Ramos Sara D S, Oddy Michael, Haye Lorraine, Goodson Anna
a Brain Injury Rehabilitation Trust , Horsham , UK.
Disabil Rehabil. 2018 Nov;40(23):2817-2823. doi: 10.1080/09638288.2017.1362594. Epub 2017 Aug 13.
Neurorehabilitation aims to increase independence and participation in ordinary life. It is argued that the fundamental indices of this are independent living and engagement in occupational or productive activity. The Brain Injury Rehabilitation Trust Independent Living Scale was designed to capture change in levels of participation and independence following neurorehabilitation. With greater use of outcome measures in health care, it becomes necessary to develop tools which are simple to use and that capture the holistic impact of rehabilitation. This study examines the inter-rater reliability and validity of the Brain Injury Rehabilitation Trust Independent Living Scale, which comprises two single item, multiple-choice sub-scales.
Inter-rater reliability was assessed by comparing the ratings on the Brain Injury Rehabilitation Trust Independent Living Scale, by five pairs of graduate psychologists, of 37 individuals who had undergone neurorehabilitation. Retrospective data collected by other members of the clinical team for the Mayo-Portland Adaptability Inventory-4, Supervision Rating Scale and Care And Needs Scale were correlated with the Brain Injury Rehabilitation Trust Independent Living Scale to establish concurrent validity.
Weighted kappa coefficients revealed moderate (occupation) to strong (accommodation) inter-rater reliability for the two sub-scales. All correlations between the Brain Injury Rehabilitation Trust Independent Living Scale and the Mayo-Portland Adaptability Inventory-4, Supervision Rating Scale and the Care And Needs Scale were high, demonstrating good concurrent validity.
This study highlights some of the psychometric properties of the Brain Injury Rehabilitation Trust Independent Living Scale and demonstrates its utility in assessing independent living ability and level of social participation after neurorehabilitation. Implications for rehabilitation The BIRT Independent Living Scale is a validated method for ranking accommodation and occupation status as an indicator of independent living ability and occupational activity. The two freely available single-item scales emerging from this study provide a brief method for measuring independent living ability and participation following rehabilitation in research and clinical practice. The BIRT Independent Living Scale's simplicity means it does not require specific training to administer, facilitating its use by a wide range of multidisciplinary staff members and researchers.
神经康复旨在提高患者在日常生活中的独立性和参与度。有人认为，其基本指标是独立生活以及参与职业或生产活动。脑损伤康复信托独立生活量表旨在记录神经康复后患者参与度和独立性水平的变化。随着医疗保健领域对结果测量的更多使用，开发易于使用且能全面反映康复影响的工具变得很有必要。本研究考察了脑损伤康复信托独立生活量表的评分者间信度和效度，该量表由两个单项多项选择子量表组成。
通过比较五对研究生心理学家对37名接受过神经康复治疗的个体在脑损伤康复信托独立生活量表上的评分，评估评分者间信度。将临床团队其他成员收集的关于梅奥 - 波特兰适应性量表 - 4、监督评定量表和护理与需求量表的回顾性数据与脑损伤康复信托独立生活量表进行相关性分析，以确定同时效度。
加权kappa系数显示，两个子量表的评分者间信度为中等（职业方面）到强（住宿方面）。脑损伤康复信托独立生活量表与梅奥 - 波特兰适应性量表 - 4、监督评定量表和护理与需求量表之间的所有相关性都很高，表明同时效度良好。
本研究突出了脑损伤康复信托独立生活量表的一些心理测量特性，并证明了其在评估神经康复后独立生活能力和社会参与水平方面的效用。对康复的启示 脑损伤康复信托独立生活量表是一种经过验证的方法，可将住宿和职业状况作为独立生活能力和职业活动指标进行排名。本研究得出的两个免费的单项量表为研究和临床实践中测量康复后的独立生活能力和参与度提供了一种简便方法。脑损伤康复信托独立生活量表的简单性意味着它不需要专门培训即可进行管理，便于广泛的多学科工作人员和研究人员使用。
