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.