Test-Retest Reliability and Responsiveness of the Computerized Adaptive Testing System of the Functional Assessment of Stroke

Objective: To examine the test-retest reliability, responsiveness, and clinical utility of the Computerized Adaptive Testing System of the Func-tional Assessment of Stroke (CAT-FAS) in persons with stroke. Design: Repeated measurements design. Setting: A department of rehabilitation in a medical center. Participants: 30 persons with chronic stroke (for test-retest reliability) and 65 persons with subacute stroke (for responsiveness) were recruited. To examine the test-retest reliability, the participants received measurements twice at 1-month intervals. To examine the responsiveness, the data were collected at admission and discharge from hospital. Interventions: Not applicable. Main Outcome Measurement Tool: CAT-FAS. Results: The intra-class correlation coefficients of the CAT-FAS were >= 0.82, indicating good to excellent test-retest reliability. The Kazis' effect size and standardized response mean of the CAT-FAS were >= 0.96, indicating good group-level responsiveness. For individual-level responsive-ness, approximately two-thirds of the participants exceeded the conditional minimal detectable change. On average, the CAT-FAS was completed within 9 items and 3 minutes per administration. Conclusions: Our results suggest the CAT-FAS is an efficient measurement tool with good to excellent test-retest reliability and responsiveness. In addition, the CAT-FAS can be used routinely in clinical settings to monitor progress of the crucial 4 domains for persons with stroke. Archives of Physical Medicine and Rehabilitation 2023;104:1676-82 (c) 2023 by the American Congress of Rehabilitation Medicine.

Automated summary

This study examined the test-retest reliability, responsiveness, and clinical utility of the Computerized Adaptive Testing System of the Functional Assessment of Stroke (CAT-FAS) in persons with stroke. The results indicated that CAT-FAS is an efficient measurement tool with good to excellent test-retest reliability and responsiveness. It can be used routinely in clinical settings to monitor the progress of stroke patients.