Between Nesfatin-1 Level and Insulin Resistance in Gestational Diabetes

Abstract

Background & Aims: Stroke is a significant health problem with high prevalence and mortality worldwide.
In Indonesia, it is the first leading cause of death after ischemic heart disease in 2017. As Barthel Index has
been regarded as the best outcome measure used in rehabilitation of people with stroke, this study sought to
determine the construct validity of the Indonesian version of the tool. Specifically, the study looked into the
inter-rater reliability of the tool, the problems encountered by participants with the English version and the
corresponding modifications to be incorporated in the Indonesian version.
Method: Utilizing an exploratory sequential mixed method design and involving five different groups of
participants with a total of 391, the study began with the forward and backward translation of the English
Barthel Index followed by the validation, reliability and validity testing of the Indonesian version.
Result: Results showed that inter-rater reliability is satisfactory. Some terms in the English version were
modified to suit the linguistic and cultural context of Indonesia. In terms of content validity, the Indonesian
version of Barthel Index is acceptable. The construct validity test revealed two major factors, namely,
functional performance and physiological function.
Conclusion: it thereby provides a baseline data to advance knowledge on the use standardized tool like BI,
to further improve nursing practice in the stroke room, and to enhance the nursing education curriculum.