National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore culture
Introduction: The National Institutes of Health Stroke Scale (NIHSS), originally designed in the United States of America, contains items on dysphasia and dysarthria that are deemed culturally unsuitable for the Singapore context. We compared the error rates of dysphasia objects, dysphasia phrases a...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer – Medknow Publications
2023-09-01
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| Series: | Singapore Medical Journal |
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| Online Access: | https://journals.lww.com/10.11622/smedj.2021126 |
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| author | Shu Han Lim Tai Yan Guek Fung Peng Woon Deirdre Danyi Tay Shu Swen Ho Szu Chyi Ng Deidre Anne De Silva |
| author_facet | Shu Han Lim Tai Yan Guek Fung Peng Woon Deirdre Danyi Tay Shu Swen Ho Szu Chyi Ng Deidre Anne De Silva |
| author_sort | Shu Han Lim |
| collection | DOAJ |
| description | Introduction:
The National Institutes of Health Stroke Scale (NIHSS), originally designed in the United States of America, contains items on dysphasia and dysarthria that are deemed culturally unsuitable for the Singapore context. We compared the error rates of dysphasia objects, dysphasia phrases and dysarthria words between the original and alternative items in a cohort of Singaporean subjects without dysphasia or dysarthria.
Methods:
In this prospective study, 140 English-speaking Singaporean subjects without impairments of dysphasia or dysarthria had an assessment of NIHSS items 9 and 10 using the original and alternative items. Paired analyses were conducted for comparison of error rates.
Results:
The error rates were high for four original dysphasia objects (Hammock: 62.9%, Cactus: 38.6%, Feather: 23.6%, Glove: 20.7%) and significantly lower for alternative items (Snail: 5%, Horse: 1.4%, Hanger: 1.4%, Car: 0%) (P < 0.001). For dysphasia phrases and dysarthria words, the error rates were low and there were no differences in error rates between the original and alternative items.
Conclusion:
There are cultural issues with several dysphasia objects in the original NIHSS as evidenced by the high error rates, which were lowered with more culturally suitable alternatives. This study formed a basis to derive a more suitable version of the NIHSS for English-speaking subjects in Singapore. |
| format | Article |
| id | doaj-art-b43deb5e22b54620a5f90859eed2d6e6 |
| institution | Kabale University |
| issn | 0037-5675 2737-5935 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Wolters Kluwer – Medknow Publications |
| record_format | Article |
| series | Singapore Medical Journal |
| spelling | doaj-art-b43deb5e22b54620a5f90859eed2d6e62025-02-09T14:00:26ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352023-09-0164956356610.11622/smedj.2021126National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore cultureShu Han LimTai Yan GuekFung Peng WoonDeirdre Danyi TayShu Swen HoSzu Chyi NgDeidre Anne De SilvaIntroduction: The National Institutes of Health Stroke Scale (NIHSS), originally designed in the United States of America, contains items on dysphasia and dysarthria that are deemed culturally unsuitable for the Singapore context. We compared the error rates of dysphasia objects, dysphasia phrases and dysarthria words between the original and alternative items in a cohort of Singaporean subjects without dysphasia or dysarthria. Methods: In this prospective study, 140 English-speaking Singaporean subjects without impairments of dysphasia or dysarthria had an assessment of NIHSS items 9 and 10 using the original and alternative items. Paired analyses were conducted for comparison of error rates. Results: The error rates were high for four original dysphasia objects (Hammock: 62.9%, Cactus: 38.6%, Feather: 23.6%, Glove: 20.7%) and significantly lower for alternative items (Snail: 5%, Horse: 1.4%, Hanger: 1.4%, Car: 0%) (P < 0.001). For dysphasia phrases and dysarthria words, the error rates were low and there were no differences in error rates between the original and alternative items. Conclusion: There are cultural issues with several dysphasia objects in the original NIHSS as evidenced by the high error rates, which were lowered with more culturally suitable alternatives. This study formed a basis to derive a more suitable version of the NIHSS for English-speaking subjects in Singapore.https://journals.lww.com/10.11622/smedj.2021126culturedysarthriadysphasianational institutes of health stroke scalesingapore |
| spellingShingle | Shu Han Lim Tai Yan Guek Fung Peng Woon Deirdre Danyi Tay Shu Swen Ho Szu Chyi Ng Deidre Anne De Silva National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore culture Singapore Medical Journal culture dysarthria dysphasia national institutes of health stroke scale singapore |
| title | National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore culture |
| title_full | National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore culture |
| title_fullStr | National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore culture |
| title_full_unstemmed | National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore culture |
| title_short | National Institutes of Health Stroke Scale: comparison of original and modified versions for Singapore culture |
| title_sort | national institutes of health stroke scale comparison of original and modified versions for singapore culture |
| topic | culture dysarthria dysphasia national institutes of health stroke scale singapore |
| url | https://journals.lww.com/10.11622/smedj.2021126 |
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