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Rehabilitation Practice and Science

Translated Title

常用於中風研究的五種注意力測驗之心理計量特性比較

Abstract

Background and purpose: Comparison of the psychometric properties of tests of attention can provide guidelines with which clinicians and researchers can determine a useful measurement. The purpose of this study is to reviewarticle and appraise the psychometric properties of attentional tests frequently used during the last 3 years in empirical studies of stroke and to determine how well these tests can be applied on people with stroke.Methods: This study included two parts: first, a search from the MEDLINE, PsycINFO, CINAHL and Index to Chinese Periodical Literature databases for attentional tests used more than twice in empirical studies of stroke in the period spanning 2003-2005; and second, a search for validation studies of those selected attentional tests to appraise their psychometric properties, including their reliability, validity, and responsiveness, to determine the strengths and weaknesses of existing attentional tests. Results: Five frequently (i.e. used more than twice) used attentional tests were identified: the Trail Making Test (TMT), the Cognitive Drug Research computerized battery, the Test of Everyday Attention (TEA), the Digit Span Task, and the Stroop Color Word Test. We found that the reliability of these tests had not been examined in stroke patients except for the TEA, which has adequate to good reliability. The validity of these tests had not been examined completely. We found that the TMT had acceptable predictive validity for on-road driving performance and that the convergent validity of the TEA was not satisfactory. However, there were no validation studies for the concurrent validity of these tests as applied to stroke patients. In addition, the responsiveness of the five tests has not been examined in patients with stroke. Conclusion: Most of the psychometric properties of these five tests of attention have been rarely examined. Further validation studies of these five attention tests in stroke patients are warranted in order to justify the usage of these five tests.

Language

Traditional Chinese

First Page

65

Last Page

72

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