Development of a Chinese version of the Modified Barthel Index — validity and reliability

Leung, Sharron O.C.; Chan, Che Hin Chetwyn; Shah, Surya

doi:10.1177/0269215507077286

Cited by 267 publications

(211 citation statements)

References 17 publications

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“…[17][18][19][20][21][22][23][24][25][26][27][28] Of these, 10 (n=543 subjects) had data that allowed for metaanalysis. [17][18][19][20][21][22][23][24][25][26] Study populations were exclusively stroke survivors.…”

Section: Resultsmentioning

confidence: 99%

Reliability (Inter-rater Agreement) of the Barthel Index for Assessment of Stroke Survivors

Duffy

Gajree²,

Langhorne³

et al. 2013

Stroke

223

136

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Background and Purpose-The Barthel Index (BI) is a 10-item measure of activities of daily living which is frequently used in clinical practice and as a trial outcome measure in stroke. We sought to describe the reliability (interobserver variability) of standard BI in stroke cohorts using systematic review and meta-analysis of published studies. Methods-Two assessors independently searched various multidisciplinary electronic databases from inception to April 2012 inclusive. Inclusion criteria comprised: original research, human stroke participants, and inter-rater reliability data on equivalent methods of BI administration. Manuscripts were reviewed against prespecified inclusion criteria. Primary outcome for meta-analysis was reliability, measured by weighted κ (κw). Results-From 20 210 titles, 306 abstracts were reviewed, 12 studies met inclusion criteria, and 10 were included in metaanalysis (n=543 participants; range of participants in studies, 7-21). There was substantial clinical heterogeneity with respect to method of BI application; population studied and assessors. Two papers were graded high quality. Overall interobserver reliability of standard administration of the BI was excellent (κw, 0.93; 95% confidence interval, 0.90-0.96 random effects modeling). Conclusions-The BI has excellent inter-rater reliability for standard administration after stroke. However, included studies were modest in size, with clinical heterogeneity and variable methodological quality. Despite these limitations, standard BI seems an appropriate outcome measure for stroke trials and practice. (Stroke. 2013;44:462-468.)

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Section: Resultsmentioning

confidence: 99%

Reliability (Inter-rater Agreement) of the Barthel Index for Assessment of Stroke Survivors

Duffy

Gajree²,

Langhorne³

et al. 2013

Stroke

223

136

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“…The higher the total score, the better the performance in self-care. The kappa values for inter-rater reliability for all items ranged from 0.81 to 1.00, and the Cronbach's alpha for internal consistency was 0.93 [32] .…”

Section: Resident Recordmentioning

confidence: 97%

Quality of life in nursing home settings: Perspectives from elderly residents with frailty

Kwong

Lai²,

Liu³

2014

Clinical Nursing Studies

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Frailty in older people is a challenge for governments, policy makers and healthcare professionals. It decreases quality of life (QoL) in older people, particularly those in nursing home settings. By adopting exploratory qualitative design with focus group interviews, this study aimed to explore perception of QoL in Chinese nursing home residents with frailty to inform nursing care strategies for improving the QoL of Chinese nursing home residents with frailty. Twenty-four Chinese nursing home residents with the frailty scores of 2 or above and at least 18 in the Mini Mental State Examination formed four focus groups to share their views on QoL. Analyzed by qualitative content analysis, the focus group data identified five themes -physical well-being to maximize independence in self-care, peace of mind to cope with irreversible impairment, connection to society, fulfillment of basic needs, and harmony in interpersonal relationships -and four sub-themes.

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“…BI use is international and native language versions are described for several countries. 8 However, not all non-English language versions of BI have undergone the recommended forward-and-back translation process, 9 and certain translated BI scales are thought to be inappropriate for the target population. 10 …”

Section: Development Of the Bimentioning

confidence: 99%

“…For BI, internal consistency has been described as good (␣ϭ0.80 -0.89) 13,27 to excellent (␣ϭ0.93). 8 The reliability of repeated BI measures (test-retest reliability) is important in clinical work because serial measures are used to chart progress. For a clinical trial, such considerations are less important because outcomes are likely to be measured during a limited number of predefined times.…”

Section: Reliabilitymentioning

confidence: 99%

“…29 No equivalent systematic review of BI in stroke is available. Reports of BI reliability in stroke, described using Cohen , range from moderate (ϭ0.41-0.60) to good (ϭ0.61-0.80) to very good (ϭ0.81-1.00) 8,27,28 To put these figures in context, recent meta-analysis of mRS reliability reported scores ranging from of 0.25 to 0.95, and overall reliability was of 0.46. 30 …”

Section: Reliabilitymentioning

confidence: 99%

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Barthel Index for Stroke Trials

Quinn

Langhorne

Stott

2011

Stroke

416

180

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Background and Purpose-Robust measures of functional outcome are required to determine treatment effects in stroke trials. Of the various measures available, the Barthel index (BI) is one of the more prevalent. We aimed to describe validity, reliability, and responsiveness (clinimetric properties) of the BI in stroke trials. Methods-Narrative review of published articles describing clinimetric properties or use of the BI as a stroke trial end point. Results-Definitive statements on properties of BI are limited by heterogeneity in methodology of assessment and in the content of "BI" scales. Accepting these caveats, evidence suggests that BI is a valid measure of activities of daily living; sensitivity to change is limited at extremes of disability (floor and ceiling effects), and reliability of standard BI assessment is acceptable. However, these data may not be applicable to contemporary multicenter stroke trials. Conclusions-Substantial literature describing BI clinimetrics in stroke is available; however, questions remain regarding certain properties. The "BI" label is used for a number of instruments and we urge greater consistency in methods, content, and scoring. A 10-item scale, scoring 0 to 100 with 5-point increments, has been used in several multicenter stroke trials and it seems reasonable that this should become the uniform stroke trial BI. (Stroke. 2011;42:1146-1151.)

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Development of a Chinese version of the Modified Barthel Index — validity and reliability

Cited by 267 publications

References 17 publications

Reliability (Inter-rater Agreement) of the Barthel Index for Assessment of Stroke Survivors

Reliability (Inter-rater Agreement) of the Barthel Index for Assessment of Stroke Survivors

Quality of life in nursing home settings: Perspectives from elderly residents with frailty

Barthel Index for Stroke Trials

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