Lin Gong-Hong, Lu Yi, Wu Chien-Te, Chiu En-Chi, Huang Sheau-Ling, Hsueh I-Ping, Hsieh Ching-Lin
a School of Occupational Therapy, College of Medicine, National Taiwan University , Taipei , Taiwan , ROC and.
b Department of Physical Medicine and Rehabilitation , National Taiwan University Hospital , Taipei , Taiwan , ROC.
Disabil Rehabil. 2016;38(1):97-102. doi: 10.3109/09638288.2015.1031288. Epub 2015 Apr 7.
To examine the ecological validity, predictive validity, and responsiveness of the Five Digit Test (FDT) in patients with stroke.
We included inpatients with stroke (n = 144, 114 and 105 in the ecological validity, predictive validity, and responsiveness analysis, respectively) in the study. At admission, the FDT and Barthel Index (BI) were assessed; at discharge, the FDT, BI, Postural Assessment Scale for Stroke Patients (PASS), and Mobility Subscale of the Stroke Rehabilitation Assessment of Movement (MO-STREAM) were assessed.
In the ecological validity analysis, the scores of the selective and alternating attention indices of the FDT were moderately correlated with those of the BI at admission and discharge (Spearman ρ = -0.38 to -0.45). In the predictive validity analysis, the scores of the two attention indices of the FDT at admission were moderately correlated with the scores of the BI, PASS, and MO-STREAM at discharge (ρ = -0.33 to -0.45). In the responsiveness analysis, the two attention indices of the FDT between admission and discharge had large differences (success rate difference = 0.56-0.67, Wilcoxon Z = -5.90 to -6.60).
Our results indicate that the selective and alternating attention indices of the FDT have acceptable ecological validity, predictive validity, and good responsiveness in patients with stroke.
The Five Digit Test (FDT), an efficient and culture-free assessment tool, has been used to assess selective attention and alternating attention The selective index and alternating attention index of the FDT showed acceptable ecological validity, predictive validity, and good responsiveness in patients with stroke.
研究五位数试验（FDT）在中风患者中的生态效度、预测效度和反应性。
本研究纳入中风住院患者（生态效度分析中n = 144例，预测效度分析中n = 114例，反应性分析中n = 105例）。入院时评估FDT和巴氏指数（BI）；出院时评估FDT、BI、中风患者姿势评定量表（PASS）以及中风康复运动评估的运动亚量表（MO-STREAM）。
在生态效度分析中，FDT的选择性和交替性注意力指数得分与入院和出院时的BI得分呈中度相关（Spearman ρ = -0.38至-0.45）。在预测效度分析中，入院时FDT的两个注意力指数得分与出院时的BI、PASS和MO-STREAM得分呈中度相关（ρ = -0.33至-0.45）。在反应性分析中，入院和出院时FDT的两个注意力指数有较大差异（成功率差异 = 0.56 - 0.67，Wilcoxon Z = -5.90至-6.60）。
我们的结果表明，FDT的选择性和交替性注意力指数在中风患者中具有可接受的生态效度、预测效度和良好的反应性。
五位数试验（FDT）是一种高效且无文化差异的评估工具，已用于评估选择性注意力和交替性注意力。FDT的选择性指数和交替性注意力指数在中风患者中显示出可接受的生态效度、预测效度和良好的反应性。
