Validation of a German-language modified Rankin Scale structured telephone interview at 3 months in a real-life stroke cohort Article Swipe
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· 2023
· Open Access
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· DOI: https://doi.org/10.1186/s42466-023-00289-x
Background The modified Rankin scale (mRS) at 3 months is established as the primary outcome measure in clinical stroke trials. Traditionally, the mRS is assessed through an unstructured face-to-face interview. This approach can be labor-intensive and lead to suboptimal inter-rater reliability. Recently, the Covid-19 pandemic made face-to-face contact even more challenging. To address these issues, we developed and validated a structured German-language questionnaire for mRS testing by telephone. Methods In this prospective cohort study, we compared the mRS testing results of the standard face-to-face interview with those obtained in a structured interview by telephone using Cohen’s Kappa. Results At our tertiary care stroke center, we included 108 patients who underwent both assessments. In 80.6% of cases (87/108) face-to-face and telephone interview reached identical scores. Linear weighted Kappa was 0.82 ( p < 0.001). Unweighted Kappa for dichotomized mRS between fair (0–2) and poor (3–6) functional outcome was κ = 0.97 ( p < 0.001). Conclusions Our study validates the use of the German-language structured telephone interview as a reliable instrument for the use in clinical trials. We encourage others to utilize the questionnaire. It is available as an Appendix (Additional file 1) to this publication.
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- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s42466-023-00289-x
- https://neurolrespract.biomedcentral.com/counter/pdf/10.1186/s42466-023-00289-x
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- diamond
- References
- 22
- Related Works
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- OpenAlex ID
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https://openalex.org/W4389155518Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1186/s42466-023-00289-xDigital Object Identifier
- Title
-
Validation of a German-language modified Rankin Scale structured telephone interview at 3 months in a real-life stroke cohortWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-11-30Full publication date if available
- Authors
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Lennart Steffen Milles, Doreen Pommeranz, Woon Hyung Chae, Jordi Kühne Escolà, Christoph Kleinschnitz, Martin Köhrmann, Benedikt FrankList of authors in order
- Landing page
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https://doi.org/10.1186/s42466-023-00289-xPublisher landing page
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https://neurolrespract.biomedcentral.com/counter/pdf/10.1186/s42466-023-00289-xDirect link to full text PDF
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YesWhether a free full text is available
- OA status
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diamondOpen access status per OpenAlex
- OA URL
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https://neurolrespract.biomedcentral.com/counter/pdf/10.1186/s42466-023-00289-xDirect OA link when available
- Concepts
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German, Telephone interview, Modified Rankin Scale, Stroke (engine), Kappa, Cohort, Medicine, Face-to-face, Face validity, Cohort study, Physical therapy, Psychology, Psychometrics, Clinical psychology, Psychiatry, Engineering, Ischemia, Social science, Ischemic stroke, History, Philosophy, Pathology, Sociology, Mechanical engineering, Epistemology, Linguistics, Internal medicine, ArchaeologyTop concepts (fields/topics) attached by OpenAlex
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22Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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