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  4. Reliability and validity of the Greek adaptation of the Modified Barthel Index in neurorehabilitation patients

Reliability and validity of the Greek adaptation of the Modified Barthel Index in neurorehabilitation patients

European Journal of Physical and Rehabilitation Medicine, 2024 · DOI: 10.23736/S1973-9087.23.08056-5 · Published: February 1, 2024

NeurorehabilitationRehabilitation

Simple Explanation

The Modified Barthel Index (MBI) is a tool used to assess a patient's ability to perform daily activities. This study aimed to create a Greek version of the MBI and test its reliability and validity in Greek neuro-rehabilitation patients. The MBI was translated and adapted for cultural relevance, then administered to 100 rehabilitation patients, who were also assessed using other validated questionnaires to check the MBI's validity. The study found that the Greek version of the MBI is a reliable and valid tool for assessing functional ability in Greek neuro-rehabilitation patients.

Study Duration
2018 to 2022
Participants
100 rehabilitation inpatients and outpatients (50 stroke and 50 spinal cord injury patients)
Evidence Level
Observational study

Key Findings

  • 1
    The study rejected the unidimensionality of the MBI, adopting a two-factor solution: Transfers and Activities of Daily Living, and Mobility.
  • 2
    The Greek MBI showed high correlation with the Katz Index and SF-36 physical functioning subscale, indicating good criterion validity.
  • 3
    The Greek version of the MBI demonstrated excellent internal consistency and test-retest reliability.

Research Summary

This study focused on adapting the Modified Barthel Index (MBI) for use in Greece and evaluating its reliability and validity within a Greek neuro-rehabilitation population. The MBI underwent a thorough translation and cultural adaptation process, followed by administration to 100 patients and comparison with other validated measures. The results indicated that the Greek version of the MBI is a reliable and valid tool for assessing functional ability in Greek neuro-rehabilitation patients, though a two-factor structure was found to be more appropriate than a unidimensional one.

Practical Implications

Clinical Practice

The Greek MBI adaptation provides clinicians with a validated tool for assessing functional status in Greek neuro-rehabilitation patients.

Research

The validated Greek MBI can be used in research studies to objectively measure and monitor patient function and ADL performance.

Cross-cultural comparison

The study provides insights into the cultural adaptation of assessment tools and highlights the importance of validation in different populations.

Study Limitations

  • 1
    Lack of investigation of inter-rater reliability
  • 2
    Smaller than ideal sample size for test-retest reliability
  • 3
    Varied time lapse since injury among the rehabilitation population

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