Watanabe Hidehiro, Oguri Yuka, Noritake Kento, Suzuki Yohei, Okamura Hidetoshi, Fujii Keisuke
Department of Rehabilitation, Tokai Memorial Hospital, Kasugai, JPN.
Faculty of Health Sciences, Nihon Fukushi University, Handa, JPN.
Cureus. 2024 Oct 29;16(10):e72665. doi: 10.7759/cureus.72665. eCollection 2024 Oct.
Accurately assessing Activities of Daily Living (ADL) is crucial for evaluating patient independence, yet there is a lack of standardized tools suitable for large-scale surveys, particularly those that are self-administered. We aimed to validate the reliability of the self-administered Performance Evaluation Tool based on the modified Barthel Index (PET-MBI).
In this study, 53 patients and 18 occupational therapists were included to determine the inter-rater and intra-rater reliabilities via questionnaires. The inclusion criteria for patients were being admitted to a convalescent or community care ward and being able to communicate. The inclusion criteria for professionals were being an occupational therapist in charge of the patients and having at least two years of experience.
The inter-rater reliability scores of PET-MBI were 80.4 ± 20.4 and 81.1 ± 19.2 points for patient and therapist ratings, respectively. The intraclass correlation coefficient (ICC) for the total score was 0.888. Regarding intra-rater reliability, the patients' scores were 80.4 ± 20.4 and 84.1 ± 19.8 points for the first and second assessments, respectively. The ICC for the total score was 0.927.
The self-administered PET-MBI demonstrated reliability in terms of total scores and numerous sub-items, demonstrating potential as a valuable tool for ADL assessment in large-scale surveys.
准确评估日常生活活动能力（ADL）对于评估患者的独立性至关重要，但缺乏适用于大规模调查的标准化工具，尤其是那些可自行填写的工具。我们旨在验证基于改良巴氏指数（PET-MBI）的自行填写式性能评估工具的可靠性。
在本研究中，纳入了53名患者和18名职业治疗师，通过问卷调查来确定评分者间信度和评分者内信度。患者的纳入标准为入住康复或社区护理病房且能够沟通。专业人员的纳入标准为负责这些患者的职业治疗师且具有至少两年工作经验。
PET-MBI评分者间信度得分，患者评分和治疗师评分分别为80.4±20.4分和81.1±19.2分。总分的组内相关系数（ICC）为0.888。关于评分者内信度，患者第一次和第二次评估的得分分别为80.4±20.4分和84.1±19.8分。总分的ICC为0.927。
自行填写式PET-MBI在总分和众多子项目方面都显示出可靠性，表明其有潜力成为大规模调查中ADL评估的有价值工具。
