Concurrent validity of administering the functional independence measure (FIM) instrument by interview.
Concurrent validity of administering the functional independence measure (FIM) instrument by interview.
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DOI：
10.1097/phm.0b013e3181a9f1d6
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发表时间：
2009-09
影响因子：
3
通讯作者：
Boult C
中科院分区：
文献类型：
--
作者：
Young Y;Fan MY;Hebel JR;Boult C
在本研究中，我们通过访谈来测量使用FIM™工具（“FIM”）的并发效度。数据来自28名社区居住、认知完整的老年髋部骨折患者，来自5家急性康复机构。在入住（和出院）急性后设施的72小时内，FIM认证的采访者和多学科团队同时对每位参与者进行FIM仪器的管理。在入学时，面试官和团队分配的平均FIM评分分别为84.3和80.5 （p<0.001）。出院时，平均FIM评分分别为104.4和103.4 (p>0.50)，反映了急性康复后参与者的功能恢复情况。由访谈者和团队分配的FIM评分在入院时为0.74 (95% CI = 0.58-0.91)，出院时为0.76 （95% CI = 0.60-0.92）。由FIM认证的访谈者进行的FIM评分是评价髋部骨折恢复期老年人群体功能状态的有效指标，具有纵向研究的可行性。
In this study we measure the concurrent validity of administering FIM™ instrument (“FIM”) by interview. Data from twenty-eight community-dwelling, cognitively intact, elderly patients with hip fracture were collected in five post-acute rehabilitation facilities. Within 72 hours of admission to (and at discharge from) the post-acute facilities, both a FIM-certified interviewer and a multidisciplinary team administered the FIM instrument to each participant concurrently. At admission, the mean FIM ratings assigned by the interviewer and by the team were 84.3 and 80.5, respectively (p<0.001). At discharge, the mean FIM ratings were 104.4 and 103.4 (p>0.50), reflecting the participants' functional recovery during post-acute rehabilitation. The intra-class correlation between the FIM ratings assigned by the interviewer and by the team was 0.74 (95% CI = 0.58–0.91) at admission and 0.76 (95% CI = 0.60–0.92) at discharge. FIM ratings assigned by FIM-certified interviewers are valid indicators of the functional status of groups of older people recovering from hip fracture, and feasible for longitudinal study.