Reliability and validity of the Spanish adaptation of the Functional Independence Measure + Functional Assessment Measure.
Journal
European journal of physical and rehabilitation medicine
ISSN: 1973-9095
Titre abrégé: Eur J Phys Rehabil Med
Pays: Italy
ID NLM: 101465662
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
medline:
26
9
2023
pubmed:
25
5
2023
entrez:
25
5
2023
Statut:
ppublish
Résumé
The Functional Independence Measure + Functional Assessment Measure (FIM+FAM) Scale is one of the most widely used instruments to measure functional independence post-stroke, and features many cultural adaptations to various languages. The aim of this study was to determine the psychometric properties of a Spanish cross-cultural adaptation of the FIM+FAM for use in the stroke population. Observational study. Outpatient long-term service of a neurorehabilitation unit. One hundred and twenty-two individuals with stroke. The functional independence of the participants was assessed with the adapted version of the FIM+FAM. Additionally, the functional, motor and cognitive condition of the participants was assessed with a battery of standardized clinical instruments. Finally, a group of 31 participants out of the total were evaluated a second time with the FIM+FAM by a different evaluator than the one who performed the first evaluation. Internal consistency, inter-rater reliability and convergent validity with other clinical instruments of the adapted version of the FIM+FAM were determined. The internal consistency of the adapted version of the FIM+FAM was excellent, as evidenced by Cronbach's α values that exceeded 0.973. The inter-rater reliability was likewise excellent, with correlations above 0.990 in all domains and subscales. Additionally, the convergent validity of the scale adaptation with clinical instruments was variable, with values ranging from 0.264 to 0.983, but consistent with the construct assessed in the different instruments examined. The internal consistency, inter-rater reliability and convergent validity of the Spanish-adapted version of the FIM+FAM Scale showed excellent reliability and validity of the adaptation, which supports its use to assess functional independence after stroke. Availability of a valid adaptation for the evaluation of functional independence after stroke in Spanish population.
Sections du résumé
BACKGROUND
BACKGROUND
The Functional Independence Measure + Functional Assessment Measure (FIM+FAM) Scale is one of the most widely used instruments to measure functional independence post-stroke, and features many cultural adaptations to various languages.
AIM
OBJECTIVE
The aim of this study was to determine the psychometric properties of a Spanish cross-cultural adaptation of the FIM+FAM for use in the stroke population.
DESIGN
METHODS
Observational study.
SETTING
METHODS
Outpatient long-term service of a neurorehabilitation unit.
POPULATION
METHODS
One hundred and twenty-two individuals with stroke.
METHODS
METHODS
The functional independence of the participants was assessed with the adapted version of the FIM+FAM. Additionally, the functional, motor and cognitive condition of the participants was assessed with a battery of standardized clinical instruments. Finally, a group of 31 participants out of the total were evaluated a second time with the FIM+FAM by a different evaluator than the one who performed the first evaluation. Internal consistency, inter-rater reliability and convergent validity with other clinical instruments of the adapted version of the FIM+FAM were determined.
RESULTS
RESULTS
The internal consistency of the adapted version of the FIM+FAM was excellent, as evidenced by Cronbach's α values that exceeded 0.973. The inter-rater reliability was likewise excellent, with correlations above 0.990 in all domains and subscales. Additionally, the convergent validity of the scale adaptation with clinical instruments was variable, with values ranging from 0.264 to 0.983, but consistent with the construct assessed in the different instruments examined.
CONCLUSIONS
CONCLUSIONS
The internal consistency, inter-rater reliability and convergent validity of the Spanish-adapted version of the FIM+FAM Scale showed excellent reliability and validity of the adaptation, which supports its use to assess functional independence after stroke.
CLINICAL REHABILITATION IMPACT
CONCLUSIONS
Availability of a valid adaptation for the evaluation of functional independence after stroke in Spanish population.
Identifiants
pubmed: 37226445
pii: S1973-9087.23.07841-3
doi: 10.23736/S1973-9087.23.07841-3
pmc: PMC10548398
doi:
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
452-457Références
J Pers Assess. 2003 Feb;80(1):99-103
pubmed: 12584072
J Psychiatr Res. 1975 Nov;12(3):189-98
pubmed: 1202204
Md State Med J. 1965 Feb;14:61-5
pubmed: 14258950
Arch Phys Med Rehabil. 1993 May;74(5):531-6
pubmed: 8489365
Arch Phys Med Rehabil. 2002 Mar;83(3):342-5
pubmed: 11887114
Scand J Occup Ther. 2016 Sep;23(5):398-404
pubmed: 26463478
Spine (Phila Pa 1976). 2000 Dec 15;25(24):3186-91
pubmed: 11124735
Arch Phys Med Rehabil. 1996 Dec;77(12):1226-32
pubmed: 8976303
Stroke. 1988 May;19(5):604-7
pubmed: 3363593
PLoS One. 2016 Jan 29;11(1):e0147288
pubmed: 26824696
Stroke. 1989 Jul;20(7):864-70
pubmed: 2749846
Neurologia. 2012 May;27(4):216-24
pubmed: 21893370
Gait Posture. 2016 Jan;43:228-32
pubmed: 26584877
Stroke. 2011 May;42(5):1482-8
pubmed: 21474812
Clin Rehabil. 1999 Aug;13(4):277-87
pubmed: 10460115
Neurology. 2001 Aug 28;57(4):639-44
pubmed: 11524472
Disabil Rehabil. 2016;38(3):289-98
pubmed: 25885666
Arch Phys Med Rehabil. 1987 Feb;68(2):94-7
pubmed: 3813863
J Neurotrauma. 1998 Aug;15(8):573-85
pubmed: 9726257
Clin Rehabil. 2001 Jun;15(3):311-9
pubmed: 11386402
Disabil Rehabil. 2009;31(10):825-30
pubmed: 19037776
J Neuroeng Rehabil. 2019 Jul 26;16(1):97
pubmed: 31349868
J Neuroeng Rehabil. 2020 Nov 11;17(1):149
pubmed: 33176833
Clin Exp Hypertens. 2010;32(7):426-30
pubmed: 20874223
Stroke. 2020 Aug;51(8):2418-2427
pubmed: 32646325
Neurol Neurochir Pol. 2012 Jul-Aug;46(4):351-6
pubmed: 23023434
Int Disabil Stud. 1988;10(2):61-3
pubmed: 3403500
Disabil Rehabil. 2013;35(22):1885-95
pubmed: 23384240