Development of a Computerized Adaptive Testing System of the Functional Assessment of Stroke

ASIA unversity > 醫學暨健康學院 > 職能治療學系 > 期刊論文 > Item 310904400/111602

Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/111602

Title:	Development of a Computerized Adaptive Testing System of the Functional Assessment of Stroke
Authors:	林恭宏;Lin,Gong-Hong;黃怡靜;Huang,Yi-Jing;李士捷;Lee,Shih-Chieh;黃小玲;Huang,Sheau-Ling;謝清麟;Hsieh,Ching-Lin
Contributors:	職能治療學系
Keywords:	Psychometrics;Rehabilitation;Reproducibility of results;Stroke;Validation studies as topic
Date:	2018-04
Issue Date:	2018-10-22 11:48:37 (UTC+8)
Abstract:	Objective To develop a computerized adaptive testing system of the Functional Assessment of Stroke (CAT-FAS) to assess upper- and lower-extremity (UE/LE) motor function, postural control, and basic activities of daily living with optimal efficiency and without sacrificing psychometric properties in patients with stroke. Design Simulation study. Setting One rehabilitation unit in a medical center. Participants Patients with subacute stroke (N=301; mean age, 67.3±10.9; intracranial infarction, 74.5%). Interventions Not applicable. Main Outcome Measures The UE and LE subscales of the Fugl-Meyer Assessment, Postural Assessment Scale for Stroke Patients, and Barthel Index. Results The CAT-FAS adopting the optimal stopping rule (limited reliability increase of <.010) had good Rasch reliability across the 4 domains (.88–.93) and needed few items for the whole administration (8.5 items on average). The concurrent validity (CAT-FAS vs original tests, Pearson r=.91–.95) and responsiveness (standardized response mean, .65–.76) of the CAT-FAS were good in patients with stroke. Conclusions We developed the CAT-FAS, and our results support that the CAT-FAS has sufficient efficiency, reliability, concurrent validity, and responsiveness in patients with stroke. The CAT-FAS can be used to simultaneously assess patients' functions of UE, LE, postural control, and basic activities of daily living using, on average, no more than 10 items; this efficiency is useful in reducing the assessment burdens for both clinicians and patients.
Relation:	ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Appears in Collections:	[職能治療學系] 期刊論文

Files in This Item:

File	Size	Format
index.html	0Kb	HTML	213	View/Open

Loading...