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Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index

Background: Katz Index is a well-known index for assessing basic activities of daily living. The aim was to determine validity and reliability of the Katz Index in Iranian patients with acute stroke. Methods: Eighty-seven patients (56 male, 31 female) with acute stroke (1-30 days post-stroke) partic...

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Autores principales: Azad, Akram, Mohammadinezhad, Tayyebe, Taghizadeh, Ghorban, Lajevardi, Laleh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iran University of Medical Sciences 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804429/
https://www.ncbi.nlm.nih.gov/pubmed/29445659
http://dx.doi.org/10.18869/mjiri.31.30
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author Azad, Akram
Mohammadinezhad, Tayyebe
Taghizadeh, Ghorban
Lajevardi, Laleh
author_facet Azad, Akram
Mohammadinezhad, Tayyebe
Taghizadeh, Ghorban
Lajevardi, Laleh
author_sort Azad, Akram
collection PubMed
description Background: Katz Index is a well-known index for assessing basic activities of daily living. The aim was to determine validity and reliability of the Katz Index in Iranian patients with acute stroke. Methods: Eighty-seven patients (56 male, 31 female) with acute stroke (1-30 days post-stroke) participated in this psychometric properties study. Interval time for retest was 14 days. All participants were Iranian with Persian as native language, had no other major diseases (e.g. cancer, Alzheimer) and no psychiatric disorder. Cognitive mental score of all participants was above 18 (according to Mini-Mental State Examination). If they had another stroke during the following-up period, they were excluded from the study. Intraclass Correlation Coefficient (ICC), Standard Error of Measurement (SEM) and Minimum Detectable Change (MDC) were calculated to investigate the reliability of the KI. Criterion validity of the KI was assessed by Spearman’s Correlation Coefficient (ρ). Moreover, Confirmatory Factor Analysis (CFA) and Exploratory Factor Analysis (EFA) were performed to investigate the construct validity of the KI. Results: Inter-rater and intra-rater reliability of Persian Katz Index were reasonable (ICC2,1=0.93, ICC2,1=0.83; respectively). Internal consistency of this index was high (cronbach’s alpha=0.79). The high to excellent correlation was found between Katz Index and the motion (ρ=0.88), self-care (ρ=0.98), and total scores (ρ=0.92) of Barthel Index. Factor analysis of the Persian Katz Index indicated two factors including motion (bathing, toileting, and transferring) and self-care (dressing, bowel & bladder control, and feeding). Conclusion: The results of this study suggest that Persian version of Katz Index in patients with acute stroke can be considered as an acceptable clinical instrument in practice and research.
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spelling pubmed-58044292018-02-14 Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index Azad, Akram Mohammadinezhad, Tayyebe Taghizadeh, Ghorban Lajevardi, Laleh Med J Islam Repub Iran Original Article Background: Katz Index is a well-known index for assessing basic activities of daily living. The aim was to determine validity and reliability of the Katz Index in Iranian patients with acute stroke. Methods: Eighty-seven patients (56 male, 31 female) with acute stroke (1-30 days post-stroke) participated in this psychometric properties study. Interval time for retest was 14 days. All participants were Iranian with Persian as native language, had no other major diseases (e.g. cancer, Alzheimer) and no psychiatric disorder. Cognitive mental score of all participants was above 18 (according to Mini-Mental State Examination). If they had another stroke during the following-up period, they were excluded from the study. Intraclass Correlation Coefficient (ICC), Standard Error of Measurement (SEM) and Minimum Detectable Change (MDC) were calculated to investigate the reliability of the KI. Criterion validity of the KI was assessed by Spearman’s Correlation Coefficient (ρ). Moreover, Confirmatory Factor Analysis (CFA) and Exploratory Factor Analysis (EFA) were performed to investigate the construct validity of the KI. Results: Inter-rater and intra-rater reliability of Persian Katz Index were reasonable (ICC2,1=0.93, ICC2,1=0.83; respectively). Internal consistency of this index was high (cronbach’s alpha=0.79). The high to excellent correlation was found between Katz Index and the motion (ρ=0.88), self-care (ρ=0.98), and total scores (ρ=0.92) of Barthel Index. Factor analysis of the Persian Katz Index indicated two factors including motion (bathing, toileting, and transferring) and self-care (dressing, bowel & bladder control, and feeding). Conclusion: The results of this study suggest that Persian version of Katz Index in patients with acute stroke can be considered as an acceptable clinical instrument in practice and research. Iran University of Medical Sciences 2017-06-03 /pmc/articles/PMC5804429/ /pubmed/29445659 http://dx.doi.org/10.18869/mjiri.31.30 Text en © 2017 Iran University of Medical Sciences http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0), which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.
spellingShingle Original Article
Azad, Akram
Mohammadinezhad, Tayyebe
Taghizadeh, Ghorban
Lajevardi, Laleh
Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index
title Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index
title_full Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index
title_fullStr Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index
title_full_unstemmed Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index
title_short Clinical assessment of activities of daily living in acute stroke: Validation of the Persian version of Katz Index
title_sort clinical assessment of activities of daily living in acute stroke: validation of the persian version of katz index
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5804429/
https://www.ncbi.nlm.nih.gov/pubmed/29445659
http://dx.doi.org/10.18869/mjiri.31.30
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