Reliability and validity of the Acute Care Index of Function for patients with neurologic impairment

L. R. Van Dillen, Kathryn Roach

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

The Acute Care Index of Function (ACIF), developed to standardize the assessment of functional status in patients with acute neurologic deficits, was tested for interrater reliability and concurrent validity. Interrater reliability was tested on 91 patients in a five-week study. After a two-week training period, six physical therapists were paired so that each therapist was paired with each other therapist for one week. All patients were rated weekly with the ACIF by a pair of physical therapists. A total of 166 assessments were conducted. Concurrent validity was tested using descriptions of function of 10 hypothetical patients. Each patient description was assigned a score based on the ACIF. Ten experienced therapists were then asked to rank order the functional status of each patient based on the patient's description. The average of the physical therapists' rankings was correlated with the ranking determined with the ACIF scores. Reliability data were analyzed using Cohen's weighted Kappa. The weighted Kappa values ranged from .60 to .98. Validity data were analyzed with the Spearman rank-order correlation coefficient (r(s) = .81, p < .01). The results of this study indicate that the ACIF is reliable between raters and valid in its ability to rank order functional status for patients with acute neurologic deficits.

Original languageEnglish
Pages (from-to)1098-1101
Number of pages4
JournalPhysical Therapy
Volume68
Issue number7
StatePublished - Dec 1 1988
Externally publishedYes

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Reproducibility of Results
Nervous System
Physical Therapists
Neurologic Manifestations
Nonparametric Statistics

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Health Professions(all)
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Reliability and validity of the Acute Care Index of Function for patients with neurologic impairment. / Van Dillen, L. R.; Roach, Kathryn.

In: Physical Therapy, Vol. 68, No. 7, 01.12.1988, p. 1098-1101.

Research output: Contribution to journalArticle

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