Tele-assessment of activities and participation in chronic phase of stroke: Is use valid and viable in a developing country?

IF 3.5 3区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Journal of Telemedicine and Telecare Pub Date : 2025-01-01 Epub Date: 2023-04-17 DOI:10.1177/1357633X231166817
Léia Cordeiro de Oliveira, Heyriane Martins Dos Santos, Mariana Acciarini da Silva, Bianca Stefany Lima de Oliveira, Taiane Silva de Lima, Gabriela Santos Pereira, Soraia Micaela Silva
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Abstract

Background: SATISPART-Stroke (SATIS-Stroke) is the most complete instrument for the assessment of activity and participation following a stroke. However, its use in a developing country has only been tested through in-person interviews.

Objective: To determine the validity, reproducibility and viability of the SATIS-Stroke scale administered in two tele-assessment modalities: self-assessment of an electronic form versus videoconference.

Methods: Methodological study with Brazilian chronic stroke survivors was conducted. Stage I comprised an in-person interview to apply the SATIS-Stroke and a self-assessment by completing an electronic form to respond to the SATIS-Stroke items. Step II occurred 6 to 8 months after Step I, during which SATIS-Stroke was administered again in-person and via videoconference. The order was randomized.

Results: Ninety-five stroke survivors were recruited, but only 50 answered the electronic form (adherence: 52.6%). Mean scores were higher in the self-administration of electronic form compared to the in-person interview (mean difference = -0.36 ± 0.93; P = 0.009). Adequate reliability was found in the comparison of the in-person and self-assessment of electronic form (ICC2,1 = 0.66; 95%CI: 0.40-0.81). Fifty stroke survivors participated in Step II, during which adequate reliability was found in the comparison of the in-person administration and videoconference (ICC2,1 = 0.55; 95%CI: 0.21-0.74) and a moderate correlation was found between the assessment methods (r = 0.43; P = 0.02).

Discussion: Adequate validity and reliability were found in the tele-assessment. Thus, this method is appropriate and viable for use in developing countries. Although reliable, the self-assessment did not have good adherence in the Brazilian population due to internet access problems, lack of familiarity with the digital form and lack of autonomy to answer the questions alone.

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脑卒中慢性期活动和参与的远程评估:在发展中国家使用有效和可行吗?
背景:satispat - stroke (satisp - stroke)是评估中风后活动和参与的最完整的工具。然而,它在发展中国家的使用仅通过面对面访谈进行了测试。目的:确定两种远程评估方式的有效性、可重复性和可行性:电子形式的自我评估与视频会议。方法:对巴西慢性脑卒中幸存者进行方法学研究。第一阶段包括一个面对面的面试,以应用sap - stroke和一个自我评估,通过填写一个电子表格来回应sap - stroke项目。第2步发生在第1步6 - 8个月后,在此期间,再次通过面对面和视频会议进行sats - stroke治疗。顺序是随机的。结果:招募了95名中风幸存者,但只有50人回答了电子表格(依从性:52.6%)。电子表格自我管理的平均得分高于面对面访谈(平均差异= -0.36±0.93;p = 0.009)。当面和自评电子表格的比较有足够的信度(ICC2,1 = 0.66;95%置信区间:0.40—-0.81)。50名中风幸存者参加了第二步,在第二步中,面对面管理和视频会议的比较具有足够的可靠性(ICC2,1 = 0.55;95%CI: 0.21-0.74),评估方法之间存在中度相关性(r = 0.43;p = 0.02)。讨论:远程评估具有足够的效度和信度。因此,这种方法在发展中国家使用是适当和可行的。虽然可靠,但由于互联网接入问题、对数字形式缺乏熟悉以及缺乏单独回答问题的自主权,自我评估在巴西人口中并没有很好的依从性。
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来源期刊
CiteScore
14.10
自引率
10.60%
发文量
174
审稿时长
6-12 weeks
期刊介绍: Journal of Telemedicine and Telecare provides excellent peer reviewed coverage of developments in telemedicine and e-health and is now widely recognised as the leading journal in its field. Contributions from around the world provide a unique perspective on how different countries and health systems are using new technology in health care. Sections within the journal include technology updates, editorials, original articles, research tutorials, educational material, review articles and reports from various telemedicine organisations. A subscription to this journal will help you to stay up-to-date in this fast moving and growing area of medicine.
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