Reliability and Validity of the Korean Kessler Foundation Neglect Assessment Process

Kim, Boram; Jeong, Eun Hwa; Oh‐Park, Mooyeon; Lee, Kyung-Jae; Kim, Hyun-Tae; Yoo, Seung Don; Yi, Tae Im; Kim, MinYoung; Lee, Jongmin

doi:10.12786/bn.2017.10.e10

Cited by 6 publications

(2 citation statements)

References 15 publications

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“…Each subscale was generally in better agreement in the KF-NAP group than in the CBS group. Previous studies reported that both CBS [ 9 , 10 ] and KF-NAP [ 8 , 16 ] displayed excellent reliability. However, to the best of our knowledge, comparisons of interrater reliability between CBS and KF-NAP were not reported.…”

Section: Discussionmentioning

confidence: 99%

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Behavioral Assessment of Unilateral Spatial Neglect with the Catherine Bergego Scale (CBS) Using the Kessler Foundation Neglect Assessment Process (KF-NAP) in Patients with Subacute Stroke during Rehabilitation in Japan

Nishida

Mizuno

Tahara

et al. 2021

Behavioural Neurology

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The Kessler Foundation Neglect Assessment Process (KF-NAP) is an assessment tool for unilateral spatial neglect (USN), which is the scoring method for the Catherine Bergego Scale (CBS) based on detailed instructions. This study is aimed at determining the reliability and validity of the Japanese version of the KF-NAP (KF-NAP-J), evaluating the improvement of neglect assessment with KF-NAP-J, and comparing it with the original CBS for subacute stroke patients. We assessed subacute stroke patients admitted to our intensive rehabilitation hospital. Two KF-NAP-trained occupational therapists (OTs) assessed 22 patients. Before implementing the KF-NAP at the hospital, two other OTs assessed the other 23 patients using the CBS. We evaluated the interrater reliability of the KF-NAP and CBS using intraclass correlation coefficients (ICC) for the total scores, weighted kappa statistics for each subscale, and internal consistency using Cronbach’s alpha. We assessed the validity of the KF-NAP against the Behavioral Inattention Test (BIT) and Functional Independence Measure (FIM) using Spearman’s correlation coefficient. The reliability of both the KF-NAP and CBS was excellent. The weighted kappa results demonstrated that each subscale was in better agreement with the KF-NAP than with the CBS. In the KF-NAP, all eight subscales in which weighted kappa could be calculated were in significant agreement, and two were almost in perfect agreement. The KF-NAP moderately correlated with the subscales of BIT and FIM representing USN and activities of daily living. The USN detection rates of KF-NAP and BIT in the KF-NAP group were 63.6% and 22.7%, respectively. These results suggest that the KF-NAP, as well as the CBS, is useful to assess USN, which strongly impacts the rehabilitation outcomes in subacute stroke patients.

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Section: Discussionmentioning

confidence: 99%

“…We calculated the sample size according to the study by Doros [ 15 ]. We assumed the ICC estimate to be 0.8 from previous studies [ 16 , 17 ], two raters ( k = 2) assessment, 95% confidence interval (CI), and CI width 0.4; we calculated the minimum sample size as n = 20. We determined that 20 or more participants were required.…”

Section: Methodsmentioning

confidence: 99%

Behavioral Assessment of Unilateral Spatial Neglect with the Catherine Bergego Scale (CBS) Using the Kessler Foundation Neglect Assessment Process (KF-NAP) in Patients with Subacute Stroke during Rehabilitation in Japan

Nishida

Mizuno

Tahara

et al. 2021

Behavioural Neurology

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Implementing a Rehabilitation Protocol for Spatial Neglect Assessment and Treatment in an Acute Care Hospital

Hreha¹,

Chen²,

LaRosa³

et al. 2020

Journal of Acute Care Physical Therapy

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Purpose: Spatial neglect can occur after stroke, causing disabling spatial errors limiting functional abilities. In rehabilitation research, administration of spatial neglect assessment and treatment protocols can improve function. The objective of this study was to implement those protocols, the Kessler Foundation Neglect Assessment Process (KF-NAP) and the Kessler Foundation Prism Adaptation Treatment (KF-PAT), in an acute care hospital to determine their feasibility and sustainability. Methods: We formally instructed participating therapists, followed by a 5-month training phase and then 6-month implementation phase. Patient participants included right brain stroke survivors, at acute care. We measured patient-based (study participation rates, refusals) and institutional-based feasibility (fidelity and maintenance) for both protocols. Results: A total of 126 of 145 patients with stroke meeting the inclusion criteria were assessed for spatial neglect. Among the 126, 20.6% had spatial neglect. Ten of the 26 patients with spatial neglect were treated with the KF-PAT. There were no refusals; however, 3 people were not seen because of medical scheduling. Overall, the fidelity of both protocols was maintained because main concepts and components were not changed. However, adaptations to both protocols were required secondary to lack of time and medical complexity of the patients. Conclusions: Implementation of a standard rehabilitation assessment and treatment protocol for spatial neglect in acute care is feasible. The findings related to fidelity are promising; however, further research is recommended.

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Clinical Practice Guideline for Stroke Rehabilitation in Korea—Part 1: Rehabilitation for Motor Function (2022)

Kim

Ryu

et al. 2023

Brain Neurorehabil

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This clinical practice guideline (CPG) is the fourth edition of the Korean guideline for stroke rehabilitation, which was last updated in 2016. The development approach has been changed from a consensus-based approach to an evidence-based approach using the Grading of Recommendations Assessment Development and Evaluation (GRADE) method. This change ensures that the guidelines are based on the latest and strongest evidence available. The aim is to provide the most accurate and effective guidance to stroke rehabilitation teams, and to improve the outcomes for stroke patients in Korea. Fifty-five specialists in stroke rehabilitation and one CPG development methodology expert participated in this development. The scope of the previous clinical guidelines was very extensive, making it difficult to revise at once. Therefore, it was decided that the scope of this revised CPG would be limited to Part 1: Rehabilitation for Motor Function. The key questions were selected by considering the preferences of the target population and referring to foreign guidelines for stroke rehabilitation, and the recommendations were completed through systematic literature review and the GRADE method. The draft recommendations, which were agreed upon through an official consensus process, were refined after evaluation by a public hearing and external expert evaluation.

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Reliability and Validity of the Korean Kessler Foundation Neglect Assessment Process

Cited by 6 publications

References 15 publications

Behavioral Assessment of Unilateral Spatial Neglect with the Catherine Bergego Scale (CBS) Using the Kessler Foundation Neglect Assessment Process (KF-NAP) in Patients with Subacute Stroke during Rehabilitation in Japan

Behavioral Assessment of Unilateral Spatial Neglect with the Catherine Bergego Scale (CBS) Using the Kessler Foundation Neglect Assessment Process (KF-NAP) in Patients with Subacute Stroke during Rehabilitation in Japan

Implementing a Rehabilitation Protocol for Spatial Neglect Assessment and Treatment in an Acute Care Hospital

Clinical Practice Guideline for Stroke Rehabilitation in Korea—Part 1: Rehabilitation for Motor Function (2022)

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