The Barthel ADL Index one year after stroke: comparison between relatives`and occupational therapist`s scores
Torgeir Brunn Wyller, Unni Sveen, Erik Bautz-Holter
Bok Engelsk 1997 Torgeir Bruun Wyller
| Utgitt | 1997
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| Omfang | 4 s.
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| Opplysninger | The activities of daily living of 54 patients 1 year after stroke were rated with Barthel Index by an occupational therapist (OT). A physician indenpendently rated the same patients from interviews with their nearest relative. The mean sum.score obtained by the doctor was 16.7, while the mean sum-score obtained by the OT was 17.1. In more than 80% of the patients, the difference in sum-score was two points or less, which was considered to reflect acceptable agreement. Weighted kappa values of eatch item varied between 0.42 and 0.92, indicating moderate agreement for the items "grooming" and "bladder" and good or very good agreement for the other items. There was a statistically significant bias in the bladder item; the doctor`s score being lower than that of the OT. The other items showed no significant bias. The probability of disagreement between the two raters increased with the patient`s age; no other factors were found to be related to diasgreement.
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