Physical and Rehabilitation Medicine, University of Florence, Florence, Italy.
IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Neurol Sci. 2022 Jul;43(7):4297-4306. doi: 10.1007/s10072-022-05949-5. Epub 2022 Feb 18.
Participation needs to be assessed objectively, to state accurate rehabilitation objectives. The Frenchay Activities Index (FAI) is a widely used tool to measure participation in stroke patients. To date, no cross-culturally validated Italian version of FAI is available. This study provides a translation and cross-cultural adaptation of FAI into Italian, assessing its validity and reliability in sub-acute stroke patients.
According to international guidelines, a multistep translation and cultural adaptation protocol of forward and backward translations was conducted by qualified linguists and independent native English translators and revised by a healthcare committee. Patients admitted to intensive inpatient rehabilitation after stroke were recruited. Structural validity, reliability (internal consistency, inter- and intra-rater reliability and measurement error), and construct validity were studied.
One hundred and seventy-three patients were included in this study. No significant observations in terms of comprehensibility and conceptual equivalence of the FAI Italian version emerged. The exploratory factorial analysis revealed the presence of two subscales (i.e., domestic chores and work/leisure). The internal consistency resulted good for the first and second subscale (α = 0.821 and 0.716, respectively). Intra- and inter-reliability showed an ICC > 0.90 for both subscales. SEM = 5.75% and 2.33% and MDC = 15.85% and 6.48% were found for the first and second subscale, respectively. Construct validity of first subscale was satisfactory, as 100.0% a priori hypotheses were met, while for the second subscale it was moderate, as 66.6% a priori hypotheses were respected.
FAI-I provides a tool for professionals to measure participation in Italian stroke patients in health and social care settings.
需要客观评估参与度，以明确准确的康复目标。Frenchay 活动指数（FAI）是一种广泛用于评估脑卒中患者参与度的工具。迄今为止，尚无经过跨文化验证的意大利语版 FAI。本研究提供了 FAI 的意译和跨文化适应版本，评估其在亚急性脑卒中患者中的有效性和可靠性。
根据国际指南，由合格的语言学家和独立的英语母语翻译进行多步骤的正向和反向翻译翻译及文化适应，并由医疗保健委员会进行修订。招募了脑卒中后入住强化住院康复病房的患者。研究了结构有效性、可靠性（内部一致性、组内和组间信度以及测量误差）和构念效度。
本研究共纳入 173 例患者。FAI 意大利语版本在可理解性和概念等效性方面没有明显的观察结果。探索性因子分析显示存在两个分量表（即家务和工作/休闲）。第一个和第二个分量表的内部一致性良好（α值分别为 0.821 和 0.716）。两个分量表的组内和组间信度均显示 ICC 值>0.90。第一个分量表的 SEM 值为 5.75%，MDC 值为 15.85%；第二个分量表的 SEM 值为 2.33%，MDC 值为 6.48%。第一个分量表的构念效度令人满意，100.0%的先验假设得到满足，而第二个分量表的构念效度则适中，66.6%的先验假设得到满足。
FAI-I 为专业人员提供了一种在意大利脑卒中患者的健康和社会护理环境中评估参与度的工具。
