ASIA unversity:Item 310904400/111602
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    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:[Department of Occupational Therapy ] 期刊論文

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