Article

OBJECTIVE: To investigate clinical changes among the acute, post-acute and
chronic phases in stroke patients' satisfaction with activities and
participation. The SATIS-Stroke questionnaire's sensitivity to change was
investigated with a sample of 45 stroke patients.
METHODS: The SATIS-Stroke
questionnaire was used to collect data from the 45 patients (mean age 69 years,
64% men) in the acute, post-acute and chronic stroke phases. Responsiveness of
the questionnaire was investigated using a sample approach (effect size and
standardized response mean indices) and an individual approach (t statistic). The
clinical significance of change was also calculated using the empirical rule of
effect size and the minimal clinically important difference. RESULTS: Analysis of
variance showed a significant difference among evaluations in the 3 phases (F =
13.662; 2 df; p < 0.001). Post-hoc analysis showed a significant change between
the acute and post-acute phases, but no significant change between the post-acute
and chronic phases. Effect size and standardized response mean indices showed
that the greatest change in satisfaction with activity and participation was
between the acute and the chronic phases. Analysis of the clinical significance
of change indicated that greater changes in satisfaction were necessary to detect
clinically relevant improvement over time than clinically relevant deterioration.
CONCLUSION: The SATIS-Stroke questionnaire successfully determined changes in
satisfaction among stroke patients.

Langue : ANGLAIS