Tele-assessment of activities and participation in chronic phase of stroke: Is use valid and viable in a developing country?

Léia Cordeiro de Oliveira; Heyriane Martins Dos Santos; Mariana Acciarini da Silva; Bianca Stefany Lima de Oliveira; Taiane Silva de Lima; Gabriela Santos Pereira; Soraia Micaela Silva

doi:10.1177/1357633X231166817

Tele-assessment of activities and participation in chronic phase of stroke: Is use valid and viable in a developing country?

J Telemed Telecare. 2023 Apr 17:1357633X231166817. doi: 10.1177/1357633X231166817. Online ahead of print.

Authors

Léia Cordeiro de Oliveira¹, Heyriane Martins Dos Santos¹, Mariana Acciarini da Silva¹, Bianca Stefany Lima de Oliveira¹, Taiane Silva de Lima¹, Gabriela Santos Pereira¹, Soraia Micaela Silva¹

Affiliation

¹ Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), São Paulo, Brazil.

PMID: 37063064
DOI: 10.1177/1357633X231166817

Abstract

Background: SATISPART-Stroke (SATIS-Stroke) is the most complete instrument for the assessment of activity and participation following a stroke. However, its use in a developing country has only been tested through in-person interviews.

Objective: To determine the validity, reproducibility and viability of the SATIS-Stroke scale administered in two tele-assessment modalities: self-assessment of an electronic form versus videoconference.

Methods: Methodological study with Brazilian chronic stroke survivors was conducted. Stage I comprised an in-person interview to apply the SATIS-Stroke and a self-assessment by completing an electronic form to respond to the SATIS-Stroke items. Step II occurred 6 to 8 months after Step I, during which SATIS-Stroke was administered again in-person and via videoconference. The order was randomized.

Results: Ninety-five stroke survivors were recruited, but only 50 answered the electronic form (adherence: 52.6%). Mean scores were higher in the self-administration of electronic form compared to the in-person interview (mean difference = -0.36 ± 0.93; P = 0.009). Adequate reliability was found in the comparison of the in-person and self-assessment of electronic form (ICC_2,1 = 0.66; 95%CI: 0.40-0.81). Fifty stroke survivors participated in Step II, during which adequate reliability was found in the comparison of the in-person administration and videoconference (ICC_2,1 = 0.55; 95%CI: 0.21-0.74) and a moderate correlation was found between the assessment methods (r = 0.43; P = 0.02).

Discussion: Adequate validity and reliability were found in the tele-assessment. Thus, this method is appropriate and viable for use in developing countries. Although reliable, the self-assessment did not have good adherence in the Brazilian population due to internet access problems, lack of familiarity with the digital form and lack of autonomy to answer the questions alone.

Keywords: Stroke; disability and health; international classification of functioning; patient participation; patient satisfaction; tele-rehabilitation; telehealth.