Trigg Richard, Wood Victorine A
Department of Psychology, University of Bath, Bath, UK.
Clin Rehabil. 2003 May;17(3):283-9. doi: 10.1191/0269215503cr609oa.
To validate the Subjective Index of Physical and Social Outcome (SIPSO) in its final 10-item version as a measure of reintegration to pre-stroke lifestyle.
Postal and interview administration of questionnaires.
SIPSO, Functional Limitations Profile (FLP), Reintegration to Normal Living Index (RNLI).
Community setting, Bath, UK.
Two hundred and sixty-one survivors of stroke discharged from a district general hospital.
Internal consistency (item-total correlations >0.6) and test-retest reliability (intraclass correlation coefficient (ICC) = 0.96) of the measure were confirmed. Construct validity was confirmed through significant correlations with the six subsections of the FLP and the RNLI. Confirmatory factor analysis of the measure found that the first five items form a robust subscale that clearly relates to physical function. The items within the second subscale (questions 6-10) measure several domains (social, leisure, self-image) and do not form a homogeneous group. The SIPSO was able to detect an improvement in integration within a sample of patients over a three-month period soon after discharge (effect size = 0.26). The hypothesis that the degree of improvement experienced by patients following discharge from hospital would be small, but should be detectable was confirmed. The agreement between proxy and patient on the SIPSO was acceptable for individual items (kappa value range = 3.1-5.8) and total score (ICC = 0.96).
The SIPSO is a brief self-complete measure, with proven validity and reliability, which addresses both quantitative and qualitative aspects of activities and interaction. It provides a useful measure for evaluating rehabilitation programmes that aim to reintegrate patients to their pre-stroke lifestyle. The authors suggest that the SIPSO should be used as a 10-item measure.
验证最终的10项版主观身体和社会结果指数（SIPSO）作为衡量中风前生活方式重新融入情况的指标。
通过邮寄和访谈方式进行问卷调查管理。
SIPSO、功能受限概况（FLP）、恢复正常生活指数（RNLI）。
英国巴斯的社区环境。
从一家地区综合医院出院的261名中风幸存者。
该测量指标的内部一致性（项目与总分的相关性>0.6）和重测信度（组内相关系数（ICC）=0.96）得到证实。通过与FLP和RNLI的六个子部分的显著相关性，证实了结构效度。对该测量指标的验证性因素分析发现，前五项构成一个稳健的子量表，明显与身体功能相关。第二个子量表（问题6 - 10）中的项目测量了几个领域（社会、休闲、自我形象），并未形成一个同质的组。SIPSO能够在出院后三个月内的患者样本中检测到重新融入情况的改善（效应量=0.26）。出院后患者经历的改善程度虽小但应可检测到这一假设得到证实。代理报告人与患者在SIPSO上的个体项目一致性（kappa值范围=3.1 - 5.8）和总分一致性（ICC = 0.96）是可接受的。
SIPSO是一种简短的自我完成式测量指标，具有已证实的效度和信度，涵盖了活动和互动的定量和定性方面。它为评估旨在使患者重新融入中风前生活方式的康复计划提供了一种有用的测量方法。作者建议将SIPSO用作10项测量指标。
