The inter-rater reliability of the Italian version of Aphasia Rapid Test (ART) for acute ischemic stroke

Abstract

Background The Aphasia Rapid Test (ART) is a screening questionnaire used for examining language in acute stroke patients. The ART was initially developed and validated in French. The purpose of this study was to assess the inter-rater reliability of the Italian ART. Methods The original version of the ART was translated into Italian. The inter-rater reliability was assessed by two independent neurologists who were blind to each other's ratings in 52 acute post-stroke patients. Results The 52 patients (28 men, 24 women; mean age 73.73 ± 28.99 years) were included within one week of stroke onset (46 ischemic, 6 haemorrhagic), as assessed by clinical examination and confirmed by CT and/or MRI. The mean (±SD) ART value was 9.38 (±9.26) for Rater 1 and 9 (±9.31) for Rater 2. The inter-rater agreement was very good, with a coefficient of concordance of 0.99 (95% CI: 0.986-0.995; p < 0.0001) and a weighted kappa of 0.878 and a quadratic weighted kappa of 0.983. Conclusions This study showed that the cross-cultural adaptation of the French version of the ART was successful in an Italian-speaking population.

Translation, Validity, and Reliability of the Persian Version of Aphasia Rapid Test for Acute Stroke

“…Secondly, on day eight, the authors measured the interrater reliability of the test, yielding a good concordance correlation coefficient of 0.959. This finding is in line with the French study of Azuar et al with a coefficient of concordance of 0.990 (rater 1=13.4, rater 2=13.49) [11], and the Italian study of Panebianco et al with a coefficient of concordance of 0.99 (rater 1=9.38, rater 2=9) [13]. Also, the Portuguese study of Tábuas-Pereira et al reported an excellent concordance coefficient (0.985) between rater 1 and rater 2 [14].…”

“…The authors found a mean of 173 seconds for the administration of ART. This duration is close to findings from Italian, French, and Portuguese studies that reported the mean duration of 169, 171, and 154 seconds, respectively [11,13,14]. Thus, the present study indicates that similar to other versions the Persian version of ART can be completed in a short time, making it a suitable tool for aphasia measurement at the bedside.…”

“…Moreover, the Portuguese study showed a high correlation between the ART scores and the Lisbon aphasia examination [14]. The Italian study did not compare the ART scores with other aphasia tests [13]. Therefore, in line with previous studies, the current study showed that the ART test could be used as a tool to predict the prognosis of aphasia severity; it also stands true for the Persian version of this test.…”

“…The higher scores of ART indicate more impairment. Additionally, previous studies have shown sensitivity, reproducibility, high predict value, external validation, and the inter-rater reliability of this test [11][12][13][14]. Moreover, Benghanem et al (2019) reported the correlation of ART scores with the lesion size and location and the patient performance three months after the stroke.…”

“…Also, it is a brief and simple test to perform shortly after the stroke. Besides, ART is translatable into different languages and can be used in clinical practice [11][12][13][14]. Therefore, the researchers selected the ART to translate it into the Persian language and performed it in Iranian Persian speakers in the acute phase after stroke.…”