Article

The aim of this study was to explore the reliability, validity, and factor
structure of a newly developed Cognitive Behavioral Rating Scale (CBRS), designed
to assess cognitive function through observation. The study included 180 stroke
patients and 58 orthopedic patients. The CBRS and the Functional Independence
Measure (FIM) were administered. Data on discharge disposition were also
collected. The inter-rater reliability, construct validity, concurrent validity,
predictive validity, and factor structure of the CBRS were evaluated. The
interclass correlation coefficient was 0.736 (P<0.0001). Cronbach's alpha for the
CBRS was 0.92. Patients with stroke showed a significantly higher total CBRS
score than those with orthopedic problems (P<0.0001). Spearman's rank correlation
coefficient (rs) was -0.70 (P<0.01) for the total FIM score and the CBRS, and
-0.72 (P<0.01) for the cognitive FIM and the CBRS. The return-to-home group had a
significantly lower CBRS total score than the not-to-home group (P<0.01). The
CBRS comprised three factors: (i) 'language and performance', (ii) 'control of
performance', and (iii) 'space-self relation.' The CBRS appears to have a high
reliability and validity for the assessment of cognitive function.

Langue : ANGLAIS