Stroke, Vol 24, 1173-1177, Copyright © 1993 by American Heart Association
J Schuling, R de Haan, M Limburg and KH Groenier
BACKGROUND AND PURPOSE: Assessment of functional status in stroke patients
is of major importance in both clinical practice and outcome studies. The
Frenchay Activities Index has been developed specifically for measuring
disability and handicap in stroke patients. The purpose of the study was to
evaluate the metric properties of this instrument and to obtain normal
values in a group of unselected elderly subjects. METHODS: The Frenchay
Activities Index was tested in a group of stroke patients and a group of
unselected subjects aged 65 or older. The functional status of the stroke
patients was measured 26 weeks after stroke. Their prestroke status was
registered retrospectively. Reliability and validity of the instrument were
assessed. RESULTS: The mean scores in the prestroke, poststroke, and
control group demonstrated differences in functional status. The
reliability of unweighted scores (range of Cronbach's alpha-coefficients,
0.78 to 0.87) was sufficient. The construct validity was supported by
meaningful correlations between the Frenchay Activities Index and scores on
the Barthel Index and Sickness Impact Profile. Principal- components
analysis indicated that the Frenchay Activities Index showed two traits:
instrumental disability and some aspects of handicap. The reliability of
the instrument could be improved by deleting two items and by creating two
subscale scores: domestic and outdoors activities. CONCLUSIONS: The
Frenchay Activities Index is a useful stroke-specific instrument to assess
functional status. Completion of the questionnaire is easy and takes only a
few minutes. Currently, the instrument is suitable for use in patient care
and cross-sectional, descriptive studies.
ARTICLES
The Frenchay Activities Index. Assessment of functional status in stroke patients
Department of General Practice, University of Groningen, The Netherlands.
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