TY - JOUR
T1 - Development of a toileting performance assessment test for patients in the early stroke phase
AU - Takeda, Eriko
AU - Yamaguchi, Tomofumi
AU - Mizuguchi, Hiroko
AU - Fujitani, Junko
AU - Liu, Meigen
N1 - Funding Information:
This work was supported by a grant from the Fund for a Grant-in-Aid for Young Scientists (15K16370 and 18K17723).
Publisher Copyright:
© 2018, © 2018 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2019/11/6
Y1 - 2019/11/6
N2 - Purpose: The study aimed to develop a toileting performance assessment test to measure the toileting performance ability of patients in the early phase after stroke. Methods: In this study, 214 stroke patients were enrolled. Cronbach’s α, Spearman’s rank correlations (ρ values) with the toileting-related items of the functional independence measure and Barthel Index, interrater reliability (weighted κ), and responsiveness (standardized response mean) were evaluated. Receiver operating characteristic and the area under the curves were utilized to determine the cutoff scores for the significance of the independence of toilet ability with the functional independence measure and Barthel Index. Results: Cronbach’s α was ≥0.90. The p values between toileting performance assessment test and Barthel Index and between toileting performance assessment test and functional independence measure were 0.88 and 0.86, respectively. The weighted κ for each item was ≥0.61. The standardized response means were 0.81 for the functional independence measure, 0.70 for the Barthel Index, and 0.93 for the toileting performance assessment test. Cutoff scores of the toileting performance assessment test were 18 points. Conclusions: The toileting performance assessment test has acceptable psychometric properties and proved useful in assessing toileting performance ability of patients in the early phase after stroke.Implications for rehabilitation Toileting performance assessment test demonstrated acceptable psychometric properties, and it can be useful for assessing the toileting ability of patients in the early phase after stroke. Toileting performance assessment test should provide information that leads to lowered risk of falls while toileting, and the information gathered can assist patients in achieving early toileting independence after stroke. As the development of toileting performance assessment test excluded patients with cognitive disabilities, the item for cognitive function should be developed as well.
AB - Purpose: The study aimed to develop a toileting performance assessment test to measure the toileting performance ability of patients in the early phase after stroke. Methods: In this study, 214 stroke patients were enrolled. Cronbach’s α, Spearman’s rank correlations (ρ values) with the toileting-related items of the functional independence measure and Barthel Index, interrater reliability (weighted κ), and responsiveness (standardized response mean) were evaluated. Receiver operating characteristic and the area under the curves were utilized to determine the cutoff scores for the significance of the independence of toilet ability with the functional independence measure and Barthel Index. Results: Cronbach’s α was ≥0.90. The p values between toileting performance assessment test and Barthel Index and between toileting performance assessment test and functional independence measure were 0.88 and 0.86, respectively. The weighted κ for each item was ≥0.61. The standardized response means were 0.81 for the functional independence measure, 0.70 for the Barthel Index, and 0.93 for the toileting performance assessment test. Cutoff scores of the toileting performance assessment test were 18 points. Conclusions: The toileting performance assessment test has acceptable psychometric properties and proved useful in assessing toileting performance ability of patients in the early phase after stroke.Implications for rehabilitation Toileting performance assessment test demonstrated acceptable psychometric properties, and it can be useful for assessing the toileting ability of patients in the early phase after stroke. Toileting performance assessment test should provide information that leads to lowered risk of falls while toileting, and the information gathered can assist patients in achieving early toileting independence after stroke. As the development of toileting performance assessment test excluded patients with cognitive disabilities, the item for cognitive function should be developed as well.
KW - Cerebrovascular disease
KW - acute phase
KW - disability evaluation
KW - self-care
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U2 - 10.1080/09638288.2018.1479455
DO - 10.1080/09638288.2018.1479455
M3 - Article
C2 - 29958010
AN - SCOPUS:85049218919
VL - 41
SP - 2826
EP - 2831
JO - International Rehabilitation Medicine
JF - International Rehabilitation Medicine
SN - 0963-8288
IS - 23
ER -