Reliability of the Activities of Daily Living Scale and Its Use in Telephone Interview

Shinar, David; Gross, Cynthia R.; Bronstein, Kathryn S.; Licata-Gehr, E. E.; Eden, Dov; Cabrera, Anna; Fishman, Irene G.; Roth, Andrea; Barwick, Joshua A.; Kunitz, Selma C.

doi:10.1097/00008483-198804000-00013

Cited by 92 publications

(113 citation statements)

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“…The following baseline variables were considered as potential predictors of fatigue: age, sex, 10-item modified Barthel Index 26 (independent [score of 20] versus otherwise), prestroke dependency in activity of daily living, 27 self-reported ethnicity (European versus other), living conditions before stroke (living alone versus otherwise), living at home versus other (eg, residential care, rest home, institution), education level (tertiary education versus other), history of stroke, smoking (current smoker versus current noncurrent smoker), prestroke urinary incontinence (yes or no), hypertension, diabetes mellitus, atrial fibrillation, other heart disease (yes or no), use of antidepressants, and sleepiness in the month before the index stroke (using Epworth Sleepiness Scale Ն10). 28 We also looked at the effect of having Ն2 of the comorbidities mentioned versus Ͻ2 comorbidities at baseline.…”

Section: Methodsmentioning

confidence: 99%

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Prevalence and Predictors of 6-Month Fatigue in Patients With Ischemic Stroke

Feigin

Barker‐Collo

Parag

et al. 2012

Stroke

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on behalf of the Auckland Regional Community Stroke Study Group Background and Purpose-Although persistent and significant fatigue affects the daily life of stroke survivors, there are no population-based studies examining the prevalence of fatigue in 6-month survivors of ischemic stroke and few studies of predictors of poststroke fatigue. Methods-This article examined data from the Auckland Regional Community Stroke study conducted in Auckland, New Zealand, in 2002. Presence of fatigue was evaluated at 6 months in 613 patients with ischemic stroke using a Short Form 36 Vitality Score (energy and fatigue) of Յ47. Multivariate logistic regression analysis was used to determine predictors of fatigue development 6 months poststroke. Results-The prevalence of fatigue was 30% (28% in men and 33% in women). There was a clear association between increased prevalence of fatigue and advancing age. The only baseline variables independently associated with an increased risk of developing fatigue at 6 months poststroke were prestroke incontinence and being of New Zealand European ethnicity. Being independent and living alone at baseline were associated with significant reduction in the risk of being fatigued at 6 months poststroke. Severe depression at 6 months was significantly and independently associated with being fatigued. Conclusions-The prevalence of fatigue found in our study is at the lower level of range reported in other studies. The prevalence of fatigue increased with advancing age, as found in most previous studies. Because fatigue can have a negative impact on stroke recovery, particular attention needs to be paid to those who are older, incontinent before stroke, and those who report severe symptoms of depression at 6 months after stroke. (Stroke. 2012;43:2604-2609.)

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Section: Methodsmentioning

confidence: 99%

“…28 We also looked at the effect of having Ն2 of the comorbidities mentioned versus Ͻ2 comorbidities at baseline. At 6 months poststroke, we measured the level of dependency in activities of daily living 27 and presence or absence of severe depression (as suggested by the General Health Questionnaire-28 29 depression subscore of Ն6 30 ).…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Predictors of 6-Month Fatigue in Patients With Ischemic Stroke

Feigin

Barker‐Collo

Parag

et al. 2012

Stroke

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“…The time interval of one month was chosen for practical reasons only. The telephone interview method was chosen as Shinar et al (1987) showed this to be a valid method to assess patients on the Barthel ADL index and also for practical reasons.…”

Section: Reliabilitymentioning

confidence: 99%

A comparison of two approaches in the treatment of perceptual problems after stroke

Edmans¹,

Webster

Lincoln

2000

Clin Rehabil

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“…25 MiniMental State Examination (MMSE) was performed at 1-year in-person assessments. 26 An ongoing surveillance system of admissions to CUMC and other local hospitals, described in a previous publication, 13 was also used to identify study participants who experienced a clinically evident recurrent stroke, MI, hospitalization, or death.…”

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confidence: 99%

Quality of life declines after first ischemic stroke

Dhamoon

Moon²,

Paik³

et al. 2010

Neurology

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Objectives: Quality of life (QOL) after stroke is poorly characterized. We sought to determine long-term natural history and predictors of QOL among first ischemic stroke survivors without stroke recurrence or myocardial infarction (MI). Methods:In the population-based, multiethnic Northern Manhattan Study, QOL was prospectively assessed at 6 months and annually for 5 years using the Spitzer QOL index (QLI), a 10-point scale. Functional status was assessed using the Barthel Index (BI) at regular intervals, and cognition using the Mini-Mental State Examination at 1 year. Generalized estimating equations estimated the association between patient characteristics and repeated QOL measures over 5 years. Follow-up was censored at death, recurrent stroke, or MI.Results: There were 525 incident ischemic stroke patients Ն40 years (mean age 68.6 Ϯ 12.4 years). QLI declined after stroke (annual change Ϫ0.10, 95% confidence interval Ϫ0.17 to Ϫ0.04), after adjusting for age, sex, race-ethnicity, education, insurance, depressed mood, stroke severity, bladder continence, and stroke laterality. This decline remained when BI Ն95 was added to the model as a time-dependent covariate, and functional status also predicted QLI. Changes in QLI over time differed by insurance status (p for interaction ϭ 0.0017), with a decline for those with Medicaid/no insurance (p Ͻ 0.0001) but not Medicare/private insurance (p ϭ 0.98). Conclusions:In this population-based study, QOL declined annually up to 5 years after stroke among survivors free of recurrence or MI and independently of other risk factors. QLI declined more among Medicaid patients and was associated with age, mood, stroke severity, urinary incontinence, functional status, cognition, and stroke laterality. Neurology ® 2010;75:328 -334 GLOSSARY BI ϭ Barthel Index; CAD ϭ coronary artery disease; CHF ϭ congestive heart failure; CI ϭ confidence interval; CUMC ϭ Columbia University Medical Center; DM ϭ diabetes mellitus; GEE ϭ generalized estimating equation; HTN ϭ hypertension; MI ϭ myocardial infarction; MMSE ϭ Mini-Mental State Examination; NIHSS ϭ NIH Stroke Scale; NOMAS ϭ Northern Manhattan Study; QOL ϭ quality of life; QLI ϭ quality of life index.Stroke causes a significant decrease in quality of life (QOL), even among those who have no poststroke disability.1 Prior studies examining QOL in stroke survivors have been limited by hospitalized samples, 2 cross-sectional design, 3 small sample sizes, 2 and samples with both hemorrhagic and ischemic strokes. 1,2,4,5 Longitudinal studies have been limited by short follow-up and enrollment of patients in different stages of early poststroke recovery. Few long-term population-based studies have systematically examined QOL after stroke. Those studies have been limited by few follow-up assessments 5,6 and significant loss to follow-up. 5 No study, to our knowledge, has censored recurrent vascular events, and the natural history and determinants of long-term QOL after a single ischemic stroke are not known. Finally, the effect of acce...

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Reliability of the Activities of Daily Living Scale and Its Use in Telephone Interview

Cited by 92 publications

References 0 publications

Prevalence and Predictors of 6-Month Fatigue in Patients With Ischemic Stroke

Prevalence and Predictors of 6-Month Fatigue in Patients With Ischemic Stroke

A comparison of two approaches in the treatment of perceptual problems after stroke

Quality of life declines after first ischemic stroke

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