Evidence map›Paper›PMID 38051602›Full record

ArticlePhysical therapy2024

The Scale for Assessment and Rating of Ataxia Is Reliable and Valid in the Telehealth Setting for Patients With Cerebellar Ataxia.

Rachel Reoli, Amanda Therrien, Jennifer Millar, Nayo Hill, Rini Varghese, Ryan Roemmich, Jill Whitall, Amy Bastian, Jennifer Keller

Open access · greenAbstract read
In one paragraph

Article in Physical therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Rachel ReoliDepartment of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID 0000-0002-4427-5028
Amanda TherrienMoss Rehabilitation Research Institute, Thomas Jefferson University, Elkins Park, Pennsylvania, USA.
Jennifer MillarDepartment of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Nayo HillDepartment of Movement Studies, Kennedy Krieger Institute, Baltimore, Maryland, USA.ORCID 0000-0001-9710-0291
Rini VargheseDepartment of Movement Studies, Kennedy Krieger Institute, Baltimore, Maryland, USA.
Ryan RoemmichDepartment of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, Maryland, USA.ORCID 0000-0003-0797-6455
Jill WhitallDepartment of Rehabilitation Sciences, University of Maryland Baltimore, Baltimore, Maryland, USA.
Amy BastianDepartment of Physical Medicine and Rehabilitation, Johns Hopkins Hospital, Baltimore, Maryland, USA.
Jennifer KellerDepartment of Movement Studies, Kennedy Krieger Institute, Baltimore, Maryland, USA.
Kennedy Krieger Institute · USUniversity of Maryland, Baltimore · USJohns Hopkins Hospital · USThomas Jefferson University · US

Funding

Research Training in Rehabilitation for Brain Injury and Neurological DisabilityT32HD007414 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI Amy J. Bastian · 1991 to 2026
$6.3M
MECHANISMS AND REHABILITATION OF CEREBELLAR ATAXIAR01HD040289 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI BASTIAN, AMY J. · 2002 to 2022
$6.2M
Subjective Valuation of Physical Effort in Health and DiseaseR01HD097619 · NICHD · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI CHIB, VIKRAM S · 2019 to 2023
$2.0M
NICHD NIH HHS R01 HD040289NICHD NIH HHS R01 HD097619NICHD NIH HHS T32 HD007414NIH HHS R01HD097619-03
6 · The paper itself

Abstract

objectiveHealth care has increasingly expanded into a hybrid in-person/telehealth model. Patients with a variety of health conditions, including cerebellar ataxia, have received virtual health evaluations; however, it remains unknown whether some outcome measures that clinicians utilize in the telehealth setting are reliable and valid. The goal of this project is to evaluate the psychometric properties of the Scale for Assessment and Rating of Ataxia (SARA) for patients with cerebellar ataxia in the telehealth setting.

methodsNineteen individuals with cerebellar impairments were recruited on a voluntary basis. Participants completed 2 30-minute testing sessions during which a clinical examination and the SARA were performed. One session was performed in person, and the other session was assessed remotely. Outcome measure performance was video recorded in both environments and independently scored by 4 additional raters with varying levels of clinical experience (ranging from 6 months to 29 years). Concurrent validity was assessed with the Spearman rank order correlation coefficient (α < .05), comparing the virtual SARA scores to their gold standard in-person scores. Interrater reliability was evaluated with the intraclass correlation coefficient (ICC) (2,4) (α < .05).

resultsFourteen of the 19 participants completed both in-person and telehealth SARA evaluations. We found that the in-person SARA and the telehealth SARA have large concurrent validity (Spearman rho significant at the 2-tailed α of .01 = 0.90; n = 14). Additionally, raters of varying years of experience had excellent interrater reliability for both the in-person SARA (ICC [2,4] = 0.97; n = 19) and the telehealth SARA (ICC [2,4] = 0.98; n = 14).

conclusionOur results show that the telehealth SARA is comparable to the in-person SARA. Additionally, raters of varying years of clinical experience were found to have excellent interrater reliability scores for both remote and in-person SARA evaluations. IMPACT: Our study shows that the SARA can be used in the telehealth setting for patients with ataxia.

Indexed as

Cerebellar AtaxiaTelemedicineAtaxiaHumansReproducibility of ResultsSeverity of Illness IndexAtaxiaReliabilityScale for Assessment and Rating of AtaxiaTelemedicineValidity

Identifiers

PMID38051602
PMCPMC10921830
OpenAlexW4389397765

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.