[Inter-rater reliability of the Barthel Index, the Activity Index, and the Nottingham Extended Activities of Daily Living: The use of ADL instruments in stroke rehabilitation by medical and non medical personnel].
This investigation addressed the question whether non-medical personnel could produce similar ratings to physicians when applying ADL scales. A sports scientist was trained in the assessment of stroke patients with the Barthel Index, the Activity Index and the Nottingham Extended Activities of Daily Living Scale. He and a rehabilitation physician assessed 20 stroke patients in first in-patient rehabilitation with these instruments. Measurements of inter-rater reliability were calculated for scores, subscales and single items, and for the latter also rater correspondence. Inter-rater reliability was good to excellent for all scores and subscales (ICC: 0.82-0.99). Reliability and correspondence was good to excellent for the items of the Barthel Scale, satisfactory to excellent for those of the Activity Index. Some 25 % of the items of the Nottingham Extended Activities of Daily Living revealed unsatisfactory reliability but still high inter-rater correspondence. Results indicate that physicians and non-medical personnel are able to apply these scales reliably to stroke patients.
Schlote
A
A
Klinik für Neurologie der Otto-von-Guericke-Universität Magdeburg. schlote@INNRF.de
Krüger
J
J
Topp
H
H
Wallesch
C-W
CW
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D017063:Outcome Assessment, Health Care / Q000379:methods* / Q000706:statistics & numerical data*; D010820:Physicians; D011785:Quality Assurance, Health Care / Q000379:methods*; D015203:Reproducibility of Results; D012108:Research Personnel; D012680:Sensitivity and Specificity; D012720:Severity of Illness Index; D013178:Sports Medicine; D020521:Stroke / Q000175:diagnosis* / Q000453:epidemiology*; D000071939:Stroke Rehabilitation; D016896:Treatment Outcome