The diverse constructs use of activities of daily living measures in stroke randomized controlled trials in the years 2005–2009

Hsieh, Ching-Lin, Hoffmann, Tammy, Gustafsson, Louise and Lee, Ya-Chen (2012) The diverse constructs use of activities of daily living measures in stroke randomized controlled trials in the years 2005–2009. Journal of Rehabilitation Medicine, 44 9: 720-726. doi:10.2340/16501977-1008

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Author Hsieh, Ching-Lin
Hoffmann, Tammy
Gustafsson, Louise
Lee, Ya-Chen
Title The diverse constructs use of activities of daily living measures in stroke randomized controlled trials in the years 2005–2009
Journal name Journal of Rehabilitation Medicine   Check publisher's open access policy
ISSN 1650-1977
1651-2081
Publication date 2012-09
Sub-type Article (original research)
DOI 10.2340/16501977-1008
Open Access Status File (Publisher version)
Volume 44
Issue 9
Start page 720
End page 726
Total pages 7
Place of publication Uppsala, Sweden
Publisher Stiftelsen Rehabiliteringsinformation / Foundation for Rehabilitation Information
Collection year 2013
Language eng
Formatted abstract
OBJECTIVE: To explore construct(s) (ability, capability, actual performance, and/or perceived difficulty) of activities of daily living measures that have been used in randomized controlled trials.
METHODS: Three databases (Medline, CINAHL, and OTSeeker) were searched. A questionnaire was sent to the author of each eligible study requesting information about the activities of daily living construct(s) that were adopted in his/her study.
RESULTS: A total of 106 studies, which altogether used 17 different activities of daily living measures, were found. Among these, only 12 studies specified in the paper the activities of daily living construct assessed; 7 studies assessed “ability” and 5 assessed “actual performance”. Only 20% of the randomized controlled trials authors reported the mode of administration in the paper. Authors of 34 studies replied to our questionnaire. The most commonly used activities of daily living measures (i.e. the Barthel Index (either the 0–20 or 0–100 scoring version) and the Functional Independence Measure) were employed for assessing various constructs of activities of daily living, with inconsistency between the studies.
CONCLUSION: In stroke randomized controlled trials that measured activities of daily living as an outcome, the measures were used for assessing various construct(s) of activities of daily living (including ability, capability, actual performance, and/or perceived difficulty). This could hamper data interpretation, meta-analysis, and the translation of evidence into clinical practice.
Keyword Activities of daily living
Stroke
Measures
Randomized controlled trial
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Health and Rehabilitation Sciences Publications
 
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