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  1. Reliability and validity of the FIM for persons aged 80 years and above from a multilevel continuing care retirement community.

    Article - En anglais

    Objective 

    Development of accurate functional assessment instruments will help clinicians evaluate treatment outcome and plan realistic rehabilitation goals for elderly patients.

    The reliability, validity, and appropriateness of the Functional Independence Measure (FIM) were examined for a population aged 80 years and more from a multilevel, continuing care retirement community.

    Design 

    Forty-nine residents (average age 89.7 years, range 80 to 104 years ; 46 women), were randomly selected.

    Setting 

    Subjects were grouped according to their residence in either an Independent community (18 subjects), Sheltered Care (16 subjects), or Skilled Nursing Facility (15 subjects).

    Measurements 

    Subjects were evaluated twice using the FIM.

    Motor and cognitive scores were converted into interval measures (logits) using Rasch Analysis with the BIGSTEPS statistical package.

    Parametric statistical procedures were utilized to further analyze data.

    Results 

    FIM motor and cognitive items formed 2 unidimensional and linear subscales.

    Hierarchical levels of FIM item difficulties were identified.

    Bladder management, bowel management, and grooming were misfitting motor items.

    Memory misfit for the cognitive subscale.

    High test-retest reliability for 45 repeated FIM assessments for the motor, (ICC=9) and cognitive subscales (ICC=8) was demonstrated.

    One way ANOVA for FIM ratings for the 3 groups demonstrated significant differences for both the motor subscale, F (2,46)=34.71, p<. (...)

    Mots-clés Pascal : Technique, Psychométrie, Evaluation, Handicap, Motricité, Vieillard, Homme, Vie quotidienne, Fiabilité, Validité, Pronostic, Réhabilitation, Résultat

    Mots-clés Pascal anglais : Technique, Psychometrics, Evaluation, Handicap, Motricity, Elderly, Human, Daily living, Reliability, Validity, Prognosis, Rehabilitation, Result

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0484221

    Code Inist : 002B30A03B. Création : 10/04/1997.