Volume 21 Issue 7
Jul.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(7): 1215-1219
XUE Kaiwen, LYU Xing, WANG Yulong. Reliability and validity test and application value of hierarchical diagnosis and treatment rating scale in rehabilitation medicine in stroke patients[J]. Chinese Journal of General Practice, 2023, 21(7): 1215-1219. doi: 10.16766/j.cnki.issn.1674-4152.003087
Citation: XUE Kaiwen, LYU Xing, WANG Yulong. Reliability and validity test and application value of hierarchical diagnosis and treatment rating scale in rehabilitation medicine in stroke patients[J]. Chinese Journal of General Practice, 2023, 21(7): 1215-1219. doi: 10.16766/j.cnki.issn.1674-4152.003087
shu

Reliability and validity test and application value of hierarchical diagnosis and treatment rating scale in rehabilitation medicine in stroke patients

doi: 10.16766/j.cnki.issn.1674-4152.003087

  • Department of Rehabilitation Medicine, the Second People's Hospital of Shenzhen (The First Affiliated Hospital of Shenzhen University), Shenzhen, Guangdong 518035, China

Funds:

 2020YFC2008700

 SZSM202111010

  • Received Date: 2022-08-05
    Available Online: 2023-08-28
    Abstract
  •   Objective  To evaluate the reliability, validity and cut-off points of version A and B of the hierarchical diagnosis and treatment rating scale, and to determine a more applicable version.  Methods  The study was conducted in four rehabilitation facilities in Shenzhen in April 2022, and the scales were tested using Cronbach′s α coefficient, interclass correlotion coefficient (ICC), Kaiser-Meyer-Olkin (KMO) and Bartlett's spherical test, Spearman correlation coefficient and ROC curves.  Results  The Cronbach's α coefficients for version A and B were 0.740 and 0.694, respectively, with ICC greater than 0.75. The KMO values for version A and B were 0.659 and 0.660, respectively, with Bartlett spherical test P < 0.01. The correlation between the scale (version A and B) and the National Institute of Health Stroke Scale (NIHSS) was greater than 0.75, while the correlation between the scale (version A and B) and modified Rankin scale (mRS) were -0.101 and -0.063 respectively. NIHSS>20 points corresponded to disease item scores of 2.5 and 7.5 points in the A and B version of the scale, with AUCs=0.775 (95% CI: 0.677-0.855) and 0.840 (95% CI: 0.750 -0.908). The functional items of version A corresponded to the scores of 7.5 and 5 for bedridden group and community group of Longshi scale (LS), with AUC=0.541 (95% CI: 0.435-0.645) and 0.575 (95% CI: 0.469-0.677); The functional items in version B corresponded to the scores of 10 and 5 for bedridden group and community group of LS, with AUCs=0.500 (95% CI: 0.395-0.606) and 0.555 (95% CI: 0.448-0.658).  Conclusion  Both hierarchical diagnosis and treatment rating scale A and B have good reliability and validity for application with stroke patients. However, the functional components of the scale need further adjustment. Items in version B are more appropriate for assessing patients' rehabilitation needs and referral directions.

     

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