Department of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
Department of Physical Medicine and Rehabilitation, University Hospitals Leuven, Leuven, Belgium.
Disabil Rehabil. 2020 Oct;42(20):2951-2958. doi: 10.1080/09638288.2019.1575921. Epub 2019 Mar 4.
To investigate test-retest reliability, measurement error, and convergent validity of the Flemish version of the Life Balance Inventory (Fl-LBI) in chronic community-dwelling stroke survivors. Stroke survivors living at home (>6 months post-stroke) were recruited. The Fl-LBI was administered twice (1st home-visit, 2nd postal), with a 1-week time interval. Thirty-two stroke-survivors participated: median age 61 years (IQR: 54-67), median time since stroke 571 days (IQR: 433-734). Median total Fl-LBI score was 2.47(IQR: 2.18-2.80) out of 3 on the first occasion ( = 32) and 2.55(IQR: 2.35-2.77) on the second occasion ( = 29), 91% retention rate. The intraclass correlation coefficient [95% confidence interval] for total Fl-LBI score was 0.88 [0.77-0.94] and for subscale scores >0.74 [0.48-0.94] indicating moderate to good test-retest reliability. Standard error of measurement was 0.14 out of 3(7%) and minimal detectable difference 0.39(20%). Agreement for activity category scores ranged from moderate to excellent. Construct validity was supported by moderate associations between Fl-LBI and participation ( = 0.46); mobility ( = 0.36) and emotion ( = 0.37) subscales of the Stroke Impact Scale. In a pilot sample, the FL-LBI has satisfactory test-retest reliability, acceptable measurement error and minimal detectable difference and acceptable convergent validity. It can be used in clinical practice and research to assess life balance in chronic community-dwelling stroke survivors.Implications for rehabilitationLife balance can be a useful concept in stroke rehabilitation; it corresponds to individuals' perception of having a satisfying activity pattern tailored to their life circumstances.The Flemish version of the Life Balance Inventory can be used to evaluate life balance in community-dwelling chronic stroke.Satisfactory test-retest reliability and acceptable measurement error and minimal detectable difference were demonstrated in a pilot sample for the Flemish version of the Life Balance Inventory.
调查弗拉芒语版生活平衡量表（Fl-LBI）在慢性社区居住的中风幸存者中的重测信度、测量误差和聚合效度。
在家中居住的中风幸存者（中风后>6 个月）被招募。Fl-LBI 在两次（第一次家访，第二次邮寄）中进行，间隔 1 周。32 名中风幸存者参加：中位年龄 61 岁（IQR：54-67），中位中风后时间 571 天（IQR：433-734）。第一次就诊时 Fl-LBI 总分中位数为 3 分中的 2.47（IQR：2.18-2.80）（n=32），第二次就诊时为 2.55（IQR：2.35-2.77）（n=29），保留率为 91%。Fl-LBI 总分的组内相关系数[95%置信区间]为 0.88[0.77-0.94]，亚量表评分>0.74[0.48-0.94]，表明具有中度至高度重测信度。测量误差的标准误差为 3 分中的 0.14（7%），最小可检测差异为 0.39（20%）。活动类别评分的一致性从中等到极好。Fl-LBI 与参与度（=0.46）、移动能力（=0.36）和情绪（=0.37）等分量表之间存在中度相关性，支持了结构效度。在一个试点样本中，FL-LBI 具有令人满意的重测信度、可接受的测量误差和最小可检测差异以及可接受的聚合效度。它可用于临床实践和研究中，以评估慢性社区居住的中风幸存者的生活平衡。
生活平衡是中风康复中的一个有用概念，它对应于个体对满足其生活环境的活动模式的感知。弗拉芒语版生活平衡量表可用于评估社区居住的慢性中风患者的生活平衡。在一个试点样本中，弗拉芒语版生活平衡量表表现出令人满意的重测信度、可接受的测量误差和最小可检测差异。
