Improving the sensitivity of the Barthel Index for stroke rehabilitation

Shah S., Vanclay F. and Cooper B. (1989) Improving the sensitivity of the Barthel Index for stroke rehabilitation. Journal of Clinical Epidemiology, 42 8: 703-709. doi:10.1016/0895-4356(89)90065-6


Author Shah S.
Vanclay F.
Cooper B.
Title Improving the sensitivity of the Barthel Index for stroke rehabilitation
Journal name Journal of Clinical Epidemiology   Check publisher's open access policy
ISSN 0895-4356
Publication date 1989-01-01
Sub-type Article (original research)
DOI 10.1016/0895-4356(89)90065-6
Volume 42
Issue 8
Start page 703
End page 709
Total pages 7
Subject 2700 Medicine
2713 Epidemiology
2739 Public Health, Environmental and Occupational Health
Abstract The Barthel Index is considered to be the best of the ADL measurement scales. However, there are some scales that are more sensitive to small changes in functional independence than the Barthel Index. The sensitivity of the Barthel Index can be improved by expanding the number of categories used to record improvement in each ADL function. Suggested changes to the scoring of the Barthel Index, and guidelines for determining the level of independence are presented. These modifications and guidelines were applied in the assessment of 258 first stroke patients referred for inpatient comprehensive rehabilitation in Brisbane, Australia during 1984 calendar year. The modified scoring of the Barthel Index achieved greater sensitivity and improved reliability than the original version, without causing additional difficulty or affecting the implementation time. The internal consistency reliability coefficient for the modified scoring of the Barthel Index was 0.90, compared to 0.87 for the original scoring.
Keyword Adaptive recovery scalel
ADL
Barthel Index
Functional independence
Stroke outcome measure
Stroke rehabilitation
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: Scopus Import - Archived
 
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