J Korean Acad Rehabil Med.  2007 Jun;31(3):283-297.

Development of the Korean Version of Modified Barthel Index (K-MBI): Multi-center Study for Subjects with Stroke

Affiliations
  • 1Department of Rehabilitation Medicine, Inha University College of Medicine, Korea.
  • 2Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea.
  • 3Department of Rehabilitation Medicine, Gyeongsang National University College of Medicine, Korea.
  • 4Department of Rehabilitation Medicine, Korea University College of Medicine, Korea.
  • 5Department of Rehabilitation Medicine, University of Ulsan College of Medicine, Korea.
  • 6Department of Rehabilitation Medicine, Seoul National University College of Medicine, Korea. tairyoon@snu.ac.kr
  • 7Department of East-West Medical Science, Graduate School of East-West Medical Science, Kyung Hee University, Korea.

Abstract


OBJECTIVE
To develop a Korean version of Modified Barthel Index (K-MBI) for subjects with stroke and to test the reliability and validity of K-MBI. METHOD: Six senior physiatrists translated the 5th version of MBI into K-MBI and we administered K-MBI to 30 subjects with stroke. Fifteen different examiners working at the 5 different university hospitals evaluated video-recorded examination cases independently to test the reliability and validity of K-MBI. We analyzed intra- and inter-rater reliabilities of the K-MBI by the Kendall's coefficient of concordance and Spearman's correlation coefficients, respectively. Cronbach's alpha coefficient was used for assessing internal consistency of the K-MBI and Spearman's correlation between the K-MBI and Brunnstr?m stage was employed to evaluate the validity of the K-MBI.
RESULTS
The intra-rater reliabilities of physiatrists, resident physicians of rehabilitation medicine and occupational therapists were 0.93~1.00, 0.87~0.99, and 0.97~1.00 (p< 0.01), respectively. The inter-rater reliabilities were 0.93~0.98 (p<0.01) and Cronbach's alpha was 0.84 (p<0.01) as the internal consistency reliability of K-MBI. For construct validation study, each item of K-MBI had significant correlation with total score of K-MBI (r=0.54~0.78, p< 0.01).
CONCLUSION
The K-MBI is a reliable and valid instrument for measuring functional status of subjects with stroke.

Keyword

Modified Barthel Index (MBI); Standardization; Korean version of Modified Barthel Index (K-MBI); Stroke

MeSH Terms

Hospitals, University
Rehabilitation
Reproducibility of Results
Stroke*
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