論文

査読有り
2017年9月

A comparative study on assessment procedures and metric properties of two scoring systems of the Coma Recovery Scale-Revised items: standard and modified scores

CLINICAL REHABILITATION
  • Davide Sattin
  • ,
  • Piergiorgio Lovaglio
  • ,
  • Greta Brenna
  • ,
  • Venusia Covelli
  • ,
  • Davide Rossi Sebastiano
  • ,
  • Dunja Duran
  • ,
  • Ludovico Minati
  • ,
  • Ambra Mara Giovannetti
  • ,
  • Cristina Rosazza
  • ,
  • Anna Bersano
  • ,
  • Anna Nigri
  • ,
  • Stefania Ferraro
  • ,
  • Matilde Leonardi

31
9
開始ページ
1226
終了ページ
1237
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1177/0269215517694225
出版者・発行元
SAGE PUBLICATIONS LTD

Objective: The study compared the metric characteristics (discriminant capacity and factorial structure) of two different methods for scoring the items of the Coma Recovery Scale-Revised and it analysed scale scores collected using the standard assessment procedure and a new proposed method.
Design: Cross sectional design/methodological study.
Setting: Inpatient, neurological unit.
Participants: A total of 153 patients with disorders of consciousness were consecutively enrolled between 2011 and 2013.
Intervention: All patients were assessed with the Coma Recovery Scale-Revised using standard (rater 1) and inverted (rater 2) procedures.
Main outcome measures: Coma Recovery Scale-Revised score, number of cognitive and reflex behaviours and diagnosis.
Results: Regarding patient assessment, rater 1 using standard and rater 2 using inverted procedures obtained the same best scores for each subscale of the Coma Recovery Scale-Revised for all patients, so no clinical (and statistical) difference was found between the two procedures. In 11 patients (7.7%), rater 2 noted that some Coma Recovery Scale-Revised codified behavioural responses were not found during assessment, although higher response categories were present. A total of 51 (36%) patients presented the same Coma Recovery Scale-Revised scores of 7 or 8 using a standard score, whereas no overlap was found using the modified score. Unidimensionality was confirmed for both score systems.
Conclusion: The Coma Recovery Scale Modified Score showed a higher discriminant capacity than the standard score and a monofactorial structure was also supported. The inverted assessment procedure could be a useful evaluation method for the assessment of patients with disorder of consciousness diagnosis.

Web of Science ® 被引用回数 : 1

リンク情報
DOI
https://doi.org/10.1177/0269215517694225
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000407464100010&DestApp=WOS_CPL
URL
http://orcid.org/0000-0002-2532-1674

エクスポート
BibTeX RIS