Article

The objective of this study was to assess the psychometric properties of
the Stroke Impact Scale (SIS). METHODS: Data was derived from a study assessing a
community-based stroke rehabilitation program. Patients were administered the SIS
and Euroqol-5D (EQ-5D-5L) on admission to the study, and at six month and 12
month follow-up. The psychometric performance of each domain of the SIS was
assessed at each time point. RESULTS: A total of 164 patients completed outcome
measures at baseline, 108 patients at six months and 37 patients at 12 months.
Correlation of the SIS domains with the EQ-5D-5L suggested that the dimensions of
health contributing to a patient's perception of health-related quality of life
changes over time. CONCLUSION: The SIS performed well in a sample of patients
undergoing stroke rehabilitation in the community. Our findings suggest that the
multidimensionality of the SIS may allow health professionals to track patient
progress and tailor rehabilitation interventions to target the dimensions of
health that are most important to a patient's overall health and perceived
quality of life over time. Implications for Rehabilitation There is an increased
need for valid and reliable measures to evaluate the outcomes of patients
recovering from stroke in the community. The Stroke Impact Scale (SIS) measures
multiple domains of health and is well-suited for use in patients recovering from
stroke in the community.
There is a high level of internal consistency in the
eight SIS domains with no evidence of floor effects; ceiling effects were noted
for several domains. Correlation of the SIS with the Euroqol-5D suggested that
the dimensions of health contributing to a patient's perception of health related
quality of life changes over time.

Langue : ANGLAIS