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Tytuł pozycji:

A Concordance Table to Convert FIM Basic Mobility and Self-Care Scale Scores to SCI-FI/AT Scores.

Tytuł:
A Concordance Table to Convert FIM Basic Mobility and Self-Care Scale Scores to SCI-FI/AT Scores.
Autorzy:
Ni P; Biostatistics & Epidemiology Data Analytics Center, Boston University School of Public Health, Boston, MA.
Spellman K; Rehabilitation Sciences, MGH Institute of Health Professions, Boston, MA.
Zafonte R; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA; Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Massachusetts General Hospital, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Wen H; Department of Physical Medicine and Rehabilitation, University of Alabama at Birmingham, Birmingham, AL.
Slavin MD; Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA. Electronic address: .
Jette AM; Rehabilitation Sciences, MGH Institute of Health Professions, Boston, MA.
Źródło:
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2022 Apr; Vol. 103 (4), pp. 688-695. Date of Electronic Publication: 2021 Jul 31.
Typ publikacji:
Journal Article; Research Support, U.S. Gov't, Non-P.H.S.
Język:
English
Imprint Name(s):
Original Publication: Philadelphia, PA : W.B. Saunders
MeSH Terms:
Self-Help Devices*
Spinal Cord Injuries*/rehabilitation
Activities of Daily Living ; Disability Evaluation ; Humans ; Reproducibility of Results ; Self Care
Contributed Indexing:
Keywords: Functional status; Rehabilitation; Spinal cord injury
Entry Date(s):
Date Created: 20210803 Date Completed: 20220405 Latest Revision: 20220511
Update Code:
20240105
DOI:
10.1016/j.apmr.2021.06.023
PMID:
34343522
Czasopismo naukowe
Objective: To estimate Spinal Cord Injury Functional Index Assistive Technology (SCI-FI/AT) scores from FIM motor items.
Design: Secondary data analysis.
Setting: Fourteen Spinal Cord Injury Model Systems (SCIMS) programs.
Participants: Persons with traumatic spinal cord injury (SCI) discharged from inpatient rehabilitation at 14 SCIMS programs (N=1237).
Interventions: Not applicable.
Main Outcome Measures: FIM motor items were matched to SCI-FI/AT domains and summary scores for each measure were developed. The kernel-based method was employed to develop a concordance table to estimate SCI-FI/AT domain summary scores from content-matched FIM motor item summary scores. We conducted analyses to compare agreement between actual SCI-FI/AT summary scores (actual SCI-FI/AT_S) and estimated SCI-FI/AT summary scores (est-SCI-FI/AT_S) for the total sample and for participants with different SCI injury categories.
Results: Nine FIM items matched SCI-FI/AT basic mobility and self-care domain content. Pearson correlations for actual and est-SCI-FI/AT_S scores (0.79) were adequate for using concordance linking methods. Intraclass correlation coefficient values (0.79; 95% confidence interval, 0.77-0.81) indicated moderate reliability. t tests revealed no significant differences between actual and est-SCI-FI/AT_S scores in the total sample. For almost 60% of the sample, actual and est-SCI-FI/AT_S score differences were <5 points (half of a SD). Greater differences between actual and est-SCI-FI/AT_S scores were noted for persons with tetraplegia American Spinal Injury Association Impairment Scales (AISs) A, B, and C.
Conclusions: Despite differences between the FIM and SCI-FI/AT assessments, we developed a concordance table to estimate self-care and basic mobility SCI-FI/AT scores from content-matched FIM motor item scores. This concordance table allows researchers to merge FIM data with SCI-FI/AT data to analyze SCI functional outcomes at the group level. However, owing to greater differences between actual and estimated scores, the concordance table should be used with caution to interpret scores for those with cervical-level injuries AISs A, B, C.
(Copyright © 2021. Published by Elsevier Inc.)

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