Translation and validation of the stroke impact scale 3.0 into urdu for Pakistan

2021 ◽  
pp. 1-12
Author(s):  
Umair Ahmed ◽  
Hossein Karimi ◽  
Syed Amir Gilani ◽  
Ashfaq Ahmad
Keyword(s):  
Psychometric Properties ◽  
Discriminant Validity ◽  
Hand Function ◽  
Minimal Detectable Change ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Assess Quality ◽  
Test Retest Reliability ◽  
Translation And Validation

BACKGROUND: The Stroke Impact Scale version 3.0 (SIS 3.0) is a self-reported outcome measure designed to assess quality of life (QoL) following a stroke. Although the psychometric properties of the SIS 3.0 are identified as superior to the generic QoL scales, it has not been translated and tested in Pakistan. OBJECTIVE: To validate the Urdu version of the SIS 3.0 (USIS 3.0) for Pakistan. METHODS: A prospective cohort of 116 patients with mild to moderate stroke reported their recovery using the USIS 3.0. The patients were concurrently assessed on the established tools to assess the validity and were re-evaluated to determine the test-retest reliability, precision, minimal detectable change (MDC), and minimal clinically important difference (MCID). RESULTS: The reliability and internal consistency of USIS were satisfactory except for the emotion domain. The correlations of USIS with the established tools were strong. The discriminant validity was also significant across the levels of the modified Rankin scale (MRS). Only hand function and communication domains exhibited significant floor and ceiling effects, respectively. Regarding weighted K, values ranged from 0.53 to 0.88. CONCLUSIONS: The USIS 3.0 has satisfactory psychometric properties and can be used in clinical and research settings for stroke survivors.

scholarly journals Psychometric properties of the short form of the Stroke Impact Scale in German-speaking stroke survivors

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Anna Coppers ◽  
Jens Carsten Möller ◽  
Detlef Marks
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Short Form ◽  
Trial Registration ◽  
Cognitive Domain ◽  
Retest Reliability ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
German Speaking ◽  
Test Retest Reliability

Abstract Background The short form of the Stroke Impact Scale (SF-SIS) consists of eight questions and provides an overall index of health-related quality of life after stroke. The goal of the study was the evaluation of construct validity, reliability and responsiveness of the SF-SIS for the use in German-speaking stroke patients in rehabilitation. Methods The SF-SIS, the Stroke Impact Scale 2.0 (SIS 2.0), EQ-5D-5L, National Institutes of Health Stroke Scale (NIHSS) and de Morton Mobility Index were assessed in 150 inpatients after stroke, with a second measurement two weeks later for the analyses of responsiveness. In 55 participants, the test–retest-reliability was assessed one week after the first measurement. The study was designed following the recommendations of the COSMIN initiative. Results The correlations of the SF-SIS with the SIS 2.0 (ρ = 0.90), as well as the EQ-5D-5L (ρ = 0.79) were high, as expected. There was adequate discriminatory ability of the SF-SIS index between patients who were less and more severely affected by stroke, as assessed by the NIHSS. Exploratory factor analysis indicated a two-factor structure of the SF-SIS explaining 59.9% of the total variance, providing better model fit in the confirmatory factor analysis than the one-factorial structure. Analyses of test–retest-reliability showed an intraclass correlation coefficient of 0.88 (95% CI 0.75–0.94). Hypotheses concerning responsiveness were not confirmed due to lower correlations between the assessments change scores. Conclusion Results of this analysis of the SF-SIS’s psychometric properties are matching with the validity analysis of the English original version, confirming the high correlations with the Stroke Impact Scale and the EQ-5D-5L. Examination of structural validity did not confirm the presumed unidimensionality of the scale and found evidence of an underlying two-factor solution with a physical and cognitive domain. Sufficient test–retest reliability and internal consistency were found. In addition, this study provides first results for the responsiveness of the German version. Trial registration The study was registered at the German Clinical Trials Register. Trial registration number: DRKS00011933, date of registration: 07.04.2017

scholarly journals Discriminant Validity of the Stroke Impact Scale

Stroke ◽  
2001 ◽  
Vol 32 (suppl_1) ◽  
pp. 361-361
Author(s):  
Sue-Min Lai Dr ◽  
Stephanie Studenski Dr ◽  
Pamela W Duncan Dr ◽  
Subashan Perera Dr
Keyword(s):  
Quality Of Life ◽  
Discriminant Validity ◽  
Community Dwelling ◽  
Elderly Subjects ◽  
Stroke Patients ◽  
P Values ◽  
Post Stroke ◽  
Stroke Impact Scale ◽  
Impact Scale

P123 Purpose: The purpose of this study was to determine the discriminant validity of the Stroke Impact Scale (SIS) by comparing function and quality of life in stroke patients to assessments from stroke-free community dwelling elderly. Methods: The SIS was administered at 90 to 120 days post-stroke to subjects who participated in the Kansas City Stroke Registry (KCSR). The same impact scale was also administered cross-sectionally to community dwelling elderly who were recruited from primary care clinics for participation in an ongoing prospective study of health and function (Merck). All subjects were queried for responses to 64 items of the SIS including eight domains: strength, memory and thinking, emotion, communication, ADL/IADL, mobility, upper extremity, and social participation. Regression analyses were used to examine differences between stroke patients and stroke-free elderly in each of the eight SIS domains while controlling for demographics and comorbidities. Results: One hundred and sixty KCSR subjects and two hundred and forty-three subjects from the Merck study were included in the present analysis. The mean ages were 73±10.1 and 74±5.1, respectively. Gender and race were similar in both groups. The 90-days post-stroke mean Barthel ADL was 80±23 in the stroke patients. Mean scores of all 8 SIS domains were significantly lower in stroke patients than those in the stroke-free community dwelling elderly even after controlling for differences in age and comorbidities (all p values < 0.0001). Mean scores of the 7 SIS domains (except strength), even in stroke patients who had Barthel ADL > 90 at 90-days post-stroke, remained lower than those in the stroke-free community dwelling elderly (p values < 0.01). Conclusion: The SIS was able to discriminate well between stroke patients with disability and stroke-free elderly subjects. Patients who had recovered basic ADLs continued to have residual disability and impaired quality of life when compared to non-stroke patients.

Characterization of muscle strength using the strength domain of the stroke impact scale: An integrative review

2021 ◽  
pp. 1-13
Author(s):  
Richard W. Bohannon
Keyword(s):  
Muscle Strength ◽  
Discriminant Validity ◽  
Community Dwelling ◽  
Effective Interventions ◽  
Convergent And Discriminant Validity ◽  
Paretic Limb ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Scale Scores ◽  
Test Retest Reliability

BACKGROUND AND OBJECTIVE: Muscle weakness is among the most common and obvious impairments in older adults and individuals with neurologic disorders. Although impairments in muscle strength are typically characterized using performance measures, the impairments have also been described using patient or observerreport. The objective of this review was to summarize literature describing use of a patientreport instrument, the Strength Domain (SD) of the Stroke Impact Scale (SIS), to grade strength impairments. METHODS: Peer-reviewed literature reporting SD scores for the SIS was identified using computerized searches of the CINAHL, PubMed, and Scopus databases followed by hand searches. Potentially relevant articles were then mined for data on the participants tested, the SIS version used, scores documented, and clinimetric properties reported. RESULTS: Sixty-five articles were judged appropriate based on inclusion and exclusion criteria. The articles involved more than 7000 residents of 22 countries. All articles focused on individuals with stroke (usually chronic), although one also included community-dwelling adults without stroke. The SIS version used was frequently unreported, but 3.0 was version most often specified. For articles reporting SD scale scores the mean ranged from 19.7 to 85.5. Construct (known groups, convergent, and discriminant) validity of the SD was supported by the literature as was its internal consistency and test-retest reliability. Responsiveness of the SD was evinced by numerous studies showing increases in SD scores with time or accompanying effective interventions. However, only one study indicated responsiveness using an anchor-based statistic. CONCLUSIONS: The SD of the SIS is a wellestablished and mostly clinimetrically sound patient-report measure of paretic limb strength among individuals with stroke. Its use with individuals with weakness accompanying aging or diagnoses other than stroke remains to be substantiated.

scholarly journals Psychometric Properties of a Clinical Strength Assessment Protocol in People with Multiple Sclerosis

2017 ◽  
Vol 19 (5) ◽  
pp. 253-262 ◽  
Author(s):  
Mark M. Mañago ◽  
Jeffrey R. Hebert ◽  
Margaret Schenkman
Keyword(s):  
Multiple Sclerosis ◽  
Psychometric Properties ◽  
Discriminant Validity ◽  
Intraclass Correlation ◽  
Minimal Detectable Change ◽  
Retest Reliability ◽  
Strength Assessment ◽  
Assessment Protocol ◽  
Flexion Extension ◽  
Test Retest Reliability

Background: Strength training in people with multiple sclerosis (MS) is an important component of rehabilitation, but it can be challenging for clinicians to quantify strength accurately and reliably. This study investigated the psychometric properties of a clinical strength assessment protocol using handheld dynamometry and other objective, quantifiable tests for the lower extremities and trunk in people with MS. Methods: This study determined discriminant validity between 25 participants with MS and 25 controls and between participants with MS who had higher versus lower disability; test-retest reliability across 7 to 10 days; and response stability. The protocol included handheld dynamometry measurements of ankle dorsiflexion, knee flexion and extension; hip flexion, extension, abduction, and adduction; and trunk lateral flexion. Muscular endurance tests were used to measure trunk extension, trunk flexion, and ankle plantarflexion. Results: The protocol discriminated between participants with MS and controls for all muscles tested (P &lt; .001–.003). The protocol also discriminated between low- and moderate-disability groups (P = .001–.046) for 80% of the muscles tested. Test-retest reliability intraclass correlation coefficients were high (0.81–0.97). Minimal detectable change as a percentage of the mean was 13% to 36% for 85% of muscles tested. Conclusions: This study provides evidence for the discriminant validity, test-retest reliability, and response stability of a strength assessment protocol in people with MS. This protocol may be useful for tracking outcomes in people with MS for clinical investigations and practice.

scholarly journals Reliability and Validity of the Nigerian (Hausa) Version of the Stroke Impact Scale (SIS) 3.0 Index

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ashiru Hamza Mohammad ◽  
Nabilla Al-Sadat ◽  
Loh Siew Yim ◽  
Karuthan Chinna
Keyword(s):  
Hand Function ◽  
Reliability And Validity ◽  
Final Analysis ◽  
Chi Square ◽  
Stroke Impact Scale ◽  
Impact Scale ◽  
Referral Hospitals ◽  
Parsimonious Model ◽  
Validity Tests ◽  
Test Retest Reliability

This study aims to test the translated Hausa version of the stroke impact scale SIS (3.0) and further evaluate its psychometric properties. The SIS 3.0 was translated from English into Hausa and was tested for its reliability and validity on a stratified random sample adult stroke survivors attending rehabilitation services at stroke referral hospitals in Kano, Nigeria. Psychometric analysis of the Hausa-SIS 3.0 involved face, content, criterion, and construct validity tests as well as internal and test-retest reliability. In reliability analyses, the Cronbach’s alpha values for the items in Strength, Hand function, Mobility, ADL/IADL, Memory and thinking, Communication, Emotion, and Social participation domains were 0.80, 0.92, 0.90, 0.78, 0.84, 0.89, 0.58, and 0.74, respectively. There are 8 domains in stroke impact scale 3.0 in confirmatory factory analysis; some of the items in the Hausa-SIS questionnaire have to be dropped due to lack of discriminate validity. In the final analysis, a parsimonious model was obtained with two items per construct for the 8 constructs (Chi-square/df<3, TLI and CFI>0.9, and RMSEA<0.08). Cross validation with 1000 bootstrap samples gave a satisfactory result (P = 0.011). In conclusion, the shorter 16-item Hausa-SIS seems to measure adequately the QOL outcomes in the 8 domains.

scholarly journals Cross-cultural adaptation and psychometric properties of the Mexican version of the Early Childhood Oral Health Impact Scale (ECOHIS)

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Alba Lilia Brambila Montoya ◽  
Jessica Klöckner Knorst ◽  
Isaac Murisi Pedroza Uribe ◽  
Rubén Alberto Bayardo González ◽  
Thiago Machado Ardenghi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Early Childhood ◽  
Preschool Children ◽  
Oral Health ◽  
Dental Caries ◽  
Psychometric Properties ◽  
Discriminant Validity ◽  
Health Impact ◽  
Impact Scale

Abstract Background Instruments adapted for the Mexican population to assess oral health-related quality of life (OHRQoL) in preschoolers remain lacking. This study aimed to cross-culturally adapt and evaluate the psychometric properties of the Mexican version of the Early Childhood Oral Health Impact Scale (M-ECOHIS). Methods This cross-sectional study was conducted with preschool children from southern Mexico. The investigation was divided into a transcultural adaptation phase and a validation phase. The M-ECOHIS was completed by the children’s guardians, and clinical data were also evaluated. Reliability was evaluated using tests of internal consistency and test–retest measures, while construct validity was assessed through Spearman’s correlation coefficient between M-ECOHIS scores and self-reported oral health, and through confirmatory factor analysis (CFA). Construct validity was also evaluated through discriminant validity of the M-ECOHIS, which was determined according to questionnaire scores on oral health measures (e.g., dental caries). Results A total of 303 preschool children participated in this study. Regarding internal consistency, Cronbach’s alpha was > 0.78 for the child section, family section, and general M-ECOHIS. The general intraclass correlation coefficient (ICC) for test–retest reliability was 0.95. The correlation between the scores obtained on the child and family impact sections was significant with the self-reported oral health status rating. In relation to CFA, all items of the M-ECOHIS confirmed the latent variables. Further, M-ECOHIS scores were associated with the presence of untreated dental caries, indicating that the questionnaire has good discriminant validity. Conclusion Our findings suggest that the M-ECOHIS is a valid and reliable instrument for assessing the impact of oral health on quality of life in Mexican preschool children.

scholarly journals Psychometric properties of the critical thinking disposition assessment test amongst medical students in China: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Liyuan Cui ◽  
Yaxin Zhu ◽  
Jinglou Qu ◽  
Liming Tie ◽  
Ziqi Wang ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Critical Thinking ◽  
Medical Students ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Discriminant Validity ◽  
Retest Reliability ◽  
Critical Thinking Disposition ◽  
Thinking Disposition ◽  
Test Retest Reliability

Abstract Background Critical thinking disposition helps medical students and professionals overcome the effects of personal values and beliefs when exercising clinical judgment. The lack of effective instruments to measure critical thinking disposition in medical students has become an obstacle for training and evaluating students in undergraduate programs in China. The aim of this study was to evaluate the psychometric properties of the CTDA test. Methods A total of 278 students participated in this study and responded to the CTDA test. Cronbach’s α coefficient, internal consistency, test-retest reliability, floor effects and ceiling effects were measured to assess the reliability of the questionnaire. Construct validity of the pre-specified three-domain structure of the CTDA was evaluated by explanatory factor analysis (EFA) and confirmatory factor analysis (CFA). The convergent validity and discriminant validity were also analyzed. Results Cronbach’s alpha coefficient for the entire questionnaire was calculated to be 0.92, all of the domains showed acceptable internal consistency (0.81–0.86), and the test-retest reliability indicated acceptable intra-class correlation coefficients (ICCs) (0.93, p < 0.01). The EFA and the CFA demonstrated that the three-domain model fitted the data adequately. The test showed satisfactory convergent and discriminant validity. Conclusions The CTDA is a reliable and valid questionnaire to evaluate the disposition of medical students towards critical thinking in China and can reasonably be applied in critical thinking programs and medical education research.

scholarly journals Determining the psychometric properties of a novel questionnaire to measure “preparedness for the future” (Prep FQ)

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Daren K. Heyland ◽  
J. Paige Pope ◽  
Xuran Jiang ◽  
Andrew G. Day
Keyword(s):  
Quality Of Life ◽  
Construct Validity ◽  
Health Behaviors ◽  
Psychometric Properties ◽  
Well Being ◽  
High Quality ◽  
The Future ◽  
Quality Of Death ◽  
Test Retest Reliability

Abstract Background People are living longer than ever before. However, with living longer comes increased problems that negatively impact on quality of life and the quality of death. Tools are needed to help individuals assess whether they are practicing the best attitudes and behaviors that are associated with a future long life, high quality of life, high quality of death and a satisfying post-death legacy. The purpose of paper is to describe the process we used to develop a novel questionnaire (“Preparedness for the Future Questionnaire™ or Prep FQ”) and to define its psychometric properties. Methods Using a multi-step development procedure, items were generated, for the new questionnaire after which the psychometric properties were tested with a heterogeneous sample of 502 Canadians. Using an online polling panel, respondents were asked to complete demographic questions as well as the Prep-FQ, Global Rating of Life Satisfaction, the Keyes Psychological Well-Being scale and the Short-Form 12. Results The final version of the questionnaire contains 34 items in 8 distinct domains (“Medico-legal”, “Social”, “Psychological Well-being”, “Planning”, “Enrichment”, “Positive Health Behaviors”, “Negative Health Behaviors”, and “Late-life Planning”). We observed minimum missing data and good usage of all response options. The average overall Prep FQ score is 51.2 (SD = 13.3). The Cronbach alphas assessing internal reliability for the Prep FQ domains ranged from 0.33 to 0.88. The intra-class correlation coefficient (ICC) used to assess the test–retest reliability had an overall score of 0.87. For the purposes of establishing construct validity, all the pre-specified relationships between Prep FQ and the other questionnaires were met. Conclusion Analyses of this novel measure offered support for its face validity, construct validity, test–retest reliability, and internal consistency. With the development of this useful and valid scale, future research can utilize this measure to engage people in the process of comprehensively assessing and improving their state of preparedness for the future, tracking their progress along the way. Ultimately, this program of research aims to improve the quality and quantity of peoples live by helping them ‘think ahead’ and ‘plan ahead’ on the aspects of their daily life that matter to their future.

Psychometric Properties of the Hindi Version of SPADI in Overhead Athletes With Shoulder Impingement Syndrome

2018 ◽  
Vol 23 (6) ◽  
pp. 246-252
Author(s):  
Saurabh Sharma ◽  
M. Ejaz Hussain
Keyword(s):  
Psychometric Properties ◽  
Internal Consistency ◽  
Convergent Validity ◽  
Impingement Syndrome ◽  
Minimal Detectable Change ◽  
Shoulder Impingement Syndrome ◽  
Factor Solution ◽  
Shoulder Impingement ◽  
Overhead Athletes ◽  
Test Retest Reliability

Patient-related outcome measures are often used for assessing and determining management efficacy of shoulder impingement syndrome (SIS) in overhead athletes. This study was undertaken to examine the psychometric properties (structural validity, convergent validity, internal consistency, test-retest reliability, and minimal detectable change) and perform partial confirmatory factor analysis (PCFA) of the Hindi SPADI. Eighty male athletes with a mean age of 21.5 ± 2.20 years were enrolled in the study. Hindi SPADI test-retest reproducibility was calculated by intraclass correlation coefficient (ICC2,1), and Cronbach alpha helped determine internal consistency of the index. Pearson correlation coefficient compared the Hindi SPADI with the Hindi DASH scale to determine convergent validity, while the measurement error was calculated by minimal detectable change (MDC95). Exploratory factor analysis utilized for assessing the structural validity of the index gave a five-factor solution, which explained 70.03% of the variances. The test-retest reliability (ICC2,1), internal consistency, and convergent validity were found to be high, at 0.87, 0.75, and 0.94, respectively. The MDC95was calculated to be 14.20. Additionally, the PCFA confirmed the five-factor solution with fit indices. This Hindi version of SPADI demonstrated satisfactory psychometric properties in overhead athletes with shoulder impingement syndrome.

scholarly journals Psychometric properties of the Short Leyton Obsessional Inventory-Child Version in a community sample of Spanish children and adolescents

2016 ◽  
Vol 33 (1) ◽  
pp. 26
Author(s):  
Marina Iniesta-Sepúlveda ◽  
Ana I. Rosa-Alcázar ◽  
Beatriz Ruiz-García ◽  
Jose A. López-Pina
Keyword(s):  
Psychometric Properties ◽  
Children And Adolescents ◽  
Discriminant Validity ◽  
Factor Model ◽  
Community Sample ◽  
Spanish Version ◽  
Obsessive Compulsive ◽  
Good Test ◽  
Convergent And Discriminant Validity ◽  
Test Retest Reliability

The aim of the current study was to analyze psychometric properties of the Short LOI-CV in Spanish community sample. Participants were 914 children and adolescents with mean age of 13.01 years (51.3% males). An EFA yielded a three-factor model representing Obsessions, Compulsions, and Cleanliness dimensions. Both, total score and subscales showed an adequate internal consistency. The Spanish version also exhibited good test-retest reliability and moderate convergent and discriminant validity. The younger participants (from 8 to 10 years) obtained higher means for total score and subscales than older participants (groups 11-13 and 14-18 years). Significant differences related to gender were also observed since males obtained higher means in Compulsions subscale. Despite more research is required, the Spanish version of the Short LOI-CV exhibited promising psychometric results to assess obsessive-compulsive symptoms in community population.

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