Interexaminer and test-retest reliability of the Participation Scale (P-Scale) in stroke patients
DOI:
https://doi.org/10.11606/issn.2317-0190.v29i1a168523Keywords:
Stroke, Validation Study, Social Participation, Reproducibility of ResultsAbstract
The Brazilian version of the Participation Scale (P-Scale) is an evaluation instrument that assesses the restrictions in participation in individuals with several different health conditions. Objectives: Evaluating the interexaminer and test-retest reliability of the Brazilian verson of the P-Scale in a group of stroke patients. Methods: Methodological study that evaluated 20 stroke patients attended in a Rehabilitation Center. The reliability of the total score was evaluated using the Intraclass Correlation Coefficient (ICC). The interexaminer and test-retest reliability of each item were measured using the quadratic weighted Kappa Coefficient. To evaluate the agreement between the scores obtainted per each interexaminer and test-retest item, the Bland-Altman graphic was used. Results: The Brazilian version of the P-Scale presented an almost perfect reliability in most items (kw>0.81), with no systemic measuring errors according to the Bland-Altman agreement graphic (p= 0.350) and an excellent total score test-retest reliability (ICC= 0.96; P= 000). Regarding interexaminer reliability, the items varied from almost perfect (kw>0.81) to regular (0.21<kw>0.40) and the Bland-Altman agreement graphic only indicated systemic measuring differences (p= 0.018) in two atypical cases. The ICC of interexaminer reliability total score was excellent in both the analysis of the entire sample (ICC= 0.95 for 20 individuals; p= 0.000) and in the sample without including the atypical cases (ICC= 0.97 for 18 individuals; p= 0.000). Conclusion: The Brazilian version of the P-Scale presented excellent interexaminer and test-retest reliability to evaluate participation in stroke patients.
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