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The paper-based version presents challenges; thus, the WeChat version was created to enhance accessibility. Herein, we aimed to validate the inter-rater and test\u2013retest reliabilities of the WeChat version of the Longshi Scale and explore its potential clinical applications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We recruited 115 patients with stroke in the study. The ADL results of each patient were assessed using both the WeChat and paper-based version of the Longshi Scale; each evaluation was conducted by 28 health professionals and 115 caregivers separately. To explore the test\u2013retest reliability of the WeChat version, 22 patients were randomly selected and re-evaluated by health professionals using the WeChat version. All evaluation criteria were recorded, and all evaluators were surveyed to indicate their preference between the two versions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Consistency between WeChat and the paper-based Longshi Scale was high for ADL scores by health professionals (ICC<jats:sub>2,1<\/jats:sub>\u2009=\u20090.803\u20130.988) and caregivers (ICC<jats:sub>2,1<\/jats:sub>\u2009=\u20090.845\u20130.983), as well as for degrees of disability (\u03baw\u2009=\u20090.870 by professionals; \u03baw\u2009=\u20090.800 by caregivers). Bland\u2013Altman analysis showed no significant discrepancies. The WeChat version exhibited good test\u2013retest reliability (\u03baw\u2009=\u20090.880). The WeChat version showed similar inter-rater reliability in terms of the ADL score evaluated using the paper-based version (ICC<jats:sub>2,1<\/jats:sub>\u2009=\u20090.781\u20130.941). The time to complete assessments did not differ significantly, although the WeChat version had a shorter information entry time (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001, 95% confidence interval: \u201343.463 to \u201315.488). Health professionals favored the WeChat version (53.6%), whereas caregivers had no significant preference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The WeChat version of the Longshi Scale is reliable and serves as a suitable alternative for health professionals and caregivers to assess ADL levels in patients with stroke. The WeChat version of the Longshi Scale is considered user-friendly by health professionals, although it is not preferred by caregivers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p>This study was approved by the Ethics Committee of the Second People\u2019s Hospital of Shenzhen (approval number: 20210812003-FS01) and registered on the Clinical Trial Register Center website: clinicaltrials.gov on January 31, 2022 (registration no.: NCT05214638).<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12911-024-02508-0","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T10:02:12Z","timestamp":1715767332000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of activities of daily living using an electronic version of the Longshi Scale in patients with stroke: reliability, consistency, and preference"],"prefix":"10.1186","volume":"24","author":[{"given":"Kaiwen","family":"Xue","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weihao","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiangxiang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Wong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mingchao","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunli","family":"Cai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianjun","family":"Long","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiehui","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeyu","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weilin","family":"Hou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guohui","family":"Nie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yulong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,15]]},"reference":[{"key":"2508_CR1","doi-asserted-by":"publisher","first-page":"1479","DOI":"10.1177\/0269215519846543","volume":"33","author":"Y Wang","year":"2019","unstructured":"Wang Y, Guo S, Zheng J, Wang QM, Zhang Y, Liang Z, et al. 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The vulnerable demographic in this research comprised the older population. The research procedures ensured that the patients would not face any additional risks. They only need to receive ADL assessment on time as required. Patients may withdraw from the study at any stage of the study. The research procedures ensured that the participants would not face additional risks, although they were obligated to undergo scheduled ADL assessments. Any alterations to the research protocol emerging during the study were expeditiously communicated to the ethics committee and implemented solely upon receiving approval. Throughout the research process, participants (including patients with stroke, health professionals, and caregivers) were incorporated into the study only after endorsing a hard copy of the informed consent form, signifying their comprehension of the principal objectives and fundamental procedures of this investigation.This study was approved by the Ethics Committee of the Second People\u2019s Hospital of Shenzhen (ethics approval number: 20210812003-FS01) and registered in Clinical Trials on January 31, 2022 (No.: NCT05214638). All inpatients and their proxies were invited to participate in the study after providing informed consent. All authors confirm that all the methods were performed in accordance with the relevant guidelines and regulations.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"125"}}