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Abstract：
In India, post-stroke outcomes are determined using functional outcome measures (FOMs), the contents of which have not been validated for their relevance to the Indian population. In this study, we aimed to evaluate the cultural validity of five frequently used stroke-specific FOMs by comparing their contents with the problems reported by patients with stroke in India.
Face-to-face structured interviews were conducted with 152 patients diagnosed with stroke in India. Problems and goals identified by the patients were compared to each item included in the FOMs used in stroke rehabilitation.
The Stroke Impact Scale (SIS) and the Frenchay Activities Index (FAI) include items related to the most frequently identified problems. However, neither covers problems related to the need for squatting and sitting on the floor. Use of public transport and community walking are not included in the SIS. Leisure and recreational activities (e.g. gardening, reading books), cognitive and speech functions (e.g. memory, thinking) and bowel and bladder dysfunctions were the common items identified as \"not a problem\" or \"not relevant\" by the patients.
Our findings suggest that the SIS and FAI are the most appropriate FOMs for patients with stroke in India as they include items related to the majority of problems identified by study participants. Many items on both measures, however, were identified as not a problem or not relevant. There is a need for developing culture-specific FOMs that incorporate all major concerns expressed by patients with stroke in India.
Face-to-face structured interviews were conducted with 152 patients diagnosed with stroke in India. Problems and goals identified by the patients were compared to each item included in the FOMs used in stroke rehabilitation.
The Stroke Impact Scale (SIS) and the Frenchay Activities Index (FAI) include items related to the most frequently identified problems. However, neither covers problems related to the need for squatting and sitting on the floor. Use of public transport and community walking are not included in the SIS. Leisure and recreational activities (e.g. gardening, reading books), cognitive and speech functions (e.g. memory, thinking) and bowel and bladder dysfunctions were the common items identified as \"not a problem\" or \"not relevant\" by the patients.
Our findings suggest that the SIS and FAI are the most appropriate FOMs for patients with stroke in India as they include items related to the majority of problems identified by study participants. Many items on both measures, however, were identified as not a problem or not relevant. There is a need for developing culture-specific FOMs that incorporate all major concerns expressed by patients with stroke in India.
摘要：
在印度,卒中后结局是使用功能结局测量(FOM)确定的，其内容尚未验证其与印度人口的相关性。在这项研究中,我们旨在通过将5种常用卒中特异性FOM的内容与印度卒中患者报告的问题进行比较,来评估其文化效度.
在印度，对152名被诊断为中风的患者进行了面对面的结构化访谈。将患者确定的问题和目标与中风康复中使用的FOM中包含的每个项目进行比较。
中风影响量表（SIS）和法国活动指数（FAI）包括与最常见的问题相关的项目。然而,两者都不包括与蹲下和坐在地板上的需要有关的问题。SIS不包括使用公共交通和社区步行。休闲和娱乐活动(例如园艺，阅读书籍)，认知和言语功能(例如记忆，思维）以及肠和膀胱功能障碍是患者确定为“不是问题”或“不相关”的常见项目。
我们的研究结果表明，SIS和FAI是印度中风患者最合适的FOM，因为它们包括与研究参与者发现的大多数问题相关的项目。两项措施的许多项目，然而,被确定为没有问题或不相关。有必要开发特定文化的FOM，以纳入印度中风患者表达的所有主要问题。
在印度，对152名被诊断为中风的患者进行了面对面的结构化访谈。将患者确定的问题和目标与中风康复中使用的FOM中包含的每个项目进行比较。
中风影响量表（SIS）和法国活动指数（FAI）包括与最常见的问题相关的项目。然而,两者都不包括与蹲下和坐在地板上的需要有关的问题。SIS不包括使用公共交通和社区步行。休闲和娱乐活动(例如园艺，阅读书籍)，认知和言语功能(例如记忆，思维）以及肠和膀胱功能障碍是患者确定为“不是问题”或“不相关”的常见项目。
我们的研究结果表明，SIS和FAI是印度中风患者最合适的FOM，因为它们包括与研究参与者发现的大多数问题相关的项目。两项措施的许多项目，然而,被确定为没有问题或不相关。有必要开发特定文化的FOM，以纳入印度中风患者表达的所有主要问题。
