Reliability of the Functional Independence Measure with Occupational Therapists

Reliability of the Functional Independence Measure with Occupational Therapists
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职业治疗师功能独立测量的可靠性

DOI:
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发表时间:
2010
期刊:
影响因子:
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通讯作者:
Diane F. Worrell
Diane F. Worrell
中科院分区:
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文献类型:
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作者:
J. Fricke;C. Unsworth;Diane F. Worrell

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本文报道了功能独立性量表(Functional Independence Measure,简称FIELD)的评分员间信度研究。该量表测量住院病人的护理负担,反映在18个自我护理项目中,从依赖到独立的7分量表上进行评分。研究对象为40名职业治疗师,根据职业治疗师的经验进行划分,并随机分配到职业治疗师培训组或非培训组。受试者对四名中风患者的录像带进行评分,内容包括转移、洗澡、穿衣、打扮、用餐和从医院获得的食物。使用组内相关系数(ICC)、一致性百分比和不一致性指标计算评分员一致性。通过与专家评分员进行比较来衡量评分准确性。当由没有既往临床经验的临床医生进行评估时,来自临床培训组的评估最可靠。强烈建议所有临床医生在使用此工具之前接受过安全性培训,以确保可接受的可靠性。
This paper reports an inter-rater reliability study on the Functional Independence Measure (FIM). The FIM measures inpatient burden of care, as reflected in 18 self care items, rated on a seven point scale from dependent to independent. The subjects were 40 occupational therapists, divided according to experience with the FIM and randomly assigned to a FIM training or non-training group. Subjects rated video tapes of four stroke patients on transfers, bathing, dressing, grooming, toileting and eating items from the FIM. Rater consensus was calculated using the intraclass correlation coefficient (ICC), percentage agreement and a measure of disagreement. Rating accuracy was measured by comparisons with an expert rater. Ratings were most reliable when done by clinicians with no prior FIM experience, from the FIM training group. It is strongly recommended that all clinicians undergo FIM training before using this tool to ensure acceptable reliability.
脊髓损伤患者的认知功能障碍:功能独立测量分量表的敏感性与神经心理学评估。
DOI: --
发表时间: 1990
影响因子: 4.3
作者:
Davidoff,GN;Roth,EJ;Haughton,JS;Ardner,MS
通讯作者: Ardner,MS