ArticleInternational journal of environmental research and public health2021
Convergent and Discriminant Validity of the Barthel Index and the EQ-5D-3L When Used on Older People in a Rehabilitation Setting.
Article in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 21 citations in OpenAlex.
- Two-year follow-up of a clustered randomised controlled trial of a multicomponent general practice intervention for people at risk of poor health outcomes.BMC health services research · 2024Trial
- Barthel index in TAVR patients - a novel use of an old score.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Article
- Convergent validity of physical and neurological examination of subtle signs (PANESS) gaits and stations with performance-based and self-reported balance measures.Journal of pediatric rehabilitation medicine · 2026Article
- Factors influencing the survival time of patients with advanced cancer at the end of life: a retrospective study.BMC palliative care · 2024Article
- The feasibility, repeatability, validity and responsiveness of the EQ-5D-3L in Krio for patients with stroke in Sierra Leone.Health and quality of life outcomes · 2024Article
- Effects of sarcopenia and frailty on postoperative recovery in elderly patients: A prospective cohort study.Journal of cachexia, sarcopenia and muscle · 2023Article
- Evaluation of the EQ-5D-5L, EQ-VAS stand-alone component and Oxford knee score in the Australian knee arthroplasty population utilising minimally important difference, concurrent validity, predictive validity and responsiveness.Health and quality of life outcomes · 2023Article
- Cultural adaptation and validation of the Arabic version of the short 12-item stroke-specific quality of life scale.Frontiers in neurology · 2023Article
- Construction and Validation of the 17-Item Stroke-Specific Quality of Life Scale (SS-QOL-17): A Comprehensive Short Scale to Assess the Functional, Psychosocial, and Therapeutic Factors of QOL among Stroke Survivors.International journal of environmental research and public health · 2022Article
- Barthel Index is a valid and reliable tool to measure the functional independence of cancer patients in palliative care.BMC palliative care · 2022Article
- Effects of motor-cognitive interaction based on dual-task gait analysis recognition in middle age to aging people with normal cognition and mild cognitive impairment.Frontiers in aging neuroscience · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study compares the empirical performance of a commonly used functional-status measure, the Barthel Index (BI), to that of a widely used generic preference-based instrument, the EuroQoL-5-Dimensions 3 Level (EQ-5D-3L), in older people. Data from older people receiving rehabilitation services were used to test the validity of the BI and EQ-5D-3L. Convergent validity was investigated using Spearman's correlation, exploratory factor analysis (EFA), scatter plots, Krippendorff's alpha and modified Bland-Altman plots. Discriminant validity was examined using Kruskal Wallis tests, ceiling effects and EFA. A total of 1690 participants were included in the analysis. The BI total and EQ-5D-3L utility scores showed moderate correlation (r = 0.51; Krippendorff's alpha = 0.52). Kendall's Tau-B correlations between BI items and EQ-5D-3L dimensions measuring the same construct were weak to moderate (0.05 ≤ absolute r ≤ 0.54). In the EFA, some BI items cross-loaded onto the same factors as EQ-5D-3L dimensions, suggesting that the instruments were interrelated. The BI, however, focuses more on physical functioning, while the EQ-5D-3L measures broader wellbeing concepts. Both instruments showed good discriminant validity and would therefore be equally valuable for measuring subgroup differences. Researchers should consider using the BI in rehabilitation to capture more physical functioning-specific constructs not measured by the EQ-5D-3L.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.