Format

Send to

Choose Destination
Clin Rehabil. 2019 May 13:269215519846543. doi: 10.1177/0269215519846543. [Epub ahead of print]

User testing of the psychometric properties of pictorial-based disability assessment Longshi Scale by healthcare professionals and non-professionals: a Chinese study in Shenzhen.

Author information

1
1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.
2
2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China.
3
3 Department of Rehabilitation Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
4
4 Stroke Biological Recovery Laboratory, Spaulding Rehabilitation Hospital, A Teaching Affiliate of Harvard Medical School, Charlestown, MA, USA.
5
5 School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai, China.
6
6 College of Rehabilitation Sciences, Shanghai University of Medicine & Health Sciences, Shanghai, China.
7
7 Department of Infrastructure Engineering, The University of Melbourne, Melbourne, VIC, Australia.
8
8 Department of Rehabilitation, Shenzhen Nanshan People's Hospital, 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China.
9
9 Rehabilitation Center, The Second Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.
10
10 Acupuncture and Moxibustion Rehabilitation Hospital, Shenzhen Bao'an Traditional Chinese Medicine Hospital Group, Shenzhen, China.
11
11 Dongguan Humen Hospital, Dongguan, China.
12
12 Kerry Rehabilitation Medicine Research Institute, Shenzhen, China.
13
13 Shenzhen Sanming Project Group, Spaulding Rehabilitation Hospital, A Teaching Affiliate of Harvard Medical School, Charlestown, MA, USA.

Abstract

OBJECTIVE:

The aim of this study was to validate a novel pictorial-based Longshi Scale for evaluating a patient's disability by healthcare professionals and non-professionals.

DESIGN:

Prospective study.

SETTING:

Rehabilitation departments from a grade A, class 3 public hospital, a grade B, class 2 public hospital, and a private hospital and seven community rehabilitation centers.

SUBJECTS:

A total of 618 patients and 251 patients with functional disabilities were recruited in a two-phase study, respectively.

MAIN MEASURES:

Outcome measure: pictorial scale of activities of daily living (ADLs, Longshi Scale). Reference measure: Barthel Index. The Spearman correlation coefficient was used to analyze the validity of Longshi Scale against Barthel Index.

RESULTS:

In phase 1 study, from March 2016 to August 2016, the results demonstrated that the Longshi Scale was both reliable and valid (intraclass correlation coefficient based on two-way random effect (ICC2,1) = 0.877-0.974 for intra-rater reliability; ICC2,1 = 0.928-0.979; κ = 0.679-1.000 for inter-rater reliability; intraclass correlation coefficient based on one-way random effect (ICC1,1) = 0.921-0.984 for test-retest reliability and Spearman correlation coefficient = 0.836-0.899). In the second phase, in March 2018, results further demonstrated that the Longshi Scale had good inter-rater and intra-rater reliability among healthcare professionals and non-professionals including therapists, interns, and personal care aids (ICC1,1 = 0.822-0.882 on Day 1; ICC1,1 = 0.842-0.899 on Day 7 for inter-rater reliability). In addition, the Longshi Scale decreased assessment time significantly, compared with the Barthel Index assessment ( P < 0.01).

CONCLUSION:

The Longshi Scale could potentially provide an efficient way for healthcare professionals and non-professionals who may have minimal training to assess the ADLs of functionally disabled patients.

KEYWORDS:

Activities of daily living; Barthel Index; Longshi Scale; functional disability evaluation; pictorial-based scale

PMID:
31081365
DOI:
10.1177/0269215519846543

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center