay Activities Index Clinical Rehabilitation, June 1, 2003; 17(6): 656 - 665. [Abstract] [PDF]

				M. W. Post and L. P d. Witte Good inter-rater reliability of the Frenchay Activities Index in stroke patients Clinical Rehabilitation, May 1, 2003; 17(5): 548 - 552. [Abstract] [PDF]

				C.-L. Hsieh, C.-F. Sheu, I-P. Hsueh, and C.-H. Wang Trunk Control as an Early Predictor of Comprehensive Activities of Daily Living Function in Stroke Patients Stroke, November 1, 2002; 33(11): 2626 - 2630. [Abstract] [Full Text] [PDF]

				J Allanson, C Bass, and D T Wade Characteristics of patients with persistent severe disability and medically unexplained neurological symptoms: a pilot study J. Neurol. Neurosurg. Psychiatry, September 1, 2002; 73(3): 307 - 309. [Abstract] [Full Text] [PDF]