PMID- 17351082
OWN - NLM
STAT- MEDLINE
DCOM- 20070629
LR  - 20220427
IS  - 1545-9683 (Print)
IS  - 1545-9683 (Linking)
VI  - 21
IP  - 3
DP  - 2007 May-Jun
TI  - Establishing the minimal clinically important difference of the Barthel Index in 
      stroke patients.
PG  - 233-8
AB  - BACKGROUND: The interpretation of the change scores of the Barthel Index (BI) in 
      follow-up or outcome studies has been hampered by the fact that its minimal 
      clinically important difference (MCID) has not been determined. OBJECTIVE: This 
      article was written to establish the MCID of the BI in stroke patients. METHODS: 
      Both anchor-based and distribution-based methods were used to establish the MCID. 
      In the anchor-based method, 43 stroke inpatients participated in a follow-up 
      study designed to determine the MCID of the BI using patients' global ratings of 
      the activities of daily living function on a 15-point Likert-type scale. The mean 
      change scores on the 20-point scale of the BI of the MCID group, based on the 
      patients' ratings on the Likert-type scale, served as the first estimate of the 
      MCID. In the distribution-based method, 56 chronic stroke patients participated 
      in the test-retest reliability study to determine the MCID of the BI. One 
      standard error of measurement (SEM) served as the second estimate for the MCID. 
      The larger MCID value of the 2 estimates was chosen as the MCID of the BI. 
      RESULTS: In the anchor-based study, there were 20 patients in the MCID group, 
      with a mean change score of 1.85 points (ie, the first MCID estimate). In the 
      distribution-based study, the SEM based on test-retest agreement was 1.45 points 
      (ie, the second MCID estimate). The MCID of the BI in stroke patients was 
      estimated to be 1.85 points. CONCLUSION: The authors' results, within the 
      limitations of their design, suggest that if the mean BI change score within a 
      stroke group has reached 1.85 points in a study, the change score on the BI can 
      be perceived by patients as important and beyond measurement error (ie, such a 
      change score is clinically important).
FAU - Hsieh, Yu-Wei
AU  - Hsieh YW
AD  - School of Occupational Therapy, College of Medicine, National Taiwan University, 
      Taipei, Taiwan.
FAU - Wang, Chun-Hou
AU  - Wang CH
FAU - Wu, Shwu-Chong
AU  - Wu SC
FAU - Chen, Pau-Chung
AU  - Chen PC
FAU - Sheu, Ching-Fan
AU  - Sheu CF
FAU - Hsieh, Ching-Lin
AU  - Hsieh CL
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
DEP - 20070309
PL  - United States
TA  - Neurorehabil Neural Repair
JT  - Neurorehabilitation and neural repair
JID - 100892086
SB  - IM
MH  - *Activities of Daily Living
MH  - Adult
MH  - Aged
MH  - Data Interpretation, Statistical
MH  - *Disability Evaluation
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Psychomotor Performance
MH  - Reproducibility of Results
MH  - Severity of Illness Index
MH  - Stroke/*physiopathology
MH  - *Stroke Rehabilitation
EDAT- 2007/03/14 09:00
MHDA- 2007/06/30 09:00
CRDT- 2007/03/14 09:00
PHST- 2007/03/14 09:00 [pubmed]
PHST- 2007/06/30 09:00 [medline]
PHST- 2007/03/14 09:00 [entrez]
AID - 1545968306294729 [pii]
AID - 10.1177/1545968306294729 [doi]
PST - ppublish
SO  - Neurorehabil Neural Repair. 2007 May-Jun;21(3):233-8. doi: 
      10.1177/1545968306294729. Epub 2007 Mar 9.