THE FUNCTIONAL INDEPENDENCE MEASURE 18-ITEM VERSION CAN BE REPORTED AS A UNIDIMENSIONAL INTERVAL-SCALED METRIC: INTERNAL CONSTRUCT VALIDITY REVISITED

被引：37

作者：

Maritz, Roxanne ^{[1
,2
]}

Tennant, Alan ^{[1
,2
]}

Fellinghauer, Carolina ^{[1
]}

Stucki, Gerold ^{[1
,2
]}

Prodinger, Birgit ^{[1
,2
,3
]}

Buetzberger, Stefan ^{[4
]}

Ernst, Dieter ^{[5
]}

Waegli, Juerg ^{[6
]}

Rabito, Giovanni ^{[7
]}

Foiada, Sandro ^{[8
]}

Walther, Nicolas ^{[9
]}

Engelter, Stefan ^{[10
]}

De Waele, Els ^{[11
,12
,13
]}

Ritter, Beat ^{[14
]}

Fleisch-Silvestri, Ruth ^{[15
]}

Bachmann, Stefan ^{[16
]}

Blanco, Javier ^{[17
]}

Hund-Georgiadis, Margret ^{[18
]}

Hermann, Matthias ^{[19
]}

Bongetta, Michele ^{[20
]}

Kuchynka, Jan ^{[21
]}

Altmann, Serge ^{[22
]}

机构：

[1] Swiss Parapleg Res, Nottwil, Switzerland

[2] Univ Lucerne, Dept Hlth Sci & Hlth Policy, Luzern, Switzerland

[3] Tech Univ Appl Sci Rosenheim, Fac Appl Hlth & Social Sci, Rosenheim, Germany

[4] AarReha Schinznach, Schinznach Bad, Switzerland

[5] Berner Klin Montana, Crans Montana, Switzerland

[6] Berner Reha Zentrum Heiligenschwendi, Heiligenschwendi, Switzerland

[7] Clin Riabilitaz EOC Novaggio & Faido, Novaggio, Switzerland

[8] Clin Hildebrand, Brissago, Switzerland

[9] Clin La Ligniere, Gland, Switzerland

[10] Felix Platter Hosp, Basel, Switzerland

[11] Hop Valais Spital Wallis Ctr Martigny, Sierre, Switzerland

[12] Hop Valais Spital Wallis Ctr Martigny, Brig, Switzerland

[13] Hop Valais Spital Wallis Ctr Martigny, St Ame, Switzerland

[14] Kantonsspital Baselland Bruderholz & Laufen, Laufen, Switzerland

[15] Klin Schloss Mammern, Mammern, Switzerland

[16] Rehazentrum Walenstadtberg & Rheinburg Klin, Kliniken Valens Rehazentrum Valens, Walenstadt, Switzerland

[17] Rehaklin Dussnang, Dussnang, Switzerland

[18] Rehab Basel, Basel, Switzerland

[19] Zurcher RehaZentrum Wald, Wald, Switzerland

[20] Rehaklin Zihlschlacht, Zihlschlacht, Switzerland

[21] Spitaler Schaffhausen, Schaffhausen, Switzerland

[22] Univ Klin Balgrist, Zurich, Switzerland

来源：

JOURNAL OF REHABILITATION MEDICINE | 2019年 / 51卷 / 03期

基金：

瑞士国家科学基金会;

关键词：

outcome assessment (healthcare); psychometrics; rehabilitation; activities of daily living; Rasch measurement model; Functional Independence Measure; RASCH ANALYSIS; MODEL; REHABILITATION; DISABILITY; DEPENDENCE;

D O I：

10.2340/16501977-2525

中图分类号：

R49 [康复医学];

学科分类号：

100232 [康复医学];

摘要：

Objective: Since the 1990s the Functional Independence Measure (FIM (TM)) was believed to measure 2 different constructs, represented by its motor and cognitive subscales. The practice of reporting FIM (TM) total scores, together with recent developments in the understanding of the influence of locally dependent items on fit to the Rasch model, raises the question of whether the FIM (TM) 18-item version can be reported as a unidimensional interval-scaled metric. Design: Rasch analysis of the FIM (TM) using testlet approaches to accommodate local response dependency. Patients: A calibration sample containing 946 cases of data from 11,103 patients undergoing neurological or musculoskeletal rehabilitation in Switzerland in 2016. Results: Baseline analysis and the traditional testlet approach showed no fit with the Rasch model. When items were grouped into 2 testlets, fit to the Rasch model was achieved, indicating unidimensionality across all 18 items. A transformation table to convert FIM (TM) raw ordinal scores to the corresponding Rasch interval scaled values was created. Conclusion: This study provides evidence that FIM (TM) total scores represent a unidimensional set of items, supporting their use in clinical practice and outcome reporting when applying the respective transformation table. This provides a basis for standardized reporting of functioning.

引用

页码：193 / 200

页数：8

共 41 条

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