Reliability of Longshi Scale With Remote Assessment

Study Overview
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Brief Summary
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To explore the reliability of remote Longshi Scale assessment with smartphone video calls by comparing the consistency of remote assessment and bedside assessment, as well as the test-retest reliability of the remote assessment. The evaluation duration of these two methods was recorded and the level of satisfaction of patients and evaluators was investigated.

Official Title
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Reliability of Longshi Scale With Remote Assessment of Smartphone Video Calls for Stroke Patients'Activities of Daily Living

Conditions
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Stroke, Telemedicine

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: a.Stroke survivors aged 18 and above; diagnosed with cerebral infraction or intracerebral hemorrhage; stroke onset2 weeks; stable vital signs (heart rate, blood pressure, respiratory rate, oxygen saturation and temperature); voluntary or guardian consent to participate in the study. b.Evaluators registered rehabilitation practitioner; experience in rehabilitation scientific research or education related work for more than two years Exclusion Criteria: a.Stroke survivors brain tumor, Parkinson's disease or active epilepsy within past three months; a history of mental illness such as mania or delirium; participation in any other clinical study. b.Evaluators unable to finish the training of Longshi Scale or use smartphones proficiently.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Assessed with the remote assessment of Longshi Scale first and then with bedside assessment<br> | |
| Assessed with the bedside assessment of Longshi Scale first and then with remote assessment<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Consistency of the disability degree evaluated using the remote assessment and the bedside assessment of Longshi Scale. | Weighted kappa(wK) and Bland-Altman were used to determined the consistency between the results of remote assessment method and bedside assessment method. The interpretation of wK scores was in accordance with published standards (values>0.75 indicating excellent agreement beyond chance; 0.4 0.75, moderate agreement beyond chance; <0.4, poor agreement beyond chance). | Within 24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The test-retest reliability of the remote video assessment | the result of remote assessment test-retest was analyzed by Weighted kappa(wK) scores.The interpretation of wK scores was in accordance with published standards (values>0.75 indicating excellent agreement beyond chance; 0.4 0.75, moderate agreement beyond chance; <0.4, poor agreement beyond chance). | Within 24 hours after first evaluation | 
| Satisfaction survey of remote assessment | The satisfaction survey data were summarized as mean±standard deviation, and also summarized as the percentage of satisfaction categories. | Within 24 hours after the remote assessment | 
| Assessment duration | The assessment duration was analyzed by independent t-test. | Within 24 hours | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stroke, Tele-rehabilitation, Activities of Daily Living