ArticleBMJ open2026
Psychometric properties of the Role Checklist for Spanish-speaking stroke survivors.
Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
backgroundThe Role Checklist is broadly used to assess perceived role participation. Although stroke survivors often experience decreased participation, its reliability has not been evaluated for Spanish-speaking individuals with stroke.
objectiveTo evaluate the psychometric properties of the Role Checklist in Spanish-speaking individuals with stroke.
designValidation study.
settingRandomly selected public primary care centres.
participants179 participants with stroke. OUTCOME MEASURES: Internal consistency was analysed using Cronbach's alpha and item-total correlations. Test-retest and inter-rater reliability were evaluated with the intraclass correlation coefficient (ICC). Measurement precision was examined by calculating the SE of measurement (SEM) and the minimum detectable change (MDC) 95% CI. Floor and ceiling effects were assessed by calculating the proportion of participants who achieved the minimum and maximum possible scores.
resultsThe 'role participation' subscale showed a Cronbach's alpha of 0.73 (95% CI 0.57 to 0.74) and the 'assigned value' subscale of 0.45 (95% CI 0.33 to 0.57). All item-total correlations for the items within the 'assigned value' subscale were significant. Test-retest analysis showed ICC values >0.84, and inter-rater reliability showed ICC values >0.99 for role participation and assigned value. The SEM estimates were 1.43 for the role participation subscale and 0.88 for the value attributed to the total number of roles subscale. MDC
conclusionThe Role Checklist exhibited acceptable internal consistency, temporal stability and interobserver reliability.
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