The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Ching-lin Hsieh - One of the best experts on this subject based on the ideXlab platform.
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a comparison of test retest reliability and random measurement error of the Barthel Index and modified Barthel Index in patients with chronic stroke
Disability and Rehabilitation, 2020Co-Authors: Chun Ming Yang, Ching-lin Hsieh, Yiching Wang, Chiahua Lee, Meihsiang ChenAbstract:To compare the test–retest reliability and random measurement errors of the Barthel Index (BI) and modified Barthel Index (MBI) in patients with chronic stroke.The intraclass correlation coefficien...
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development of two Barthel Index based supplementary scales for patients with stroke
PLOS ONE, 2014Co-Authors: Yachen Lee, Shengshiung Chen, Chialin Koh, Iping Hsueh, Kaiping Yao, Ching-lin HsiehAbstract:Background The Barthel Index (BI) assesses actual performance of activities of daily living (ADL). However, comprehensive assessment of ADL functions should include two other constructs: self-perceived difficulty and ability. Objective The aims of this study were to develop two BI-based Supplementary Scales (BI-SS), namely, the Self-perceived Difficulty Scale and the Ability Scale, and to examine the construct validity of the BI-SS in patients with stroke. Method The BI-SS was first developed by consultation with experts and then tested on patients to confirm the clarity and feasibility of administration. A total of 306 participants participated in the construct validity study. Construct validity was investigated using Mokken scale analysis and analyzing associations between scales. The agreement between each pair of the scales’ scores was further examined. Results The Self-perceived Difficulty Scale consisted of 10 items, and the Ability Scale included 8 items (excluding both bladder and bowel control items). Items in each individual scale were unidimensional (H≥0.5). The scores of the Self-perceived Difficulty and Ability Scales were highly correlated with those of the BI (rho = 0.78 and 0.90, respectively). The scores of the two BI-SS scales and BI were significantly different from each other (p<.001). These results indicate that both BI-SS scales assessed unique constructs. Conclusions The BI-SS had overall good construct validity in patients with stroke. The BI-SS can be used as supplementary scales for the BI to comprehensively assess patients’ ADL functions in order to identify patients’ difficulties in performing ADL tasks, plan intervention strategies, and assess outcomes.
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Establishing the Minimal Clinically Important Difference of the Barthel Index in Stroke Patients
Neurorehabilitation and Neural Repair, 2007Co-Authors: Yu-wei Hsieh, Chun-hou Wang, Pau-chung Chen, Ching-fan Sheu, Shwu-chong Wu, Ching-lin HsiehAbstract:Background. The interpretation of the change scores of the Barthel Index (BI) in follow-up or outcome studies has been hampered by the fact that its minimal clinically important difference (MCID) has not been determined. Objective. This article was written to establish the MCID of the BI in stroke patients. Methods. Both anchor-based and distribution-based methods were used to establish the MCID. In the anchor-based method, 43 stroke inpatients participated in a follow-up study designed to determine the MCID of the BI using patients' global ratings of the activities of daily living function on a 15-point Likert-type scale. The mean change scores on the 20-point scale of the BI of the MCID group, based on the patients' ratings on the Likert-type scale, served as the first estimate of the MCID. In the distribution-based method, 56 chronic stroke patients participated in the test-retest reliability study to determine the MCID of the BI. One standard error of measurement (SEM) served as the second estimate fo...
John Young - One of the best experts on this subject based on the ideXlab platform.
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reliability of the Barthel Index when used with older people
Age and Ageing, 2005Co-Authors: Anita Sainsbury, Gudrun Seebass, Aruna Bansal, John YoungAbstract:Objective: the Barthel Index (BI) has been recommended for the functional assessment of older people but the reliability of the measure for this patient group is uncertain. To investigate this issue we undertook a systematic review to identify relevant studies from which an overview is presented. Method: studies investigating the reliability of the BI were obtained by searching Medline, Cinahl and Embase to January 2003. Screening for potentially relevant papers and data extraction of the studies meeting the inclusion criteria were carried out independently by two researchers. Results: the scope of the 12 studies identified included all the common clinical settings relevant to older people. No study investigated test-retest reliability. Inter-rater reliability was reported as 'fair' to 'moderate' agreement for individual BI items, and a high percentage agreement for the total BI score. However, these findings were difficult to interpret as few studies reported the prevalence of the disability categories for the study populations. There may be considerable inter-observer disagreement (95% CI of +/-4 points). There was evidence that the BI might be less reliable in patients with cognitive impairment and when scores obtained by patient interview are compared with patient testing. The role of assessor training and/or guidelines on the reliability of the BI has not been investigated. Conclusions: although the BI is highly recommended, there remain important uncertainties concerning its reliability when used with older people. Further studies are justified to investigate this issue.
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a test retest reliability study of the Barthel Index the rivermead mobility Index the nottingham extended activities of daily living scale and the frenchay activities Index in stroke patients
Disability and Rehabilitation, 2001Co-Authors: John S Green, Anne Forster, John YoungAbstract:Purpose : To assess the test-retest reliability of a range of outcome measures in stroke patients. Method : Twenty-two patients >1 year post-stroke were tested twice at an interval of 1 week using the Barthel Index (BI); the Rivermead Mobility Index (RMI); the Nottingham Extended Activities of Daily Living Scale (NEADL); and the Frenchay Activities Index (FAI). The mean difference (bias) and reliability coefficient (random error) were calculated for the total scores. Percentage agreement and the kappa coefficient were used to analyse individual items. Results : The mean differences and reliability coefficients were BI 0.4 - 2.0, RMI 0.3 - 2.2, the NEADL 0.6 - 5.6, FAI -0.6 - 7.1. There was little bias between assessments. The performance of the BI and RMI were better with lower random error. The NEADL and FAI did not perform as well having larger random error components. Percentage agreements were generally high especially for the BI (>75% ) and RMI (>85% ), but there was considerable variatio...
David M. Greer - One of the best experts on this subject based on the ideXlab platform.
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Differences between the modified rankin scale and Barthel Index in measuring intracerebral hemorrhage recovery at 12 months. (P5.051)
Neurology, 2017Co-Authors: Anirudh Sreekrishnan, Audrey C Leasure, Sonya Zhou, David M. Greer, Kevin N. ShethAbstract:Objective: The aim of this study was to examine differences in improvement of intracerebral hemorrhage (ICH) patients across commonly employed neurological assessments including the modified rankin scale (mRS) and the Barthel Index (BI) up to 12 months post-ICH. Background: The modified Rankin Scale (mRS) and the Barthel Index (BI) are both commonly employed measures of recovery used in intracerebral hemorrhage (ICH) patients. While these measures have been utilized routinely between 3 to 6 months post-hemorrhage, few studies have examined the utility of these measures as long-term outcome assessments. Design/Methods: 139 patients diagnosed with ICH at Yale-New Haven Hospital were prospectively enrolled between July 1, 2014 and July 1, 2016. Patients were evaluated using the mRS and BI at discharge, 3 months, 6 months, and 12 months. Repeated measures parametric and non-parametric testing were conducted to examine improvement in measures over time. Results: Using the BI, there was significant improvement across time points (p = 0.005), with follow-up testing showing improvement between discharge and 3 months (p 0.05). Between individual time points, there was a significant improvement in mRS scores between discharge and 3 months (p = 0.004) as well as 6 months (p = 0.010). Conclusions: These results suggest functional improvement of ICH patients in activities of daily living through 1 year post-hemorrhage. While the mRS has a plateau effect in measuring recovery for this patient population between 3 and 6 months, the BI may be a more sensitive measure for assessing recovery up to 12 months. Disclosure: Dr. Sreekrishnan has nothing to disclose. Dr. Leasure has nothing to disclose. Dr. Zhou has nothing to disclose. Dr. Greer has received personal compensation in an editorial capacity for Seminars in Neurology. Dr. Sheth has received personal compensation in an editorial capacity Current Treatment Options in Neurology. Dr. Sheth has received research support from Remedy Pharmaceuticals, Inc.
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abstract tp338 differences between the modified rankin scale and Barthel Index in measuring intracerebral hemorrhage recovery at 12 months
Stroke, 2017Co-Authors: Anirudh Sreekrishnan, Audrey C Leasure, Sonya Zhou, Hardik Amin, Nils H Petersen, David Y Hwang, Joseph Schindler, Emily J Gilmore, Lauren H Sansing, David M. GreerAbstract:Background: The modified Rankin Scale (mRS) and the Barthel Index (BI) are both commonly employed measures of recovery used in intracerebral hemorrhage (ICH) patients. While these measures have been utilized routinely between 3 to 6 months post-hemorrhage, few outcome studies have compared improvements in these measures in long-term outcome.out to one year. The aim of this study was to examine differences in improvement across these measures through up to 12 months post-ICH. Methods: 139 patients diagnosed with primary ICH at Yale-New Haven Hospital were prospectively enrolled in this observational study between July 1, 2014, and July 1, 2016. Patient recovery was evaluated using the mRS and BI at discharge, 3 months, 6 months, and 12 months. Repeated-measures parametric and non-parametric testing was conducted to examine improvement in measures over time. Results: Using the BI, there was a significant improvement across time points (p = 0.005), with follow-up testing showing improvement between discharge and 3 months (p 0.05). Between individual time points, there was a significant improvement in mRS scores between discharge and 3 months (p = 0.004) as well as 6 months (p = 0.010). Conclusions: These results suggest improved recovery of ICH patients in activities of daily living up to 1 year post-hemorrhage. While the mRS has a plateau effect in measuring recovery for this patient population between 3 and 6 months, the BI may be a more sensitive measure for assessing recovery up to 12 months.
Diana Jackson - One of the best experts on this subject based on the ideXlab platform.
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deriving a Barthel Index from the northwick park dependency scale and the functional independence measure are they equivalent
Clinical Rehabilitation, 2010Co-Authors: Lynne Turnerstokes, Heather Williams, Hilary Rose, Sarah Harris, Diana JacksonAbstract:Objective: To examine the extent of agreement between Barthel Index scores derived from Northwick Park Dependency Scores (NPDS) and the Functional Independence Measure (FIM) ratings, in an inpatient setting.Design and setting: Previously described conversion criteria were applied in a secondary analysis of a large existing dataset, gathered in a tertiary specialist inpatient neurorehabilitation unit.Subjects: Patients with neurological disabilities (N = 1347), mainly following acquired brain injury.Main measures: Comparison of Barthel scores derived from the NPDS (rated by nursing staff) and from parallel FIM scores (rated by the therapy team).Results: Very strong intraclass correlations were observed between the total scores (0.93, P<0.001); 95% limits of agreement ranged from —3.53 to 4.90. Item-by-item agreement (linear-weighted Cohen’s kappa coefficients) ranged from 0.41 to 0.77, which represents ‘moderate’ to ‘substantial’ agreement. A significant bias towards lower NPDS-derived scores (median 10 (i...
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can the northwick park dependency scale be translated to a Barthel Index
Clinical Rehabilitation, 2010Co-Authors: Lynne Turnerstokes, Heather Williams, Deirdre Howley, Diana JacksonAbstract:Objective: To develop and test an algorithm for conversion of the Northwick Park Dependency Scale (NPDS) to a Barthel Index.Design and setting: Conversion criteria were developed to derive a Barthel Index from NPDS data. The criteria were then applied in two community-based datasets of NPDS and Barthel scores, gathered from carers/patients via postal questionnaires. A retrospective exploratory analysis (dataset A) was followed by prospective confirmatory analysis (dataset B).Subjects: Patients with neurological disabilities, mainly following acquired brain injury: dataset A (n = 225) and dataset B (n = 96).Main measures: Comparison of NPDS-derived Barthel scores with parallel directly rated Barthel scores.Results: The exploratory analysis identified that one Barthel item (‘Stairs’) could not be derived from the NPDS items alone, and required minor adaptation of one of the five additional questions that are included to translate the NPDS into an assessment of community care needs (Northwick Park Care Needs...
Anirudh Sreekrishnan - One of the best experts on this subject based on the ideXlab platform.
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Differences between the modified rankin scale and Barthel Index in measuring intracerebral hemorrhage recovery at 12 months. (P5.051)
Neurology, 2017Co-Authors: Anirudh Sreekrishnan, Audrey C Leasure, Sonya Zhou, David M. Greer, Kevin N. ShethAbstract:Objective: The aim of this study was to examine differences in improvement of intracerebral hemorrhage (ICH) patients across commonly employed neurological assessments including the modified rankin scale (mRS) and the Barthel Index (BI) up to 12 months post-ICH. Background: The modified Rankin Scale (mRS) and the Barthel Index (BI) are both commonly employed measures of recovery used in intracerebral hemorrhage (ICH) patients. While these measures have been utilized routinely between 3 to 6 months post-hemorrhage, few studies have examined the utility of these measures as long-term outcome assessments. Design/Methods: 139 patients diagnosed with ICH at Yale-New Haven Hospital were prospectively enrolled between July 1, 2014 and July 1, 2016. Patients were evaluated using the mRS and BI at discharge, 3 months, 6 months, and 12 months. Repeated measures parametric and non-parametric testing were conducted to examine improvement in measures over time. Results: Using the BI, there was significant improvement across time points (p = 0.005), with follow-up testing showing improvement between discharge and 3 months (p 0.05). Between individual time points, there was a significant improvement in mRS scores between discharge and 3 months (p = 0.004) as well as 6 months (p = 0.010). Conclusions: These results suggest functional improvement of ICH patients in activities of daily living through 1 year post-hemorrhage. While the mRS has a plateau effect in measuring recovery for this patient population between 3 and 6 months, the BI may be a more sensitive measure for assessing recovery up to 12 months. Disclosure: Dr. Sreekrishnan has nothing to disclose. Dr. Leasure has nothing to disclose. Dr. Zhou has nothing to disclose. Dr. Greer has received personal compensation in an editorial capacity for Seminars in Neurology. Dr. Sheth has received personal compensation in an editorial capacity Current Treatment Options in Neurology. Dr. Sheth has received research support from Remedy Pharmaceuticals, Inc.
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abstract tp338 differences between the modified rankin scale and Barthel Index in measuring intracerebral hemorrhage recovery at 12 months
Stroke, 2017Co-Authors: Anirudh Sreekrishnan, Audrey C Leasure, Sonya Zhou, Hardik Amin, Nils H Petersen, David Y Hwang, Joseph Schindler, Emily J Gilmore, Lauren H Sansing, David M. GreerAbstract:Background: The modified Rankin Scale (mRS) and the Barthel Index (BI) are both commonly employed measures of recovery used in intracerebral hemorrhage (ICH) patients. While these measures have been utilized routinely between 3 to 6 months post-hemorrhage, few outcome studies have compared improvements in these measures in long-term outcome.out to one year. The aim of this study was to examine differences in improvement across these measures through up to 12 months post-ICH. Methods: 139 patients diagnosed with primary ICH at Yale-New Haven Hospital were prospectively enrolled in this observational study between July 1, 2014, and July 1, 2016. Patient recovery was evaluated using the mRS and BI at discharge, 3 months, 6 months, and 12 months. Repeated-measures parametric and non-parametric testing was conducted to examine improvement in measures over time. Results: Using the BI, there was a significant improvement across time points (p = 0.005), with follow-up testing showing improvement between discharge and 3 months (p 0.05). Between individual time points, there was a significant improvement in mRS scores between discharge and 3 months (p = 0.004) as well as 6 months (p = 0.010). Conclusions: These results suggest improved recovery of ICH patients in activities of daily living up to 1 year post-hemorrhage. While the mRS has a plateau effect in measuring recovery for this patient population between 3 and 6 months, the BI may be a more sensitive measure for assessing recovery up to 12 months.
