Test-retest reliability and validity of the comprehensive activities of daily living measure in patients with stroke

I. Ping Hsueh, Chun Hou Wang, Tsan Hon Liou, Chia Huang Lin, Ching Lin Hsieh

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objective: To examine the test-retest reliability, convergent validity, and predictive validity of the comprehensive activities of daily living (CADL) measure in patients with stroke. Design: A repeated-assessments design, 10-14 days apart, was used to examine test-retest reliability in 70 patients. In the validity study, a further 168 patients were assessed at 6 months and 1 year after stroke. Setting: Three rehabilitation units. Main outcome measures: The CADL measure, providing Rasch- calibrated scores, assesses the entire continuum of basic and instrumental activities of daily living. Both domains (self-care and mobility) of the stroke-specific quality of life questionnaire (SS-QOL) were used to examine the convergent validity. The summary score of the SS-QOL was used as the criterion for examining the predictive validity of the CADL measure. Results: The test-retest reliability was excellent (intraclass correlation coefficient = 0.96). The CADL measure and both domains of the SS-QOL exhibited strong associations at 6 months and 1 year post-stroke (Pearson's r ≥ 0.77). The score of the CADL at 6 months post-stroke was highly correlated with that of the SS-QOL at 1 year post-stroke (r = 0.75). Conclusion: The CADL measure showed satisfactory testretest reliability, convergent validity, and predictive validity in patients with stroke. Journal Compilation

Original languageEnglish
Pages (from-to)637-641
Number of pages5
JournalJournal of Rehabilitation Medicine
Volume44
Issue number8
DOIs
Publication statusPublished - 2012

Keywords

  • Activities of daily living
  • Stroke
  • Test-retest reliability
  • Validity

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Medicine(all)

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