Development of the Activities and Participation State Scale for Stroke Survivors

Abstract

The Activities and Participation State Scale for stroke survivors (APSS) was developed, and its reliability and validity were evaluated. Participants in the study were stroke patients with activities restricted to their homes (N=95). A pilot version of the scale comprising 21 items was developed based on interviews conducted with stroke survivors and used in a questionnaire survey. Also, the quality of life and psychological adjustment of stroke survivors were evaluated by using the MOS 8-item Short-Form Health Survey and the Nottingham Adjustment Scale Japanese version for disability, respectively. Explanatory factor analysis of the pilot scale indicated that the scale consisting of three factors that comprised of 14 items had adequate reliability and validity. These findings indicate that APSS is a clinically useful tool for evaluating the state of activity and participation of stroke survivors.