The Kessler Foundation Neglect Assessment Process (KF-NAP) is an assessment tool for unilateral spatial neglect (USN), which is the scoring method for the Catherine Bergego Scale (CBS) based on detailed instructions. This study is aimed at determining the reliability and validity of the Japanese version of the KF-NAP (KF-NAP-J), evaluating the improvement of neglect assessment with KF-NAP-J, and comparing it with the original CBS for subacute stroke patients. We assessed subacute stroke patients admitted to our intensive rehabilitation hospital. Two KF-NAP-trained occupational therapists (OTs) assessed 22 patients. Before implementing the KF-NAP at the hospital, two other OTs assessed the other 23 patients using the CBS. We evaluated the interrater reliability of the KF-NAP and CBS using intraclass correlation coefficients (ICC) for the total scores, weighted kappa statistics for each subscale, and internal consistency using Cronbach’s alpha. We assessed the validity of the KF-NAP against the Behavioral Inattention Test (BIT) and Functional Independence Measure (FIM) using Spearman’s correlation coefficient. The reliability of both the KF-NAP and CBS was excellent. The weighted kappa results demonstrated that each subscale was in better agreement with the KF-NAP than with the CBS. In the KF-NAP, all eight subscales in which weighted kappa could be calculated were in significant agreement, and two were almost in perfect agreement. The KF-NAP moderately correlated with the subscales of BIT and FIM representing USN and activities of daily living. The USN detection rates of KF-NAP and BIT in the KF-NAP group were 63.6% and 22.7%, respectively. These results suggest that the KF-NAP, as well as the CBS, is useful to assess USN, which strongly impacts the rehabilitation outcomes in subacute stroke patients.

中文翻译：

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使用凯斯勒基础忽视评估过程 (KF-NAP) 对日本康复期间亚急性中风患者使用凯瑟琳 Bergego 量表 (CBS) 进行单侧空间忽视的行为评估

Kessler Foundation Neglect Assessment Process (KF-NAP) 是一种单边空间忽视 (USN) 的评估工具，是基于详细说明的 Catherine Bergego Scale (CBS) 评分方法。本研究旨在确定日本版 KF-NAP（KF-NAP-J）的信度和效度，评估 KF-NAP-J 忽视评估的改进，并将其与原始 CBS 进行亚急性脑卒中的比较。患者。我们评估了我们重症康复医院收治的亚急性中风患者。两名受过 KF-NAP 培训的职业治疗师 (OT) 评估了 22 名患者。在医院实施 KF-NAP 之前，另外两名 OT 使用 CBS 评估了另外 23 名患者。我们使用总分的组内相关系数 (ICC)、每个分量表的加权 kappa 统计以及使用 Cronbach α 的内部一致性来评估 KF-NAP 和 CBS 的评价者间可靠性。我们使用 Spearman 相关系数评估了 KF-NAP 对行为注意力不集中测试 (BI​​T) 和功能独立性测量 (FIM) 的有效性。KF-NAP 和 CBS 的可靠性都非常好。加权 kappa 结果表明，与 CBS 相比，每个分量表与 KF-NAP 的一致性更好。在 KF-NAP 中，可以计算加权 kappa 的所有八个分量表都显着一致，其中两个几乎完全一致。KF-NAP 与代表 USN 和日常生活活动的 BIT 和 FIM 分量表中度相关。KF-NAP组中KF-NAP和BIT的USN检出率分别为63.6%和22.7%。这些结果表明 KF-NAP 以及 CBS 可用于评估 USN，这强烈影响亚急性中风患者的康复结果。