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Neurological Sciences
Published in: Neurological Sciences 7/2022

18-02-2022 | Stroke | Original Article

Italian translation and cross-cultural validation of an assessment tool for participation in stroke survivors: the Frenchay Activities Index

Authors: Laura Antonucci, Carmen Barbato, Leonardo Pellicciari, Anita Paperini, Ines Hochleitner, Chiara Castagnoli, Sonia Verdesca, Giulia Lucidi, Sara Marignani, Silvia Pancani, Benedetta Basagni, Claudio Macchi, Francesca Cecchi

Published in: Neurological Sciences | Issue 7/2022

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Abstract

Purpose

Participation needs to be assessed objectively, to state accurate rehabilitation objectives. The Frenchay Activities Index (FAI) is a widely used tool to measure participation in stroke patients. To date, no cross-culturally validated Italian version of FAI is available. This study provides a translation and cross-cultural adaptation of FAI into Italian, assessing its validity and reliability in sub-acute stroke patients.

Methods

According to international guidelines, a multistep translation and cultural adaptation protocol of forward and backward translations was conducted by qualified linguists and independent native English translators and revised by a healthcare committee. Patients admitted to intensive inpatient rehabilitation after stroke were recruited. Structural validity, reliability (internal consistency, inter- and intra-rater reliability and measurement error), and construct validity were studied.

Results

One hundred and seventy-three patients were included in this study. No significant observations in terms of comprehensibility and conceptual equivalence of the FAI Italian version emerged. The exploratory factorial analysis revealed the presence of two subscales (i.e., domestic chores and work/leisure). The internal consistency resulted good for the first and second subscale (α = 0.821 and 0.716, respectively). Intra- and inter-reliability showed an ICC > 0.90 for both subscales. SEM = 5.75% and 2.33% and MDC = 15.85% and 6.48% were found for the first and second subscale, respectively. Construct validity of first subscale was satisfactory, as 100.0% a priori hypotheses were met, while for the second subscale it was moderate, as 66.6% a priori hypotheses were respected.

Conclusion

FAI-I provides a tool for professionals to measure participation in Italian stroke patients in health and social care settings.
Appendix
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Metadata
Title
Italian translation and cross-cultural validation of an assessment tool for participation in stroke survivors: the Frenchay Activities Index
Authors
Laura Antonucci
Carmen Barbato
Leonardo Pellicciari
Anita Paperini
Ines Hochleitner
Chiara Castagnoli
Sonia Verdesca
Giulia Lucidi
Sara Marignani
Silvia Pancani
Benedetta Basagni
Claudio Macchi
Francesca Cecchi
Publication date
18-02-2022
Publisher
Springer International Publishing
Keyword
Stroke
Published in
Neurological Sciences / Issue 7/2022
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI
https://doi.org/10.1007/s10072-022-05949-5

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