Cross-Cultural Translation and Validation of the Thai Version of the Scale for the Assessment and Rating of Ataxia (SARA-TH).

IF 2.1 Q1 REHABILITATION Annals of Rehabilitation Medicine-ARM Pub Date : 2024-10-01 Epub Date: 2024-10-31 DOI:10.5535/arm.240061
Duangnapa Roongpiboonsopit, Wattakorn Laohapiboolrattana, Taweewat Wiangkham, Olan Isariyapan, Jutaluk Kongsuk, Harinfa Pattanapongpitak, Thitichaya Sonkaew, Mana Termjai, Sudarat Isaravisavakul, Sirikanya Wairit, Waroonnapa Srisoparb
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Abstract

Objective: To culturally adapt the original English Scale for the Assessment and Rating of Ataxia to Thai (SARA-TH) and to evaluate the reliability and validity of the SARA-TH in assessing ataxia in acute ischemic stroke or transient ischemic attack (TIA) patients, as assessed by three healthcare professionals.

Methods: The SARA underwent translation and cross-cultural adaptation to Thai according to established guidelines. Reliability (e.g., internal consistency, intrarater reliability, interrater reliability) and validity (e.g., content validity, convergent validity) were assessed in a sample of 50 participants with ataxia after acute ischemic stroke or TIA. Spearman correlation analysis was used to examine the relationships between the SARA-TH and the Barthel Index (BI-TH), the National Institutes of Health Stroke Scale (NIHSS-TH), and the International Cooperative Ataxia Rating Scale (ICARS) to assess convergent validity. Interrater and intrarater reliability among experienced and novice neurologists, physiotherapists, and occupational therapists were assessed using weighted kappa.

Results: The SARA-TH demonstrated good comprehension and exhibited no significant floor or ceiling effects. It showed excellent internal consistency (Cronbach's α≥0.776). Significant correlations were found between the SARA-TH score and the BI-TH score (rs=-0.743 to -0.665), NIHSS- TH score (rs=0.404-0.513), and ICARS score (rs=0.859-0.917). The intrarater reliability for each rater ranged from 0.724 to 1.000 (p<0.01), and the interrater reliability varied from 0.281 to 0.927 (p<0.01).

Conclusion: The SARA-TH has excellent internal consistency, validity, and intrarater reliability, as well as acceptable interrater reliability among health professionals with varying levels of experience. It is recommended for assessing ataxia severity in individuals following acute ischemic stroke or TIA.

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共济失调评估和评级量表 (SARA-TH) 泰语版的跨文化翻译和验证。
目的将原来的英语共济失调评估和评级量表(SARA-TH)进行泰语文化改编,并评估 SARA-TH 在评估急性缺血性中风或短暂性脑缺血发作(TIA)患者共济失调方面的可靠性和有效性,由三位医护人员进行评估:方法:根据既定指南对 SARA 进行翻译和泰语跨文化改编。对 50 名急性缺血性中风或 TIA 后共济失调患者的样本进行了可靠性(如内部一致性、内部可靠性和内部可靠性)和有效性(如内容有效性和聚合有效性)评估。采用斯皮尔曼相关分析法检验 SARA-TH 与巴特尔指数(BI-TH)、美国国立卫生研究院卒中量表(NIHSS-TH)和国际共济失调合作评定量表(ICARS)之间的关系,以评估收敛效度。使用加权卡帕法评估了经验丰富的神经科医生、物理治疗师和职业治疗师与新手之间的内部和外部可靠性:结果:SARA-TH 表现出良好的理解能力,没有出现明显的下限或上限效应。其内部一致性极佳(Cronbach's α≥0.776)。SARA-TH 评分与 BI-TH 评分(rs=-0.743 至-0.665)、NIHSS- TH 评分(rs=0.404-0.513)和 ICARS 评分(rs=0.859-0.917)之间存在显著相关性。每位评分者的内部信度在 0.724 至 1.000 之间(p 结论:SARA-TH具有良好的内部一致性、有效性和内部评分者信度,在具有不同经验水平的医疗专业人员之间也具有可接受的评分者间信度。建议用于评估急性缺血性卒中或 TIA 患者共济失调的严重程度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
32
审稿时长
30 weeks
期刊最新文献
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