Cross-cultural validity of the Brazilian version of the ABILHAND questionnaire for chronic stroke individuals, based on Rasch analysis

Abstract

The ABILHAND specific for stroke individuals demonstrated satisfactory measurement properties for use within both clinical and research contexts in Brazil, and cross-cultural validity for use in international/multicentric studies between Brazil, Belgium, and Italy.

Os instrumentos de avaliação de atividade dos membros superiores contemplam as tarefas mais realizadas em domicílio por pessoas com hemiparesia?

“…It should be emphasized that, since the performance instruments are mostly questionnaires, they encompass a greater number of tasks, which, consequently, are more likely to represent a greater amount of tasks performed in a home environment. The maximum number of tasks identified in proportion to the number of tasks evaluated by each instrument was 70% for MAL, 69% for MAM-16, 50% for MAM-36 and 13% for ABILHAND (BASÍLIO et al, 2016;CHEN;BODE, 2010;CHEN et al, 2005;SALIBA et al, 2011). This shows the advantages of using questionnaires that evaluate performance because they are easy and quick to apply when compared to direct observation, which demands more time.…”

“…The ABILHAND, AMAT, CAHAI, MAL, MAM-16, and MAM-36 tests show some tasks related to the subcategories "personal hygiene" and "clothing". However, none of them question, for example, the tasks related to hygiene after using the toilet, which is a task that requires the involvement of the upper limbs (BARRECA et al, 2006;BASÍLIO et al, 2016;CHEN;BODE, 2010;CHEN et al, 2005;KOOP et al, 1997;PEREIRA et al, 2012;SALIBA et al, 2011). The functional independence measure (FIM) assesses the level of independence for these activities, that despite bringing relevant daily tasks, this instrument does not assess the level of activity of the upper limbs specifically (RIBERTO et al, 2001).…”

“…In the instruments of perceived performance, there us (1) ABILHAND that evaluates the performance of people in their manual ability through an interview based on 23 bilateral tasks, estimating the difficulty of each activity as impossible, difficult or easy to be performed; (2) MAL that consists of a structured interview that evaluates the level of performance subjectively experienced by the person in his/her real environment, through standard questions of the quantity of use and quality of movement scale in 30 daily activities; (3 and 4) MAM-16 and MAM-36 that are instruments using the perspective of individual-centered assessment, according to self-report, estimating simultaneously the difficulty of the item and the individual's ability, based on a Likert scale of five points (BASÍLIO et al, 2016;CHEN et al, 2005;CHEN;BODE, 2010;SALIBA et al, 2011).…”

Adaptação transcultural do Questionário ABILHAND específico para indivíduos pós-acidente vascular encefálico

“…Após o processo de adaptação transcultural, outras propriedades de medida, tais como validade de construto e confiabilidade, devem ser investigadas, para determinar se o questionário é adequado para a aplicação pretendida. A avaliação das propriedades de medida do ABILHAND-Brasil foi realizada por Basílio et al 25 . Nesse estudo, os resultados da análise Rasch mostraram que o ABILHAND-Brasil apresentou uma escala de pontuação apropriada, confiabilidade e validade de construto adequadas 25 .…”

“…A avaliação das propriedades de medida do ABILHAND-Brasil foi realizada por Basílio et al 25 . Nesse estudo, os resultados da análise Rasch mostraram que o ABILHAND-Brasil apresentou uma escala de pontuação apropriada, confiabilidade e validade de construto adequadas 25 . Além disso, o ABILHANDBrasil também apresentou validade transcultural, pois observou-se que a calibração dos itens do ABILHANDOriginal e do ABILHAND-Brasil forneceram medidas iguais de habilidade manual 25 .…”