Intermodal agreement of follow-up telephone functional assessment using the functional independence measure in patients with stroke.
To examine the intermodal agreement of Functional Independence Measure (FIM) ratings when obtained by two commonly used approaches : telephone interview and inperson assessment of functional performance.
A random sample of 40 persons with hemiparesis was tested by two registered nurses trained in FIM definitions and telephone interview techniques.
The two assessments occurred within 5 days of each other.
The raters were blind to previous assessments.
The administration of assessments was alternated to minimize bias and order effects.
All subjects were assessed at home, between 3 and 10 months after discharge from rehabilitation.
The criteria for inclusion were :
(I) diagnosis of cerebral vascular accident (CVA) ;
(2) completion of a minimum of 2 weeks in an acute rehabilitation program ;
(3) currently living at home ;
(4) living within a 30-mile radius of the hospital ;
and (5) cognitive and verbal skills adequate to complete a telephone interview.
From a population of 103 patients, 40 subjects were randomly selected, 18 women and 22 men ranging in age from 37 to 90 years.
Main Outcome Measures
The intermodal agreement between FIM ratings obtained by telephone interview and inperson assessment was examined using the intraclass correlation (ICC).
FIM item scores were analyzed for agreement using the Kappa coefficient.
The stability of the responses was determined by computing the coefficient of variation and plott...
Mots-clés Pascal : Accident cérébrovasculaire, Evaluation, Hémiparésie, Exploration clinique, Mesure, Indépendance, Fonctionnelle, Association, Questionnaire, Distance interindividuelle, Efficacité, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Cérébrovasculaire pathologie, Appareil circulatoire pathologie, Vaisseau sanguin pathologie, Trouble neurologique, Trouble moteur
Mots-clés Pascal anglais : Stroke, Evaluation, Hemiparesis, Clinical investigation, Measurement, Independence, Functional, Association, Questionnaire, Interindividual distance, Efficiency, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Cerebrovascular disease, Cardiovascular disease, Vascular disease, Neurological disorder, Motor system disorder
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0279688
Code Inist : 002B26I. Création : 199608.