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Wang Y, Guo S, Zheng J, Wang QM, Zhang Y, Liang Z, Zhang L, Yang Y, Zhai H, Chen M, Wang Y, Li Y, Lyu X, Li X, Geng H, Zhu X, Yu F, Yuan J, Zhou J, Liu F, Luo H, Long J, Chen W, Li H, Fu G, Zhou C, Zhang J, Wang Y, Huo Y, Ke X, Zeng Y, Liu J, Xing H, Xiao H, Jiao R, Wu M, Tang Q, Luo X. User testing of the psychometric properties of pictorial-based disability assessment Longshi Scale by healthcare professionals and non-professionals: a Chinese study in Shenzhen. Clin Rehabil 2019; 33:1479-1491. [PMID: 31081365 DOI: 10.1177/0269215519846543] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE The aim of this study was to validate a novel pictorial-based Longshi Scale for evaluating a patient's disability by healthcare professionals and non-professionals. DESIGN Prospective study. SETTING Rehabilitation departments from a grade A, class 3 public hospital, a grade B, class 2 public hospital, and a private hospital and seven community rehabilitation centers. SUBJECTS A total of 618 patients and 251 patients with functional disabilities were recruited in a two-phase study, respectively. MAIN MEASURES Outcome measure: pictorial scale of activities of daily living (ADLs, Longshi Scale). Reference measure: Barthel Index. The Spearman correlation coefficient was used to analyze the validity of Longshi Scale against Barthel Index. RESULTS In phase 1 study, from March 2016 to August 2016, the results demonstrated that the Longshi Scale was both reliable and valid (intraclass correlation coefficient based on two-way random effect (ICC2,1) = 0.877-0.974 for intra-rater reliability; ICC2,1 = 0.928-0.979; κ = 0.679-1.000 for inter-rater reliability; intraclass correlation coefficient based on one-way random effect (ICC1,1) = 0.921-0.984 for test-retest reliability and Spearman correlation coefficient = 0.836-0.899). In the second phase, in March 2018, results further demonstrated that the Longshi Scale had good inter-rater and intra-rater reliability among healthcare professionals and non-professionals including therapists, interns, and personal care aids (ICC1,1 = 0.822-0.882 on Day 1; ICC1,1 = 0.842-0.899 on Day 7 for inter-rater reliability). In addition, the Longshi Scale decreased assessment time significantly, compared with the Barthel Index assessment (P < 0.01). CONCLUSION The Longshi Scale could potentially provide an efficient way for healthcare professionals and non-professionals who may have minimal training to assess the ADLs of functionally disabled patients.
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Affiliation(s)
- Yulong Wang
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China.,2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China
| | - Shanshan Guo
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Jiejiao Zheng
- 3 Department of Rehabilitation Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai, China
| | - Qing Mei Wang
- 4 Stroke Biological Recovery Laboratory, Spaulding Rehabilitation Hospital, A Teaching Affiliate of Harvard Medical School, Charlestown, MA, USA
| | - Yuling Zhang
- 4 Stroke Biological Recovery Laboratory, Spaulding Rehabilitation Hospital, A Teaching Affiliate of Harvard Medical School, Charlestown, MA, USA.,5 School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, Shanghai, China
| | - Zhenwen Liang
- 6 College of Rehabilitation Sciences, Shanghai University of Medicine & Health Sciences, Shanghai, China
| | - Lihai Zhang
- 7 Department of Infrastructure Engineering, The University of Melbourne, Melbourne, VIC, Australia
| | - Yi Yang
- 7 Department of Infrastructure Engineering, The University of Melbourne, Melbourne, VIC, Australia
| | - Haohan Zhai
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Miaoling Chen
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Yuzhen Wang
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Yawei Li
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Xing Lyu
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Xuhui Li
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Hongli Geng
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Xiaolong Zhu
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Fei Yu
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Jian Yuan
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Jing Zhou
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Fang Liu
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Haoming Luo
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Jianjun Long
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Wensheng Chen
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Hua Li
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Guanqi Fu
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Chunxiu Zhou
- 1 Department of Rehabilitation, Shenzhen Second People's Hospital, The First Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Jiehong Zhang
- 2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China
| | - Yao Wang
- 2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China
| | - Yongyang Huo
- 2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China
| | - Xiujun Ke
- 2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China
| | - Yuanyuan Zeng
- 2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China
| | - Jiayu Liu
- 2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China
| | - Hailan Xing
- 2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China
| | - Huixiang Xiao
- 8 Department of Rehabilitation, Shenzhen Nanshan People's Hospital, 6th Affiliated Hospital of Shenzhen University Health Science Center, Shenzhen, China
| | - Rui Jiao
- 9 Rehabilitation Center, The Second Affiliated Hospital, Shenzhen University School of Medicine, Shenzhen, China
| | - Miao Wu
- 10 Acupuncture and Moxibustion Rehabilitation Hospital, Shenzhen Bao'an Traditional Chinese Medicine Hospital Group, Shenzhen, China
| | - Qiang Tang
- 11 Dongguan Humen Hospital, Dongguan, China
| | - Xun Luo
- 2 Shenzhen Dapeng New District Nan'ao People's Hospital, Shenzhen, China.,12 Kerry Rehabilitation Medicine Research Institute, Shenzhen, China.,13 Shenzhen Sanming Project Group, Spaulding Rehabilitation Hospital, A Teaching Affiliate of Harvard Medical School, Charlestown, MA, USA
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