Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)

Introduction. The Gait Assessment and Intervention Tool (G.A.I.T.) is well-accepted for determining changes in gait quality in neurological patients. This study is aimed at translating the G.A.I.T. to Thai and to examine its validity and reliability. Methods. The Thai translation and back-translatio...

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Main Authors: Jittima Saengsuwan, Patpiya Sirasaporn
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.1155/2020/1710534
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author Jittima Saengsuwan
Patpiya Sirasaporn
author_facet Jittima Saengsuwan
Patpiya Sirasaporn
author_sort Jittima Saengsuwan
collection DOAJ
description Introduction. The Gait Assessment and Intervention Tool (G.A.I.T.) is well-accepted for determining changes in gait quality in neurological patients. This study is aimed at translating the G.A.I.T. to Thai and to examine its validity and reliability. Methods. The Thai translation and back-translation into English were done according to international guidelines. Sixty-eight patients with subacute to chronic stroke were recruited. Concurrent validity was determined by the correlation coefficient between the Thai G.A.I.T. scale and a comfortable vs. fast gait speed. The convergent validity was determined by the correlation coefficient between the Thai G.A.I.T. and the lower extremity Motricity Index, the Functional Ambulation Category (FAC), and the National Institutes of Health Stroke Scale (NIHSS). Interrater reliability was assessed using videos of 68 patients analysed by two independent raters. Each rater was randomly assigned to rescore the Thai G.A.I.T. for each patient over at least two weeks to assess intrarater reliability. Results. The concurrent validity of the Thai G.A.I.T. vs. the respective comfortable and fast gait speeds was excellent (Rs=−0.79 and Rs=−0.68, p<0.001). The respective convergent validity with the lower extremity Motricity Index, NIHSS, and FAC was Rs=−0.62, 0.57, and -0.51, respectively. The respective inter- and intrarater reliabilities were excellent (ICC=0.93, 95% CI 0.88-0.96 and 0.95, 95% CI 0.91-0.97). Conclusion. A Thai version of the G.A.I.T. was developed, and its validity and reliability for use among patients with subacute to chronic stroke were established. Further work regarding the responsiveness of the tool is needed.
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spelling doaj-art-9990f9ead156405b813dd3696c10b0eb2025-02-03T01:03:59ZengWileyStroke Research and Treatment2090-81052042-00562020-01-01202010.1155/2020/17105341710534Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)Jittima Saengsuwan0Patpiya Sirasaporn1Department of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandDepartment of Rehabilitation Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, ThailandIntroduction. The Gait Assessment and Intervention Tool (G.A.I.T.) is well-accepted for determining changes in gait quality in neurological patients. This study is aimed at translating the G.A.I.T. to Thai and to examine its validity and reliability. Methods. The Thai translation and back-translation into English were done according to international guidelines. Sixty-eight patients with subacute to chronic stroke were recruited. Concurrent validity was determined by the correlation coefficient between the Thai G.A.I.T. scale and a comfortable vs. fast gait speed. The convergent validity was determined by the correlation coefficient between the Thai G.A.I.T. and the lower extremity Motricity Index, the Functional Ambulation Category (FAC), and the National Institutes of Health Stroke Scale (NIHSS). Interrater reliability was assessed using videos of 68 patients analysed by two independent raters. Each rater was randomly assigned to rescore the Thai G.A.I.T. for each patient over at least two weeks to assess intrarater reliability. Results. The concurrent validity of the Thai G.A.I.T. vs. the respective comfortable and fast gait speeds was excellent (Rs=−0.79 and Rs=−0.68, p<0.001). The respective convergent validity with the lower extremity Motricity Index, NIHSS, and FAC was Rs=−0.62, 0.57, and -0.51, respectively. The respective inter- and intrarater reliabilities were excellent (ICC=0.93, 95% CI 0.88-0.96 and 0.95, 95% CI 0.91-0.97). Conclusion. A Thai version of the G.A.I.T. was developed, and its validity and reliability for use among patients with subacute to chronic stroke were established. Further work regarding the responsiveness of the tool is needed.http://dx.doi.org/10.1155/2020/1710534
spellingShingle Jittima Saengsuwan
Patpiya Sirasaporn
Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)
Stroke Research and Treatment
title Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)
title_full Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)
title_fullStr Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)
title_full_unstemmed Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)
title_short Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)
title_sort validity and reliability of the thai version of the gait assessment and intervention tool g a i t
url http://dx.doi.org/10.1155/2020/1710534
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