Article

PURPOSE: To test responsiveness and sensitivity to change of the Stroke Specific
Quality of Life Scale Danish version (SSQOL-DK) scores in patients following
stroke. METHODS: A follow-up study of 150 patients with first-ever stroke was
used. Questionnaires on quality of life, fatigue, depression, and functional
level were completed. Direction of change was categorised as deterioration, no
change or improvement. Proportion of concordant classification with external
criteria was assessed. Associations between differences in SSQOL-DK domains and
the other instruments were estimated using Spearman's rank order correlation
coefficients. Paired t-test was used to assess change in the SSQOL-DK domains in
patients affected in that domain. Effect size and standardised response mean
(SRM) were used to express domain responsiveness. RESULTS: SSQOL-DK classified
concordantly in 42.2 to 58.1%, and misclassified from zero to 31.3%. Changes in
SSQOL-DK and in the corresponding measures correlated from (r(s)) 0.08 to -0.58.
Fatigue and domain energy in SSQOL-DK were negatively correlated. Effect size
ranged from -0.03 to -0.53, SRM from -0.02 to -0.56 reflecting mild-to-moderate
responsiveness in eight out of 12 domains. CONCLUSION: SSQOL-DK is mildly to
moderately responsive and sensitive and can be used for descriptive purposes over
time in groups of patients with mild stroke.

Langue : ANGLAIS