Objective: The aim of this study was to validate a novel pictorial-based Longshi Scale for evaluating a patient's disability by healthcare professionals and non-professionals. Design: Prospective study. Setting: Rehabilitation departments from a grade A, class 3 public hospital, a grade B, class 2 public hospital, and a private hospital and seven community rehabilitation centers. Subjects: A total of 618 patients and 251 patients with functional disabilities were recruited in a two-phase study, respectively. Main measures: Outcome measure: pictorial scale of activities of daily living (ADLs, Longshi Scale). Reference measure: Barthel Index. The Spearman correlation coefficient was used to analyze the validity of Longshi Scale against Barthel Index. Results: In phase 1 study, from March 2016 to August 2016, the results demonstrated that the Longshi Scale was both reliable and valid (intraclass correlation coefficient based on two-way random effect (ICC2,1) = 0.877-0.974 for intra-rater reliability; ICC2,1 = 0.928-0.979; kappa = 0.679-1.000 for inter-rater reliability; intraclass correlation coefficient based on one-way random effect (ICC1,1) = 0.921-0.984 for test-retest reliability and Spearman correlation coefficient = 0.836-0.899). In the second phase, in March 2018, results further demonstrated that the Longshi Scale had good inter-rater and intra-rater reliability among healthcare professionals and non-professionals including therapists, interns, and personal care aids (ICC1,1 = 0.822-0.882 on Day 1; ICC1,1 = 0.842-0.899 on Day 7 for inter-rater reliability). In addition, the Longshi Scale decreased assessment time significantly, compared with the Barthel Index assessment (P < 0.01). Conclusion: The Longshi Scale could potentially provide an efficient way for healthcare professionals and non-professionals who may have minimal training to assess the ADLs of functionally disabled patients.
[1]Shenzhen Univ, Shenzhen Peoples Hosp 2, Affiliated Hosp 1, Sch Med,Dept Rehabil, 3002 Sungang Rd, Shenzhen 518035, Peoples R China;
[2]Shenzhen Dapeng New Dist Nanao Peoples Hosp, Shenzhen, Peoples R China;
[3]Fudan Univ, Huadong Hosp, Dept Rehabil Med, Shanghai, Peoples R China;
[4]Harvard Med Sch, Spaulding Rehabil Hosp, Stroke Biol Recovery Lab, Charlestown, MA USA;
[5]Univ Shanghai Sci & Technol, Sch Med Instrument & Food Engn, Shanghai, Peoples R China;
[6]Shanghai Univ Med & Hlth Sci, Coll Rehabil Sci, Shanghai, Peoples R China;
[7]Univ Melbourne, Dept Infrastruct Engn, Melbourne, Vic, Australia;
[8]Shenzhen Univ, Shenzhen Nanshan Peoples Hosp, Affiliated Hosp 6, Hlth Sci Ctr,Dept Rehabil, Shenzhen, Peoples R China;
[9]Shenzhen Univ, Affiliated Hosp 2, Sch Med, Rehabil Ctr, Shenzhen, Peoples R China;
[10]Shenzhen Baoan Tradit Chinese Med Hosp Grp, Acupuncture & Moxibust Rehabil Hosp, Shenzhen, Peoples R China;
[11]Dongguan Humen Hosp, Dongguan, Peoples R China;
[12]Kerry Rehabil Med Res Inst, Shenzhen Culture Creat Pk,4001 Fu Qiang Rd, Shenzhen 518048, Peoples R China;
[13]Harvard Med Sch, Spaulding Rehabil Hosp, Shenzhen Sanming Project Grp, Charlestown, MA USA
(8.0+极速模式)