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Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
A Systematic Review of Tests Assessing Stroke Knowledge
Wen-Hsuan Hou1, Tammy Hoffmann, Yi-Jing Huang
1Wen-Hsuan Hou, MD, PhD Associate Professor, Master Program in Long-Term Care and School of Gerontology Health Management, College of Nursing, and Center of Evidence-Based Medicine, Taipei Medical University; and Department of Physical Medicine and Rehabilitation, Taipei Medical University Hospital, Taiwan. Tammy Hoffmann, PhD Professor of Clinical Epidemiology, Centre for Research in Evidence-Based Practice, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Australia. Yi-Jing Huang, BS PhD student, School of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan. Tzu-Yi Wu, PhD Postdoctoral Fellow, Institute of Economics, Academia Sinica, Taipei, Taiwan. Sheng-Shiung Chen, MS Occupational Therapist, Department of Physical Medicine and Rehabilitation, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan. Ching-Lin Hsieh, PhD Professor, School of Occupational Therapy, College of Medicine, National Taiwan University, and Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
Background:
Accurate assessment of stroke knowledge (SK) is fundamental to the successful understanding of, monitoring of, and intervening to improve the SK of patients and the public.
Purpose:
The purpose of this study is to perform a systematic review of the existing SK tests and appraise their conceptual basis, feasibility, and psychometric properties. We conducted 2-step searching of MEDLINE, CINAHL, PsycINFO, and Scopus electronic databases from January 1, 2000, to December 31, 2014, to identify relevant SK tests for the appraisal.
Results:
Our study found 59 SK tests, out of a total of 93 articles, with full content available that had been referred to in the published literature. Ten of them had been used in more than 1 study, and 2 (the Stroke Knowledge Test and the Stroke Action Test) of them have had at least 1 of their psychometric properties validated. Only 1 test (the Stroke Knowledge Test) was developed using rigorous methodology, covers a wide range of concepts, and met all feasibility criteria; however, its limitations include no articulated conceptual basis, inadequate internal consistency reliability (α = .65), and lack of some validated psychometric properties.
Conclusions:
Our study revealed that current available tools are not sufficiently able to accurately and reliably assess SK to promote stroke prevention and management.
Clinical Implications:
This study highlights the attention of applying current SK tests and need for revising existing tests or developing a new test.
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