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Validity and Reliability of the Responses to Ischemic Stroke Symptoms Questionnaire

Beal, Claudia C.; Ogola, Gerald; Allen, Leigh

Journal of Neuroscience Nursing: December 2019 - Volume 51 - Issue 6 - p 287–291
doi: 10.1097/JNN.0000000000000474

BACKGROUND Prehospital delay remains an important reason for low intravenous tissue plasminogen activator administration rates. Study of ischemic stroke patients' responses to stroke onset may be hampered by lack of a questionnaire designed specifically to examine their cognitive, emotional, and behavioral responses to symptoms.

METHODS We provide evidence for content validity and reliability for the Responses to Ischemic Stroke Symptoms Questionnaire (RISQ) through, expert panel review and calculation of a content validity index and a study to examine stability reliability among hospitalized acute ischemic stroke patients.

RESULTS Expert panel review demonstrated agreement on the relevance of questionnaire items and an overall content validity index of 0.97. The study to examine stability reliability demonstrated acceptable stability of the items on the RISQ over the short term in a sample of white and black stroke patients.

CONCLUSION Preliminary evidence was gathered to support the content validity and stability reliability of the RISQ. Study of the RISQ with other population groups is needed.

Gerald Ogola, PhD, is Statistician, Office of the Chief Quality Officer, Baylor Scott & White Health, Dallas, TX.

Leigh Allen, MSN RN CCRN-K CNRN, was Stroke Coordinator, Baylor Scott & White Hospital, Temple, TX. She is now Network Stroke Program Manager, Ascension Seton Austin, Austin, TX.

Questions or comments about this article may be directed to Claudia C. Beal, PhD RN, at She is an Associate Professor, Louise Herrington School of Nursing, Baylor University, Dallas, TX.

The authors declare no conflicts of interest.

© 2019 American Association of Neuroscience Nurses