NDLI: Barthel index for stroke trials: development, properties, and application.

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Barthel index for stroke trials: development, properties, and application.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Langhorne, Peter Quinn, Terence J. Stott, David J.
Description	Country affiliation: United kingdom Author Affiliation: Quinn TJ ( Department of Academic Geriatric Medicine, Institute of Cardiovascular and Medical Services, University of Glasgow, UK. Terry.quinn@glasgow.ac.uk)
Abstract	BACKGROUND AND PURPOSE: Robust measures of functional outcome are required to determine treatment effects in stroke trials. Of the various measures available, the Barthel index (BI) is one of the more prevalent. We aimed to describe validity, reliability, and responsiveness (clinimetric properties) of the BI in stroke trials. METHODS: Narrative review of published articles describing clinimetric properties or use of the BI as a stroke trial end point. RESULTS: Definitive statements on properties of BI are limited by heterogeneity in methodology of assessment and in the content of 'BI' scales. Accepting these caveats, evidence suggests that BI is a valid measure of activities of daily living; sensitivity to change is limited at extremes of disability (floor and ceiling effects), and reliability of standard BI assessment is acceptable. However, these data may not be applicable to contemporary multicenter stroke trials. CONCLUSIONS: Substantial literature describing BI clinimetrics in stroke is available; however, questions remain regarding certain properties. The 'BI' label is used for a number of instruments and we urge greater consistency in methods, content, and scoring. A 10-item scale, scoring 0 to 100 with 5-point increments, has been used in several multicenter stroke trials and it seems reasonable that this should become the uniform stroke trial BI.
ISSN	00392499
e-ISSN	15244628
Journal	Stroke
Issue Number	4
Volume Number	42
Language	English
Publisher	Lippincott Williams & Wilkins (on behalf of the American Heart Association)
Publisher Date	2011-04-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Outcome Assessment (health Care) Randomized Controlled Trials As Topic Activities Of Daily Living Classification Disability Evaluation Recovery Of Function Physiology Discipline Cardiology
Content Type	Text
Resource Type	Article
Subject	Cardiology and Cardiovascular Medicine Neuroscience Advanced and Specialized Nursing Neurology (clinical)

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