Evidence map›Paper›PMID 41025881›Full record

Observational studyJournal of rehabilitation medicine2025

Development of the Italian version of the modified Barthel index and preliminary reliability in adults with stroke.

Stefano Doronzio, Diego Longo, Michele Piazzini, Angela M Politi, Tommaso Ciapetti, Monica Barnabé, Chiara Castagnoli, Donata Bardi, Julieta Giacani, Maria L Del Vicario and 3 more

Abstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Journal of rehabilitation medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Stefano DoronzioDepartment of Experimental and Clinical Medicine, University of Florence, Firenze, Italy; Neuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Diego LongoDepartment of Experimental and Clinical Medicine, University of Florence, Firenze, Italy. diego.longo@unifi.it.
Michele PiazziniDepartment of Experimental and Clinical Medicine, University of Florence, Firenze, Italy.
Angela M PolitiNeuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Tommaso CiapettiNeuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Monica BarnabéNeuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Chiara CastagnoliNeuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Donata BardiNeuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Julieta GiacaniNeuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Maria L Del VicarioNeuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Giulio CherubiniDepartment of Experimental and Clinical Medicine, University of Florence, Firenze, Italy.
Marco BacciniNeuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.
Francesca CecchiDepartment of Experimental and Clinical Medicine, University of Florence, Firenze, Italy; Neuromotor Research Unit, IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to develop the Italian version of the modified Barthel Index and assess its reliability within stroke survivors.

designSingle-centre, prospective observational study for measure validation. SUBJECTS/PATIENTS: To pre-test the pre-final scale, stroke survivors, caregivers, and health professionals were enrolled. For reliability, only stroke survivors were enrolled. Inclusion of stroke survivors: adults presenting ADL limitation; exclusion: severe visual/hearing impairment, Mini-Mental State Examination <21; severe language disorder, clinical instability.

methodsThe Italian modified Barthel Index was developed through forward-and-back translation, and interdisciplinary review. Clarity was evaluated by a sample of all participants. Inter-rater reliability was assessed by 2 independent physiotherapists, and test-retest examined 1-3 days later. Intraclass correlation coefficient (ICC), Spearman's correlation, quadratic weighted Kappa, and agreement percentages were calculated.

resultsClarity was evaluated with 30 participants (10 per group); minor semantic adjustments were made. Reliability was assessed within 51 stroke survivors, showing Spearman's correlation of 0.990 (test-retest) and 0.985 (inter-rater). ICCs were 0.990 and 0.987, respectively. Weighted Kappa values ranged from 0.76 to 0.98.

conclusionThe Italian Modified Barthel Index showed high reliability, supporting its use in Italian-speaking stroke populations. The validation of its other psychometric properties needs further research.

Indexed as

Activities of Daily LivingDisability EvaluationStrokeStroke RehabilitationAdultAgedAged, 80 and overFemaleHumansItalyMaleMiddle AgedProspective StudiesReproducibility of ResultsTranslations

Identifiers

PMID41025881
PMCPMC12495485

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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.