Cross-cultural adaptation and psychometric evaluation of the Singapore version of the Chedoke Arm and Hand Activity

Choo, Silvana X; Bosch, Jackie; Richardson, Julie; Stratford, Paul W.; Harris, Jocelyn E.

doi:10.1080/09638288.2018.1472817

Cited by 1 publication

(5 citation statements)

References 37 publications

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“…As hypothesized, at the initial measurement point, the correlations of the CAHAI and MAL-AOU (0.60) and the CAHAI and MAL-QOM (0.62) were high, as expected, which may provide further evidence to the construct validity of the CAHAI to the validation study by Barecca et al ( 6 ) and Choo et al ( 8 ). The results supported the hypothesis of overlapping constructs of the CAHAI and the MAL that both evaluate the performance of activity involving the use of arms, speed, and precision.…”

Section: Discussionsupporting

confidence: 74%

“…The CAHAI and ABILHAND Questionnaire have gained popularity recently for in-clinic assessment and clinical studies because both of them involve assessing real-life functional tasks that reflect a patient’s activity performance in daily life. Besides, 3 short versions of the CAHAI are available with 7, 8, and 9 tasks (CAHAI-7, CAHAI-8, and CAHAI-9) for clinical assessment ( 8 ). The short versions of the CAHAI take a shorter time to administer, and their psychometric properties are comparable to the original version.…”

Section: Discussionmentioning

confidence: 99%

“…The CAHAI was developed on the basis of involving bilateral upper limbs to perform functional tasks and has established reliability and validity ( 6 ). The CAHAI is a performance-based outcome measure that consists of 13 items related to real-life activities ( 6 , 8 ). Each item is assessed according to the standardized protocol and rated by a therapist.…”

Section: Methodsmentioning

confidence: 99%

“…Convergent and discriminant cross-sectional validity were also established for the CAHAI in this study. Another study that examined the psychometric properties and cross-cultural adaptation of the CAHAI in individuals with subacute and chronic stroke showed good construct validity and high inter-rater reliability, with an ICC of 0.97 (95% CI, 0.94–0.99) ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

“…Findings of the aforementioned studies suggest that the CAHAI and ABILHAND Questionnaire are both valid instruments to assess upper limb activity in individuals with stroke ( 7 , 8 , 10 ). Although both instruments measure bilateral upper limb activity, the CAHAI is rated by the therapist, whereas the ABILHAND Questionnaire is a patient-reported outcome measure (PROM).…”

Section: Introductionmentioning

confidence: 99%

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Responsiveness and construct validity of two outcome measures of bilateral upper limb function in patients with chronic stroke

Tsai,

Lau,

Lin

et al. 2024

Front. Neurol.

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BackgroundStroke is a leading cause of long-term disability among stroke survivors. Despite the availability of numerous stroke rehabilitative therapies, such as mirror therapy, bilateral arm training, and robot-assisted therapy, the recovery of motor function after stroke remains incomplete. Bilateral arm function is a key component in stroke patients to perform activities of daily living and to reflect their functional autonomy.ObjectiveThis clinimetric study investigated and compared the construct validity and responsiveness of 2 bimanual activity outcome measures, the Chedoke Arm and Hand Activity Inventory (CAHAI) and the ABILHAND Questionnaire, in individuals receiving stroke rehabilitation.MethodsThe present study is a secondary analysis following the framework of the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). Individuals with chronic stroke (N = 113) were recruited from outpatient rehabilitation settings. Participants received 18 to 20 sessions of robot-assisted therapy, mirror therapy, combined therapy, or conventional rehabilitation for 4 to 6 weeks. The CAHAI, ABILHAND Questionnaire, and a comparison instrument, the Motor Activity Log (MAL), were administered twice at a 4- to 6-week interval to all participants. ABILHAND scores, in logits, were converted from raw ordinal scores into a linear measure.ResultsThere was medium to large correlation of the CAHAI and the MAL (ρ = 0.60–0.62, p < 0.01) as well as the ABILHAND Questionnaire and the MAL (ρ = 0.44–0.51, p < 0.01). Change scores from the initial measurement to the post-intervention measurement demonstrated small to medium correlation of the CAHAI and the MAL (ρ = 0.27–0.31, p < 0.01) and medium to large correlation of the ABILHAND Questionnaire and the MAL (ρ = 0.37–0.41, p < 0.01). Overall, 7 of 8 hypotheses were supported. The hypothesis testing regarding the construct validity and responsiveness of the CAHAI and ABILHAND Questionnaire was confirmed.ConclusionThe CAHAI and ABILHAND Questionnaire are both responsive and suitable to detect changes in bilateral arm functional daily activities in individuals with chronic stroke. Patient-reported outcome measures are recommended to use along with therapist-rated outcome measures for upper limb capacity evaluation in stroke rehabilitation. Further study with a prospective study design to capture specific clinical features of participants and the use of body-worn sensors, such as the arm accelerometer, is suggested.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%