Article

OBJECTIVE: To provide self-scoring templates for the FIM instrument's motor and
cognitive scales that enable clinicians to monitor progress during rehabilitation
using equal-interval Rasch-calibrated measures instead of ordinal raw scores.
DESIGN: Secondary analysis of a prospective, observational cohort study. SETTING:
Six geographically dispersed hospital-based rehabilitation centers in the United
States. PARTICIPANTS: Subset of consecutively enrolled individuals with new
traumatic spinal cord injuries discharged from participating rehabilitation
centers (N=1146). INTERVENTION: Not applicable. MAIN OUTCOME MEASURES: Subscores
of the FIM instrument, including a 13-item motor scale, a 5-item cognitive scale,
an 11-item (without sphincter control items) motor scale, a 3-item transfer
scale, a 6-item self-care scale, a 3-item self-care upper extremity scale, and a
3-item self-care lower extremity scale. RESULTS: KeyForms for the FIM instrument
scales allow clinicians and investigators to estimate patients' functional status
and monitor progress. In cases with no missing data, the look-up tables provide
more accurate estimates of patients' functional status. CONCLUSION: Clinicians
can use KeyForms and look-up tables for FIM instrument subscales to monitor
patients' progress and communicate improvement in equal-interval units.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS