KMID : 1140920230470050367
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Annals of Rehabilitation Medicine 2023 Volume.47 No. 5 p.367 ~ p.376
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Korean Version of the Longer-Term Unmet Needs After Stroke Questionnaire
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Baek So-Ra
Kim Won-Seok Park Yul-Hyun Jung Yun-Sun Chang Won-Kee Kim Go-Wun Paik Nam-Jong
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Abstract
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Objective : To translate the 22-item Longer-term Unmet Needs after Stroke (LUNS) questionnaire, validate it in the Korean stroke population, and assess the reliability of face-to-face and telephone surveys.
Methods : Sixty-six adult patients with stroke from Seoul National University Bundang Hospital and Kangwon National University Hospital were involved in the validation. Participants were interviewed twice using the LUNS Korean version: first, a face-to-face survey for validation, and second, a telephone survey for test-retest reliability. Participants completed the Frenchay Activities Index (FAI) and Short Form 12 (SF-12) Mental and Physical Component Summary (MCS and PCS) scores at the first interview. For concurrent validity, the differences in health status (FAI, SF-12 MCS and PCS) between the groups that reported unmet needs and those that did not were analyzed for each item. Cohen¡¯s kappa and percentage of agreement between the first and second administrations were calculated for each item to determine the test-retest reliability.
Results : The average age of the participants was 61.2¡¾12.8 years and 74.2% were male. Fifty-seven patients were involved in the second interview. Depending on the unmet needs, SF-12 MCS, PCS, and FAI were significantly different in 12 of 22 items. In the test-retest reliability test, 12 items had a kappa of 0.6 or higher, and two had a kappa of <0.4.
Conclusion : The LUNS instrument into Korean (LUNS-K) is a reliable and valid instrument for assessing unmet health needs in patients with stroke. In addition, telephone surveys can be considered reliable.
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KEYWORD
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Stroke, Needs assessment, Factor analysis, Translations, Validation studies
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