Exploring disability rating scale responsiveness II: Do more response options help?

被引：27

作者：

Cano, S. J.

O'Connor, R. J.

Thompson, A. J.

Hobart, J. C.

机构：

[1] Derriford Hosp, Peninsula Med Sch, Dept Clin Neurosci, Plymouth PL6 8DH, Devon, England

[2] UCL, Inst Neurol, Neurol Outcomes Measures Unit, London, England

来源：

NEUROLOGY | 2006年 / 67卷 / 11期

关键词：

D O I：

10.1212/01.wnl.0000247664.97643.e8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The Barthel Index (BI) may underestimate disability change because its items have few response options. We examined whether a similar scale with more response options ( Functional Independence Measure, FIM) was more responsive (n = 1,396). The FIM had greater potential for responsiveness and identified more people who changed. However, its actual responsiveness, measured by effect sizes, equaled that of the BI. This counterintuitive finding suggests that effect sizes may be limited indicators of responsiveness.

引用

收藏

页码：2056 / 2059

页数：4

相关论文

共 10 条

[1]

Hobart J, 2003, J NEUROL NEUROSUR PS, V74, P22

[2] How responsive is the Multiple Sclerosis Impact Scale (MSIS-29)? A comparison with some other self report scales [J].

Hobart, JC ;

Riazi, A ;

Lamping, DL ;

Fitzpatrick, R ;

Thompson, AJ .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2005, 76 (11) :1539-1543

[3] Evidence-based measurement - Which disability scale for neurologic rehabilitation? [J].

Hobart, JC ;

Lamping, DL ;

Freeman, JA ;

Langdon, DW ;

McLellan, DL ;

Greenwood, RJ ;

Thompson, AJ .

NEUROLOGY, 2001, 57 (04) :639-644

[4] Use of the Barthel Index and the Functional Independence Measure during early inpatient rehabilitation after single incident brain injury [J].

Houlden, H ;

Edwards, M ;

McNeil, J ;

Greenwood, R .

CLINICAL REHABILITATION, 2006, 20 (02) :153-159

[5] Comparison of the psychometric characteristics of the functional independence measure, 5 item Barthel index, and 10 item Barthel index in patients with stroke [J].

Hsueh, IP ;

Lin, JH ;

Jeng, JS ;

Hsieh, CL .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2002, 73 (02) :188-190

[6]

KAZIS LE, 1989, MED CARE S, V27, P178

[7] COMPARISONS OF 5 HEALTH-STATUS INSTRUMENTS FOR ORTHOPEDIC EVALUATION [J].

LIANG, MH ;

FOSSEL, AH ;

LARSON, MG .

MEDICAL CARE, 1990, 28 (07) :632-642

[8] Exploring rating scale responsiveness - Does the total score reflect the sum of its parts? [J].

O'Connor, RJ ;

Cano, SJ ;

Thompson, AJ ;

Hobart, JC .

NEUROLOGY, 2004, 62 (10) :1842-1844

[9] Measuring change in disability after inpatient rehabilitation: comparison of the responsiveness of the Barthel Index and the Functional Independence Measure [J].

van der Putten, JJMF ;

Hobart, JC ;

Freeman, JA ;

Thompson, AJ .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1999, 66 (04) :480-484

[10] Comparison of the responsiveness of the Barthel Index and the motor component of the Functional Independence Measure in stroke the impact of using different methods for measuring responsiveness [J].

Wallace, D ;

Duncan, PW ;

Lai, SM .

JOURNAL OF CLINICAL EPIDEMIOLOGY, 2002, 55 (09) :922-928