Spanish Transcultural Adaptation and Validity of the Behavioral Inattention Test.
Ángel Sánchez-Cabeza, Elisabet Huertas-Hoyas, Nuria Máximo-Bocanegra and 3 others
PMID 29097959WHAT IT FOUND
Spanish stroke patients with neglect differed from those without neglect on every adapted BIT item.
The test gave consistent scores and may help therapists assess everyday neglect problems.
Key findings
01The adapted Spanish BIT showed high reliability: complete test alpha .90, conventional subtests alpha .93, behavioral subtests alpha .75.
02Stroke patients with unilateral spatial neglect differed significantly from stroke patients without neglect on every BIT item (p < 0.001).
03Conventional and behavioral total scores were related among 75 stroke patients (correlation -0.80, p < 0.001).
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
All participants came from the Community of Madrid, so the results may not apply to other Spanish-speaking regions. The sample included more women than men, and women had a higher education level, which could have biased selection. Healthy controls were recruited from the researchers' social environment and relatives of patients, which may not represent typical controls. The study did not analyze test-retest reliability, construct validity, or interrater reliability, so stability and independent scoring were not shown. Patients were selected by doctors and neuropsychologists, not randomly assigned, so group differences may reflect selection.
The easy way to misread this
Do not read the significant differences as proof that the BIT-E improves treatment outcomes or diagnoses neglect on its own. The study tested a Spanish version in 93 participants and did not analyze test-retest, construct validity, or interrater reliability.