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 Post, M. W. Articles by Witte, L. P d. Search for Related Content PubMed PubMed Citation Articles by Post, M. W. Articles by Witte, L. P d. Social Bookmarking                   What's this?

Good inter-rater reliability of the Frenchay Activities Index in stroke patients

Luc P de Witte

IRv, Institute for Rehabilitation Research, Hoensbroek, The Netherlands

Objective: To assess inter-rater reliability of the Frenchay Activities Index (FAI) when used by occupational therapists in stroke patients.

Design: Independent administration of the FAI by occupational therapists in 45 stroke outpatients.

Setting: Outpatient departments of two Dutch rehabilitation centres.

Statistics: Agreement between pairs of raters was assessed at item level using weighted Kappa and the percentage absolute agreement and for the total score using intra-class correlations (ICC), Bland–Altman plots and computation of the smallest real difference (SMR).

Results: ICC of the total score was good (0.90; 95% confidence interval (95% CI): 0.82–0.94). The Bland–Altman plot did not reveal relationships between agreement and height of scores. Reliability at item level was good (kappa >0.60) in 11 out of 15 items. The item ‘gainful work’ showed high agreement but a low kappa due to an extremely skewed score distribution. Reliability was insufficient in three items: ‘local shopping’, ‘social occasions’ and ‘actively pursuing hobby’. Clarification of scoring instructions of these items might further improve the inter-rater reliability of the FAI.

Conclusion: The FAI is a reliable instrument to measure outcomes of outpatient rehabilitation in patients with stroke.

Clinical Rehabilitation, Vol. 17, No. 5, 548-552 (2003)
DOI: 10.1191/0269215503cr648oa


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

This article has been cited by other articles:

				M. W.M. Post, H. Festen, I. G. van de Port, and J. M.A. Visser-Meily Reproducibility of the Caregiver Strain Index and the Caregiver Reaction Assessment in partners of stroke patients living in the Dutch community Clinical Rehabilitation, November 1, 2007; 21(11): 1050 - 1055. [Abstract] [PDF]