title: Caregiver-proxy reliability of the Igbo-culture adapted Maleka Stroke Community Reintegration Measure: a validation study.
abstract: This study was designed to determine the caregiver-proxy reliability of the Igbo-culture adapted urban version of the Maleka Stroke Community Reintegration Measure (I-MSCRIM).
  
  
  
  This was a validation study involving 74 consenting stroke survivors and their 74 primary informal caregivers consecutively recruited from selected tertiary hospitals in South-East Nigeria (Igboland). The I-MSCRIM was researcher-administered to the participants. Obtained data was analyzed using frequency counts, percentages, range, mean, standard deviation, Spearman rank order correlation, Mann-Whitney U test, Kruskal-Wallis test and Intra-class Correlation Coefficient. Alpha level was set at 0.05.
  
  
  
  The mean ages of the stroke survivors (55.4% males) and their primary informal caregivers (41.9% males) were 50.14 ± 12.24 and 31.93 ± 10.9 years respectively. There was no significant difference in the community reintegration (CR) scores as rated by stroke survivors and their primary informal caregivers (p > 0.05). The correlations between stroke survivors' and primary informal caregivers' rated CR scores were all adequate and acceptable (ICC = 0.602-0.917). The discrepancy in the total CR scores between the two ratings was significantly influenced by primary informal caregivers' educational attainment (k = 13.15; p < 0.01).
  
  
  
  The I-MSCRIM has acceptable caregiver-proxy reliability among Igbo stroke survivors in South-East Nigeria. This suggests that primary informal caregivers of stroke survivors can reliably estimate the CR of their care recipients when I-MSCRIM is administered to them. This will be useful when a stroke survivor cannot respond to I-MSCRIM.
authors.affiliation: a Department of Medical Rehabilitation , College of Health Sciences, Nnamdi Azikiwe University , Nnewi , Nigeria.
authors.forename: Emmanuel Chiebuka
authors.initials: EC
authors.lastname: Okoye
authors.affiliation: a Department of Medical Rehabilitation , College of Health Sciences, Nnamdi Azikiwe University , Nnewi , Nigeria.
authors.forename: Peter Agba
authors.initials: PA
authors.lastname: Awhen
authors.affiliation: a Department of Medical Rehabilitation , College of Health Sciences, Nnamdi Azikiwe University , Nnewi , Nigeria.
authors.forename: Christopher Olusanjo
authors.initials: CO
authors.lastname: Akosile
authors.affiliation: a Department of Medical Rehabilitation , College of Health Sciences, Nnamdi Azikiwe University , Nnewi , Nigeria.
authors.forename: Fatai Adesina
authors.initials: FA
authors.lastname: Maruf
authors.affiliation: a Department of Medical Rehabilitation , College of Health Sciences, Nnamdi Azikiwe University , Nnewi , Nigeria.
authors.forename: Ngozi
authors.initials: N
authors.lastname: Iheukwumere
authors.affiliation: a Department of Medical Rehabilitation , College of Health Sciences, Nnamdi Azikiwe University , Nnewi , Nigeria.
authors.forename: Afamefuna Victor
authors.initials: AV
authors.lastname: Egwuonwu
mesh_terms: D000328:Adult; D017028:Caregivers / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D019727:Proxy / Q000523:psychology*; D015203:Reproducibility of Results; D012111:Residence Characteristics; D013223:Statistics as Topic; D018709:Statistics, Nonparametric; D020521:Stroke / Q000453:epidemiology* / Q000523:psychology*; D017741:Survivors / Q000523:psychology
keywords: Igbo; Maleka Stroke Community Reintegration Measure; Nigeria; caregivers; proxy reliability; stroke survivors