Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, November 30, 2023

Test-retest reliability and responsiveness of the computerized adaptive test of social functioning in persons with stroke

This does ABSOLUTELY NOTHING to get survivors recovered. Deliver social functioning for survivors by getting them 100% recovered. Will you work on proper stroke research for once.?

 Test-retest reliability and responsiveness of the computerized adaptive test of social functioning in persons with stroke

Archives of Physical Medicine and Rehabilitation. Volume 104(9), Pgs. 1432-1438.

NARIC Accession Number: J92762. What's this?
Author(s): Chiang, Hsin-yu, Chen, Po-Ting, Lee, Shih-Chieh, Shieh, Yun-Jer, Hsueh, I-Ping, Hsieh, Ching-Lin.
Publication Year: 2023.
Abstract: Study examined the test-retest reliability, minimal detectable change (MDC), responsiveness, and efficiency of the Computerized Adaptive Test of Social Functioning (Social-CAT) in patients with stroke. Participants were 31 patients with chronic stroke and 65 patients with subacute stroke. The National Institutes of Health Stroke Scale (NIHSS) was used to monitor the patients’ stroke severity. For the test-retest reliability study, the patients completed the Social-CAT twice on tablet computers by themselves, and the NIHSS was administered twice by the occupational therapist, both at 4-week intervals to minimize the effect of possible confounding variables such as memory effects. For the responsiveness study, the patients completed the Social-CAT, and the NIHSS was administered twice at 2 time points while they received inpatient rehabilitation: within 7 days of admission to and 7 days before discharge from rehabilitation wards. The Social-CAT showed acceptable test-retest reliability (intraclass correlation coefficient = 0.80) and small random measurement error (minimal detectable change percentage [MDC%] = 18.0 percent). However, heteroscedasticity was found (r between the means and the absolute change scores: 0.32), so the MDC% adjusted cut-off score is recommended for determining real improvement. Regarding responsiveness, the Social-CAT showed large differences (Kazis’ effect size and standardized mean response: 1.15 and 1.09, respectively) in subacute patients. Regarding efficiency, the Social-CAT required an average of 5 items and less than 2 minutes for completion. Findings indicate that the Social-CAT is a reliable and efficient measure with good test-retest reliability, small random measurement error, and good responsiveness. Therefore, the Social-CAT is a useful outcome measure for routine monitoring of the changes in social function of patients with stroke.
Descriptor Terms: COMPUTER APPLICATIONS, MEASUREMENTS, OUTCOMES, PERFORMANCE STANDARDS, SOCIAL SKILLS, STROKE.


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Citation: Chiang, Hsin-yu, Chen, Po-Ting, Lee, Shih-Chieh, Shieh, Yun-Jer, Hsueh, I-Ping, Hsieh, Ching-Lin. (2023.) Test-retest reliability and responsiveness of the computerized adaptive test of social functioning in persons with stroke. Archives of Physical Medicine and Rehabilitation., 104(9), Pgs. 1432-1438. Retrieved 11/30/2023, from REHABDATA database.

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