Sakai Katsuya, Hosoi Yuichiro, Harada Yusuke, Morikawa Kenji, Kato Yuichi
Department of Physical Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, Tokyo 116-8551, Japan.
Department of Rehabilitation Medicine, Keio University School of Medicine, Tokyo 160-8582, Japan.
Neurol Int. 2024 Sep 25;16(5):1086-1093. doi: 10.3390/neurolint16050081.
The Frontal Assessment Battery (FAB), which is used to assess executive function, has been translated into several languages and shown to be valid and reliable. However, the validity and reliability of the Japanese version in patients with stroke are unknown. This study aimed to investigate the validity and reliability of the Japanese version of the FAB in patients with stroke.
The Japanese version of the FAB for dementia was modified and evaluated in 52 patients with stroke. FAB measurements were obtained twice over a 10-day period. Convergent validity was assessed using the Stroop Color Word Test (SCWT) and the Trail Making Test (TMT) part B. Internal consistency was measured using Cronbach's alpha (Cα). Test-retest evaluations were performed using intraclass correlation coefficient [ICC (2.1)] measurements, and limits of agreement (LOA) were calculated using the total FAB score.
The mean total FAB score was 13.4 ± 2.8 points, the ICC (2.1) was 0.856, and Cα was 0.92. The total FAB score was correlated with SCWT scores for parts I through IV (r = 0.70 to 0.77) and the TMT score for part B (ρ = -0.53). The LOA were -1.7 to 2.9 points.
The Japanese version of the FAB had higher validity and reliability in patients with stroke.
用于评估执行功能的额叶评估量表（FAB）已被翻译成多种语言，并被证明是有效且可靠的。然而，其日语版本在中风患者中的有效性和可靠性尚不清楚。本研究旨在探讨FAB日语版本在中风患者中的有效性和可靠性。
对用于痴呆症的FAB日语版本进行修改，并在52例中风患者中进行评估。在10天内对FAB进行了两次测量。使用斯特鲁普颜色词测试（SCWT）和连线测验（TMT）B部分评估收敛效度。使用克朗巴赫α系数（Cα）测量内部一致性。使用组内相关系数[ICC（2.1）]测量进行重测评估，并使用FAB总分计算一致性界限（LOA）。
FAB总分平均为13.4±2.8分，ICC（2.1）为0.856，Cα为0.92。FAB总分与SCWT第一至第四部分的得分（r = 0.70至0.77）和TMT B部分的得分（ρ = -0.53）相关。LOA为-1.7至2.9分。
FAB日语版本在中风患者中具有较高的有效性和可靠性。
