The inter-rater reliability of the Italian version of Aphasia Rapid Test (ART) for acute ischemic stroke
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The Aphasia Rapid Test (ART) is a screening questionnaire used for examining language in acute stroke patients. The ART was initially developed and validated in French. The purpose of this study was to assess the inter-rater reliability of Italian ART.
The original version of the ART was translated into Italian. The inter-rater reliability was assessed by two independent neurologists who were blind to each other’s ratings in 52 acute post-stroke patients.
The 52 patients (28 men, 24 women; mean age 73.73 ± 28.99 years) were included within 1 week of stroke onset (46 ischemic, 6 hemorrhagic), as assessed by clinical examination and confirmed by CT and/or MRI. The mean (± SD) ART value was 9.38 (± 9.26) for rater 1 and 9 (±9.31) for rater 2. The inter-rater agreement was very good, with a coefficient of concordance of 0.99 (95% CI 0.986–0.995; p < 0.0001) and a weighted kappa of 0.878 and a quadratic weighted kappa of 0.983.
This study showed that the cross-cultural adaptation of the French version of the ART was successful in an Italian-speaking population.
KeywordsReliability Italian aphasia rapid test Stroke French aphasia rapid test
Thank you to Costanza Zavanone, professor of Italian, for the collaboration in the translation of ART.
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
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