比較中風病患姿勢評估量表及短版於復健住院者之反應性

Translated title of the contribution: Comparison of Group- and Individual-Level Responsiveness of the Original and Short-Form Postural Assessment Scale for Stroke Patients in Individuals in Rehabilitation Wards

李士捷, 黃怡靜, 黃千瑀, 宋貞儀, 林恭宏, 李淑君, 謝清麟

Research output: Contribution to journalArticle

Abstract

Responsiveness is the ability of measures to detect people’s change, which is necessary for outcome measures. The Postural Assessment Scale for Stroke Patients (PASS) and Short-Form PASS (SFPASS) were developed for stroke patients with sound psychometric properties, which have a potential for routine clinical assessments. A previous study has examined the group-level and individual-level responsiveness of the PASS/SFPASS in patients at 14 days after stroke. However, the individual-level responsiveness of the PASS/SFPASS was unclear. Thus, the purpose was cross-validation of the group- and individual-level responsiveness of the PASS and SFPASS in inpatients receiving rehabilitation. A total of 397 participants were recruited. The PASS was assessed within one week after admission and before discharge from the rehabilitation ward, and the SFPASS was derived from PASS. Group-level responsiveness was examined using paired t-test, Kazis’ effect size, and standardized response mean (SRM). Individual-level responsiveness was examined through the proportion of people whose change in balance function was larger than minimal detectable change. Mean differences of the PASS and SFPASS between pre- and post-test were significant (p < .001). Both measures had similar effect size (Kazis’ effect size: 0.74 and 0.70; SRM: 1.09 and 1.00). The PASS is more sensitive at detecting people’s change (63.0 %; 53%), and the difference was significant (p < .001). PASS had better individual-level responsiveness than SFPASS while the group-level responsiveness was similar. We suggest that the PASS is better for detecting the change of balance function for individual, while SFPASS is more efficiency for group change.
Translated title of the contributionComparison of Group- and Individual-Level Responsiveness of the Original and Short-Form Postural Assessment Scale for Stroke Patients in Individuals in Rehabilitation Wards
Original languageTraditional Chinese
Pages (from-to)37-52
Number of pages16
Journal職能治療學會雜誌
Volume34
Issue number1
DOIs
Publication statusPublished - Jun 1 2016
Externally publishedYes

Keywords

  • Postural Assessment Scale for Stroke Patients
  • Stroke
  • Responsiveness

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