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Validation of the Telephone-Based Application of the ABILHAND for Assessment of Manual Ability After Stroke
Journal of Neurologic Physical Therapy ( IF 2.6 ) Pub Date : 2020-10-01 , DOI: 10.1097/npt.0000000000000326
Patrick R. Avelino , Kênia K. P. Menezes , Lucas R. Nascimento , Ruani A. Tenório , Gabriela N. Cândido , Isabela S. Christovão , Luci F. Teixeira-Salmela

Supplemental Digital Content is Available in the Text. Background and Purpose: Telephone-based assessment may be a valuable and cost-effective approach to improve monitoring and follow-up assessments in patients and research participants. Telephone-based assessment may be of particular value during times when it is important to reduce in-person contract, such as during the Covid-19 pandemic. The purpose of this study was to investigate concurrent validity of the telephone-based administration of the ABILHAND for the assessment of manual ability in individuals with stroke. Methods: Using a cross-sectional study design, participants with stroke were invited to answer the ABILHAND questionnaire on 2 randomized occasions, face to face and by telephone, 5 to 7 days apart. The mean difference (MD) between the interviews was calculated (95% confidence interval [95% CI]) to investigate the concurrent validity. Intraclass correlation (ICC) and weighted κ coefficients were used to investigate the agreement between face-to-face and telephone-based administration. Results: One hundred two participants (50 men; mean age = 65 years, SD = 13 years) were included. No significant differences were observed between the mean scores obtained with face-to-face and telephone-based administration of the ABILHAND (MD = −0.06; 95% CI, −0.72 to 0.60). Very high agreement was found between face-to-face and telephone-based administration (ICC = 0.90; 95% CI, 0.85 to 0.93) on the ABILHAND total scores. Most of the individual items had moderate or substantial κ agreement. Discussion and Conclusions: Telephone-based administration of the ABILHAND is valid for the assessment of manual ability after stroke. Clinicians and researchers may use the ABILHAND for monitoring manual ability in persons with stroke and/or screening potential research participants. Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A318).

中文翻译:

ABILHAND 在中风后手动能力评估中基于电话的应用的验证

补充数字内容在文本中可用。背景和目的:基于电话的评估可能是一种有价值且具有成本效益的方法,可以改善患者和研究参与者的监测和后续评估。在减少面对面合同很重要的时候,例如在 Covid-19 大流行期间,基于电话的评估可能特别有价值。本研究的目的是调查基于电话的 ABILHAND 管理在评估卒中个体手动能力方面的并行有效性。方法:使用横断面研究设计,邀请中风参与者在 2 次随机场合回答 ABILHAND 问卷,面对面和电话,相隔 5 至 7 天。计算访谈之间的平均差异 (MD)(95% 置信区间 [95% CI])以调查并发有效性。类内相关性 (ICC) 和加权 κ 系数用于调查面对面和基于电话的管理之间的一致性。结果:包括 102 名参与者(50 名男性;平均年龄 = 65 岁,SD = 13 岁)。通过面对面和基于电话的 ABILHAND 给药获得的平均分数之间没有观察到显着差异(MD = -0.06;95% CI,-0.72 至 0.60)。在 ABILHAND 总分上发现面对面和基于电话的管理(ICC = 0.90;95% CI,0.85 至 0.93)之间的一致性非常高。大多数单个项目具有中等或实质性的κ一致性。讨论和结论:基于电话的 ABILHAND 管理可用于评估中风后的手动能力。临床医生和研究人员可以使用 ABILHAND 来监测中风患者的手动能力和/或筛选潜在的研究参与者。视频摘要可提供作者的更多见解(参见视频,补充数字内容 1,http://links.lww.com/JNPT/A318)。
更新日期:2020-10-01
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