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The culturally adapted Italian version of the Barthel Index (IcaBI): assessment of structural validity, inter-rater reliability and responsiveness to clinically relevant improvements in patients admitted to inpatient rehabilitation centers.
- Source :
-
Functional neurology [Funct Neurol] 2017 Oct/Dec; Vol. 22 (4), pp. 221-228. - Publication Year :
- 2017
-
Abstract
- The Barthel Index (BI) is widely used to determine eligibility criteria for inpatient rehabilitation and to monitor patients' recovery, irrespective of the illnesses that affect them. The culturally adapted Italian version of the Barthel Index (IcaBI) was recently validated. This paper reports the structural validity and inter-rater reliability of the IcaBI and its responsiveness to the results of inpatient rehabilitation. The IcaBI was administered to a cohort of 264 patients hospitalized in two rehabilitation centers in Rome, Italy. Factor analysis using principal component analysis revealed a monofactorial structure for neurological patients and, after removal of item 1 "feeding", also for orthopedic patients. Substantial to optimal inter-rater reliability was found (0.74 > intraclass correlation coefficient < 0.96). The IcaBI was found to be accurate (area under the curve= 0.72) with a minimal clinically important change score of 35 points. This work confirms that IcaBI is a useful tool for measuring disability in health and social care settings along the continuum of care. Further studies are needed to assess its criterion validity, interpretability and responsiveness in other specific disease conditions.
- Subjects :
- Adult
Aged
Aged, 80 and over
Female
Humans
Inpatients
Italy
Male
Middle Aged
Rehabilitation Centers statistics & numerical data
Reproducibility of Results
Severity of Illness Index
Surveys and Questionnaires
Young Adult
Culture
Disability Evaluation
Movement Disorders rehabilitation
Outcome Assessment, Health Care methods
Translating
Subjects
Details
- Language :
- English
- ISSN :
- 1971-3274
- Volume :
- 22
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Functional neurology
- Publication Type :
- Academic Journal
- Accession number :
- 29306359
- Full Text :
- https://doi.org/10.11138/fneur/2017.32.4.221