{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T19:52:38Z","timestamp":1792785158361,"version":"4.5.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"09","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","award":["88887.824483\/2023-00"],"award-info":[{"award-number":["88887.824483\/2023-00"]}],"id":[{"id":"https:\/\/ror.org\/00x0ma614","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq Neuropsiquiatr"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R) is a standard tool for evaluating functional decline in patients with ALS. Despite its clinical value, administration by healthcare professionals can be time-consuming and resource intensive.<\/jats:p>\n                  <jats:p>To assess the reliability and feasibility of a self-administration version of the ALSFRS-R as an alternative for use in clinical and research settings.<\/jats:p>\n                  <jats:p>The present was an observational, analytical, prospective, single-center study involving ALS patients followed at the Neurology Outpatient Clinic of the Hospital Universit\u00e1rio Onofre Lopes (HUOL). Three independent assessments of the ALSFRS-R were conducted: one self-administered version and two interviewer-administered versions performed by different researchers during face-to-face consultations. Interrater reliability was assessed using intraclass correlation coefficients (ICCs), and agreement among the three versions was analyzed using Bland-Altman plots.<\/jats:p>\n                  <jats:p>A total of 43 participants were included in the study, with a mean age of 57\u2009\u00b1\u200911.67 years. The ICCs indicated high reliability for both the total ALSFRS-R score and its functional domains. Linear regression analyses demonstrated strong agreement between the two researchers (R2\u2009=\u20090.98, p\u2009&lt;\u20090.001), as well as between each researcher and the self-administered version (R2\u2009=\u20090.90 and 0.88, respectively). Bland-Altman analyses showed minimal bias and acceptable limits of agreement across all comparisons.<\/jats:p>\n                  <jats:p>The self-administered version of the ALSFRS-R demonstrated high reliability and strong agreement with the researcher-administered versions, supporting its potential use for remote monitoring of ALS patients. Nonetheless, it should not replace professional assessments in clinical trial settings. Further research is warranted to validate its applicability in broader clinical contexts and diverse patient populations.<\/jats:p>","DOI":"10.1055\/s-0046-1827063","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T23:11:48Z","timestamp":1788909108000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of a self-administered version of the Revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R)"],"prefix":"10.1055","volume":"84","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9932-2338","authenticated-orcid":false,"given":"Thais Alves","family":"Cunha","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Programa de P\u00f3s-gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9509-3681","authenticated-orcid":false,"given":"Laura Carvalheira","family":"Dourado","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Programa de P\u00f3s-gradua\u00e7\u00e3o em Nutri\u00e7\u00e3o, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3527-2618","authenticated-orcid":false,"given":"Glauciane Costa","family":"Santana","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Hospital Universit\u00e1rio Onofre Lopes, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3031-1574","authenticated-orcid":false,"given":"M\u00e1rio Teruo","family":"Yanagiura","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Hospital Universit\u00e1rio Onofre Lopes, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4860-9734","authenticated-orcid":false,"given":"Leonardo Judson","family":"Galv\u00e3o-Lima","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Laborat\u00f3rio de Inova\u00e7\u00e3o Tecnol\u00f3gica em Sa\u00fade, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0972-1678","authenticated-orcid":false,"given":"Sancha Helena de Lima","family":"Vale","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Programa de P\u00f3s-gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, Natal RN, Brazil."},{"name":"Universidade Federal do Rio Grande do Norte, Departamento de Nutri\u00e7\u00e3o, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3414-5171","authenticated-orcid":false,"given":"Jos\u00e9","family":"Brand\u00e3o-Neto","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Programa de P\u00f3s-gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9462-2294","authenticated-orcid":false,"given":"M\u00e1rio Em\u00edlio Teixeira","family":"Dourado-Junior","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Departamento de Medicina Integrada, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8061-7048","authenticated-orcid":false,"given":"Lucia","family":"Leite-Lais","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Norte, Departamento de Nutri\u00e7\u00e3o, Natal RN, Brazil."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"publisher","first-page":"pzad109","DOI":"10.1093\/ptj\/pzad109","article-title":"Assessing the Measurement Properties of the Self-Administered Amyotrophic Lateral Sclerosis Functional Rating Scale-Revised (ALSFRS-R): A Rasch Analysis","volume":"103","author":"A Mehdipour","year":"2023","journal-title":"Phys Ther"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1080\/21678421.2024.2309989","article-title":"ALSFRS-R decline rate prior to baseline is not useful for stratifying subsequent progression of functional decline","volume":"25","author":"T Hamatani","year":"2024","journal-title":"Amyotroph Lateral Scler Frontotemporal 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