Article

PURPOSE: To investigate the sensitivity and responsiveness of the Health-Related
Quality of Life in Stroke Patients-40 (HRQOLISP-40) scale in evaluating stroke
patients from onset to 12 months. METHODS:
Fifty-five patients with
first-incidence stroke were followed-up for 12 months.
The HRQOLISP-40 scale was
used to assess health-related quality of life (HRQOL) while stroke severity was
assessed with the Stroke Levity Scale. Sensitivity to change was assessed by
analyzing changes in the HRQOLISP-40 scores between pairs of months with paired
samples t-test. Standardized effect size (SES) and standardized response mean
(SRM) were used to express responsiveness. RESULTS: Overall HRQOL and domains in
the physical sphere of the HRQOLISP-40 were sensitive to change at different time
intervals in the first 12 months post-stroke. Marked responsiveness (SES and SRM
>0.7) was demonstrated by the overall scale, and the physical, psycho-emotional
and cognitive domains at varying time intervals. For instance, SRM was greater
than 0.7 between 1 and 6, 3 and 12, 1 and 9, and 1 and 12 months for both the
physical and psycho-emotional domains. CONCLUSION: The HRQOLISP-40 is a sensitive
and responsive stroke-specific quality of life measure that can be used to
evaluate the outcome of stroke rehabilitation. IMPLICATIONS FOR REHABILITATION:
Enhancing the health-related quality of life (HRQOL) of stroke survivors can be
regarded as the ultimate goal of stroke rehabilitation. Sensitive and responsive
stroke-specific HRQOL measures are required for use in evaluative studies, and
clinical trials and practice.
The Health-Related Quality of Life in Stroke
Patients-40 (HRQOLISP-40) is a sensitive and responsive stroke-specific scale.

Langue : ANGLAIS