Development of a toileting performance assessment test for patients in the early stroke phase

Eriko Takeda; Tomofumi Yamaguchi; Hiroko Mizuguchi; Junko Fujitani; Meigen Liu

doi:10.1080/09638288.2018.1479455

Development of a toileting performance assessment test for patients in the early stroke phase

Eriko Takeda, Tomofumi Yamaguchi^*, Hiroko Mizuguchi, Junko Fujitani, Meigen Liu

^*Corresponding author for this work

Motor Control

1 Citation (Scopus)

Abstract

Purpose: The study aimed to develop a toileting performance assessment test to measure the toileting performance ability of patients in the early phase after stroke. Methods: In this study, 214 stroke patients were enrolled. Cronbach’s α, Spearman’s rank correlations (ρ values) with the toileting-related items of the functional independence measure and Barthel Index, interrater reliability (weighted κ), and responsiveness (standardized response mean) were evaluated. Receiver operating characteristic and the area under the curves were utilized to determine the cutoff scores for the significance of the independence of toilet ability with the functional independence measure and Barthel Index. Results: Cronbach’s α was ≥0.90. The p values between toileting performance assessment test and Barthel Index and between toileting performance assessment test and functional independence measure were 0.88 and 0.86, respectively. The weighted κ for each item was ≥0.61. The standardized response means were 0.81 for the functional independence measure, 0.70 for the Barthel Index, and 0.93 for the toileting performance assessment test. Cutoff scores of the toileting performance assessment test were 18 points. Conclusions: The toileting performance assessment test has acceptable psychometric properties and proved useful in assessing toileting performance ability of patients in the early phase after stroke.Implications for rehabilitationToileting performance assessment test demonstrated acceptable psychometric properties, and it can be useful for assessing the toileting ability of patients in the early phase after stroke.Toileting performance assessment test should provide information that leads to lowered risk of falls while toileting, and the information gathered can assist patients in achieving early toileting independence after stroke.As the development of toileting performance assessment test excluded patients with cognitive disabilities, the item for cognitive function should be developed as well.

Original language	English
Journal	Disability and Rehabilitation
Volume	41
Issue number	23
Pages (from-to)	2826-2831
Number of pages	6
ISSN	0963-8288
DOIs	https://doi.org/10.1080/09638288.2018.1479455
Publication status	Published - 6 Nov 2019

Keywords

acute phase
Cerebrovascular disease
disability evaluation
self-care

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10.1080/09638288.2018.1479455

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@article{c9e4409071184a269556c0677908d59c,

title = "Development of a toileting performance assessment test for patients in the early stroke phase",

abstract = "Purpose: The study aimed to develop a toileting performance assessment test to measure the toileting performance ability of patients in the early phase after stroke. Methods: In this study, 214 stroke patients were enrolled. Cronbach{\textquoteright}s α, Spearman{\textquoteright}s rank correlations (ρ values) with the toileting-related items of the functional independence measure and Barthel Index, interrater reliability (weighted κ), and responsiveness (standardized response mean) were evaluated. Receiver operating characteristic and the area under the curves were utilized to determine the cutoff scores for the significance of the independence of toilet ability with the functional independence measure and Barthel Index. Results: Cronbach{\textquoteright}s α was ≥0.90. The p values between toileting performance assessment test and Barthel Index and between toileting performance assessment test and functional independence measure were 0.88 and 0.86, respectively. The weighted κ for each item was ≥0.61. The standardized response means were 0.81 for the functional independence measure, 0.70 for the Barthel Index, and 0.93 for the toileting performance assessment test. Cutoff scores of the toileting performance assessment test were 18 points. Conclusions: The toileting performance assessment test has acceptable psychometric properties and proved useful in assessing toileting performance ability of patients in the early phase after stroke.Implications for rehabilitationToileting performance assessment test demonstrated acceptable psychometric properties, and it can be useful for assessing the toileting ability of patients in the early phase after stroke.Toileting performance assessment test should provide information that leads to lowered risk of falls while toileting, and the information gathered can assist patients in achieving early toileting independence after stroke.As the development of toileting performance assessment test excluded patients with cognitive disabilities, the item for cognitive function should be developed as well.",

keywords = "acute phase, Cerebrovascular disease, disability evaluation, self-care",

author = "Eriko Takeda and Tomofumi Yamaguchi and Hiroko Mizuguchi and Junko Fujitani and Meigen Liu",

year = "2019",

month = nov,

day = "6",

doi = "10.1080/09638288.2018.1479455",

language = "English",

volume = "41",

pages = "2826--2831",

journal = "Disability and Rehabilitation",

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number = "23",

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T1 - Development of a toileting performance assessment test for patients in the early stroke phase

AU - Takeda, Eriko

AU - Yamaguchi, Tomofumi

AU - Mizuguchi, Hiroko

AU - Fujitani, Junko

AU - Liu, Meigen

PY - 2019/11/6

Y1 - 2019/11/6

N2 - Purpose: The study aimed to develop a toileting performance assessment test to measure the toileting performance ability of patients in the early phase after stroke. Methods: In this study, 214 stroke patients were enrolled. Cronbach’s α, Spearman’s rank correlations (ρ values) with the toileting-related items of the functional independence measure and Barthel Index, interrater reliability (weighted κ), and responsiveness (standardized response mean) were evaluated. Receiver operating characteristic and the area under the curves were utilized to determine the cutoff scores for the significance of the independence of toilet ability with the functional independence measure and Barthel Index. Results: Cronbach’s α was ≥0.90. The p values between toileting performance assessment test and Barthel Index and between toileting performance assessment test and functional independence measure were 0.88 and 0.86, respectively. The weighted κ for each item was ≥0.61. The standardized response means were 0.81 for the functional independence measure, 0.70 for the Barthel Index, and 0.93 for the toileting performance assessment test. Cutoff scores of the toileting performance assessment test were 18 points. Conclusions: The toileting performance assessment test has acceptable psychometric properties and proved useful in assessing toileting performance ability of patients in the early phase after stroke.Implications for rehabilitationToileting performance assessment test demonstrated acceptable psychometric properties, and it can be useful for assessing the toileting ability of patients in the early phase after stroke.Toileting performance assessment test should provide information that leads to lowered risk of falls while toileting, and the information gathered can assist patients in achieving early toileting independence after stroke.As the development of toileting performance assessment test excluded patients with cognitive disabilities, the item for cognitive function should be developed as well.

AB - Purpose: The study aimed to develop a toileting performance assessment test to measure the toileting performance ability of patients in the early phase after stroke. Methods: In this study, 214 stroke patients were enrolled. Cronbach’s α, Spearman’s rank correlations (ρ values) with the toileting-related items of the functional independence measure and Barthel Index, interrater reliability (weighted κ), and responsiveness (standardized response mean) were evaluated. Receiver operating characteristic and the area under the curves were utilized to determine the cutoff scores for the significance of the independence of toilet ability with the functional independence measure and Barthel Index. Results: Cronbach’s α was ≥0.90. The p values between toileting performance assessment test and Barthel Index and between toileting performance assessment test and functional independence measure were 0.88 and 0.86, respectively. The weighted κ for each item was ≥0.61. The standardized response means were 0.81 for the functional independence measure, 0.70 for the Barthel Index, and 0.93 for the toileting performance assessment test. Cutoff scores of the toileting performance assessment test were 18 points. Conclusions: The toileting performance assessment test has acceptable psychometric properties and proved useful in assessing toileting performance ability of patients in the early phase after stroke.Implications for rehabilitationToileting performance assessment test demonstrated acceptable psychometric properties, and it can be useful for assessing the toileting ability of patients in the early phase after stroke.Toileting performance assessment test should provide information that leads to lowered risk of falls while toileting, and the information gathered can assist patients in achieving early toileting independence after stroke.As the development of toileting performance assessment test excluded patients with cognitive disabilities, the item for cognitive function should be developed as well.

KW - acute phase

KW - Cerebrovascular disease

KW - disability evaluation

KW - self-care

U2 - 10.1080/09638288.2018.1479455

DO - 10.1080/09638288.2018.1479455

M3 - Journal article

C2 - 29958010

AN - SCOPUS:85049218919

SN - 0963-8288

VL - 41

SP - 2826

EP - 2831

JO - Disability and Rehabilitation

JF - Disability and Rehabilitation

IS - 23

ER -

Development of a toileting performance assessment test for patients in the early stroke phase

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