Development and Validation of the Standard Chinese Version of the CARE Item Set (CARE-C) for Stroke Patients.
The Continuity Assessment Record and Evaluation (CARE) item set is a standardized, integrative scale for evaluation of functional status across acute and postacute care (PAC) providers. The aim of this study was to develop a Chinese version of the CARE (CARE-C) item set and to examine its reliability and validity for assessment of functional outcomes among stroke patients.The CARE-C was administered in two samples. Sample 1 included 30 stroke patients in the outpatient clinic setting for the purpose of examining interrater and test-retest reliabilities and internal consistency. Sample 2 included 138 stroke patients admitted to rehabilitation units for the purpose of investigating criterion-related validity with the Barthel index, Lawton Instrumental Activities of Daily Living (IADL) scale, EuroQOL five dimensions questionnaire (EQ-5D), and Mini-Mental State Examination (MMSE).The CARE-C was categorized into 11 subscales, 52 items of which were analyzed. At the subscale level, the interrater reliability and test-retest reliability expressed by intraclass correlation coefficient (ICC) ranged from 0.72 to 0.99 and 0.60 to 1.00, respectively. Six of the 11 subscales met acceptable levels of internal consistency (Cronbach alpha > 0.7). The criterion-related validity of the CARE-C showed moderate to high correlations of its subscales of cognition and basic and instrumental activities of daily living with the Barthel index, IADL scale, and MMSE.The CARE-C is a useful instrument for evaluating functional quality metrics in the Chinese stroke population. The development of the CARE-C also facilitates the assessment of the PAC program in Taiwan and future research is warranted for validating the capability of CARE-C to identify patients' functional change over time and its generalizability for nonstroke populations.
From the Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital BeiHu Branch, Taipei, Taiwan (K-VC, D-SH), Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Chu-Tung Branch, Hsinchu, Taiwan (C-YH), Institute of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan (C-WK), Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Taoyuan, Taiwan (F-TT), The Brookings Institution, Washington, District of Columbia, USA (BG), School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan (C-LH); and Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan (T-GW).
Ke-Vin
KV
Chang
Chen-Yu
CY
Hung
Chien-Wei
CW
Kao
Fuk-Tang
FT
Tan
Barbara
B
Gage
Ching-Lin
CL
Hsieh
Tyng-Guey
TG
Wang
Der-Sheng
DS
Han
D000203:Activities of Daily Living; D000368:Aged; D002681:China; D005260:Female; D006801:Humans; D007802:Language; D008297:Male; D015203:Reproducibility of Results; D018434:Sickness Impact Profile; D020521:Stroke / Q000175:diagnosis*; D011795:Surveys and Questionnaires