Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke.

Objectives: This study aimed to investigate the psychometric characteristics of reliability, validity and ability to detect change of a newly developed balance assessment tool, the Mini-BESTest, in Greek patients with stroke. Design: A prospective, observational design study with test-retest measure...

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Publicado en:Physiotherapy Theory & Practice Vol. 35; no. 2; pp. 171 - 183
Autores principales: Lampropoulou, Sofia I., Billis, Evdokia, Gedikoglou, Ingrid A., Michailidou, Christina, Nowicky, Alexander V., Skrinou, Dimitra, Michailidi, Fotini, Chandrinou, Danae, Meligkoni, Margarita
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Feb2019
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2019
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      pub: Taylor & Francis Ltd
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        10.1080/09593985.2018.1441931
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        atl: Reliability, validity and minimal detectable change of the Mini-BESTest in Greek participants with chronic stroke.
      aug:
        au:
          Lampropoulou, Sofia I.
          Billis, Evdokia
          Gedikoglou, Ingrid A.
          Michailidou, Christina
          Nowicky, Alexander V.
          Skrinou, Dimitra
          Michailidi, Fotini
          Chandrinou, Danae
          Meligkoni, Margarita
        affil: Department of Physical Therapy, School of Health and Welfare Professions, ΤΕΙ of Western Greece, Aigio, Greece
      sug:
        subj:
          Stroke Patients
          Balance, Postural Evaluation
          Clinical Assessment Tools Evaluation
          Psychometrics Evaluation
          Instrument Validation
          Human
          Male
          Female
          Middle Age
          Aged
          Greece
          Validation Studies
          Prospective Studies
          Nonexperimental Studies
          Test-Retest Reliability
          Convenience Sample
          Interrater Reliability
          Repeated Measures
          Confidence Intervals
          Concurrent Validity
          Criterion-Related Validity
          Descriptive Statistics
          Data Analysis Software
          Internal Consistency
          Coefficient alpha
          Pearson's Correlation Coefficient
          Intraclass Correlation Coefficient
          Reliability
          kappa Statistic
          Spearman's Rank Correlation Coefficient
          Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objectives: This study aimed to investigate the psychometric characteristics of reliability, validity and ability to detect change of a newly developed balance assessment tool, the Mini-BESTest, in Greek patients with stroke. Design: A prospective, observational design study with test-retest measures was conducted. Methods: A convenience sample of 21 Greek patients with chronic stroke (14 male, 7 female; age of 63 ± 16 years) was recruited. Two independent examiners administered the scale, for the inter-rater reliability, twice within 10 days for the test-retest reliability. Bland Altman Analysis for repeated measures assessed the absolute reliability and the Standard Error of Measurement (SEM) and the Minimum Detectable Change at 95% confidence interval (MDC95%) were established. The Greek Mini-BESTest (Mini-BESTestGR) was correlated with the Greek Berg Balance Scale (BBSGR) for assessing the concurrent validity and with the Timed Up and Go (TUG), the Functional Reach Test (FRT) and the Greek Falls Efficacy Scale-International (FES-IGR) for the convergent validity. Results: The Mini-BESTestGR demonstrated excellent inter-rater reliability (ICC (95%CI) = 0.997 (0.995-0.999, SEM = 0.46) with the scores of two raters within the limits of agreement (meandif = −0.143 ± 0.727, p > 0.05) and test-retest reliability (ICC (95%CI) = 0.966 (0.926-0.988), SEM = 1.53). Additionally, the Mini-BESTestGR yielded very strong to moderate correlations with BBSGR (r = 0.924, p < 0.001), TUG (r = −0.823, p < 0.001), FES-IGR (r = −0.734, p < 0.001) and FRT (r = 0.689, p < 0.001). MDC95 was 4.25 points. Conclusion: The exceptionally high reliability and the equally good validity of the Mini-BESTestGR, strongly support its utility in Greek people with chronic stroke. Its ability to identify clinically meaningful changes and falls risk need further investigation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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