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24.01.2018 | Original Article

Reliability and validity of telephonic Barthel Index: an experience from multi-centric randomized control study

verfasst von: Kameshwar Prasad, Amit Kumar, Shubham Misra, Arun K. Yadav, Sarat Johri, R. S. Sarkar, S. P. Gorthi, K. M. Hassan, Sudesh Prabhakar, Usha Kant Misra, Pradeep Kumar, For InveST study group

Erschienen in: Acta Neurologica Belgica | Ausgabe 1/2018

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Abstract

Telephonic Barthel Index (BI) assessment is less time-consuming and more feasible than a face-to-face interview. The aim of this study was to test the validity as well as reliability of the BI administered by telephone in comparison with face-to-face assessment in a multi-centric study. The study was conducted during the course of a randomized controlled trial in which 120 patients with subacute strokes from five teaching hospitals from different parts of India were recruited. Central telephonic follow-up and face-to-face assessment of BI and modified Rankin Scale (mRS) at 3 and 6 months were done by trained and certified blinded researchers. Kappa or weighted kappa (wK) was estimated. Sensitivity and specificity at various cutoff levels of telephonic BI were calculated. Concurrent validity of the telephonic BI was assessed by correlating it with the mRS and National Institutes of Health Stroke Scales (NIHSS) at 3 and 6 months. We observed high sensitivity and specificity at various cutoff levels of BI. Moderate to substantial agreement was observed between the two methods at 6 months wK 0.72 (95% CI 0.70–0.77). Item-wise and center-wise kappa also reflected substantial agreement. The study shows that telephonic assessment of activities of daily living with the BI in moderate to severely disabled stroke patients is valid and reliable compared to face-to-face assessment. Our study shows that telephonic assessment requires smaller sample size compared to face-to-face assessment of BI.
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Metadaten
Titel
Reliability and validity of telephonic Barthel Index: an experience from multi-centric randomized control study
verfasst von
Kameshwar Prasad
Amit Kumar
Shubham Misra
Arun K. Yadav
Sarat Johri
R. S. Sarkar
S. P. Gorthi
K. M. Hassan
Sudesh Prabhakar
Usha Kant Misra
Pradeep Kumar
For InveST study group
Publikationsdatum
24.01.2018
Verlag
Springer International Publishing
Erschienen in
Acta Neurologica Belgica / Ausgabe 1/2018
Print ISSN: 0300-9009
Elektronische ISSN: 2240-2993
DOI
https://doi.org/10.1007/s13760-017-0843-2

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