School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Department of Occupational Therapy, College of Medical and Health Science, Asia University, Taichung, Taiwan.
Arch Phys Med Rehabil. 2019 May;100(5):899-907. doi: 10.1016/j.apmr.2018.09.122. Epub 2018 Oct 26.
The authors aimed to develop and validate the Computerized Adaptive Testing System for Assessing 5 Functions in Patients with Stroke (CAT-5F) based on the Barthel Index (BI), Postural Assessment Scale for Stroke patients (PASS), and Stroke Rehabilitation Assessment of Movement (STREAM) to improve the efficiency of assessment. The purposes of the CAT-5F assessment are to describe patients' levels of impairments or disabilities in the 5 functions and to serve as an outcome measure in patients with stroke.
This is a data-mining study based on data from a previous study using simulation analysis to develop and validate the CAT-5F.
One rehabilitation unit in a medical center in Taiwan served as the setting for this study.
Data were retrieved from totals of 540 (initial assessment) and 309 (discharge assessment) participants with stroke assessed in a previous study. The assessment data (N=540) were from the BI, PASS, and STREAM.
Not applicable.
The outcome measures for this study were from BI, PASS, and STREAM.
The CAT-5F using the optimal stopping rule (limited reliability increased <0.010) had good Rasch reliability across the 5 functions (0.86-0.96) and needed 12.7 items, on average, for the whole administration. The concurrent validity (Pearson product-moment correlation coefficient, r=0.91-0.96) and responsiveness (standardized response mean=0.33-0.91) of the CAT-5F were sufficient in the patients.
The CAT-5F has sufficient administrative efficiency, reliability, concurrent validity, and responsiveness to simultaneously assess basic activities of daily living, postural control, upper extremity/lower extremity motor functions, and mobility in patients with stroke.
本研究旨在基于巴氏指数（BI）、脑卒中患者姿势评估量表（PASS）和脑卒中康复运动评估量表（STREAM）开发和验证用于评估脑卒中患者 5 项功能的计算机自适应测试系统（CAT-5F），以提高评估效率。CAT-5F 评估的目的是描述患者在 5 项功能上的损伤或残疾程度，并作为脑卒中患者的结局测量指标。
这是一项基于先前研究数据的挖掘研究，使用模拟分析开发和验证 CAT-5F。
本研究在台湾一家医疗中心的一个康复单元进行。
数据来自先前研究中评估的 540 名（初始评估）和 309 名（出院评估）脑卒中患者的总计数据。评估数据（N=540）来自 BI、PASS 和 STREAM。
无。
本研究的结局指标来自 BI、PASS 和 STREAM。
采用最优停止规则（可靠性增量<0.010）的 CAT-5F 在 5 项功能上具有良好的 Rasch 可靠性（0.86-0.96），平均需要 12.7 个项目进行整个测试。CAT-5F 的同时效度（Pearson 积矩相关系数，r=0.91-0.96）和反应度（标准化反应均数=0.33-0.91）在患者中均足够。
CAT-5F 具有足够的管理效率、可靠性、同时效度和反应度，可同时评估脑卒中患者的基本日常生活活动、姿势控制、上下肢运动功能和移动能力。
