Development of a short version of the motor fim™ for use in long-term care settings

Shin Yamada, Meigen Liu, Kimitaka Hase, Naofumi Tanaka, Toshiyuki Fujiwara, Tetsuya Tsuji, Jun Ichi Ushiba

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: To develop a short version of the motor Functional Independence Measure (FIM™) for use in long-term care settings. Participants: For model construction, the participants were 398 community-dwelling persons with disability (mean age 79.3 years (SD 10.3)) who were receiving visiting nurse services. For cross-validation, 169 patients with stroke (mean age 78.0 years (SD 11.2)) in the chronic phase and 187 patients with stroke (mean age 63.4 years (SD 12.7)) in the recovery phase. Design: Model construction and cross-validation study. Main outcome measures: The second power of correlation coefficient (R 2) was used for agreement analysis between the short and the full version. Cross-validation of the models was estimated with the intraclass correlation coefficient (ICC). Results: Five to 7 motor FIM™ items were selected for the models based on Rasch calibration and consideration of internal consistency. Total motor FIM™ was estimated with the 6-item and 7-item models with regression analysis, which yielded high correlations with the original 13-item motor FIM™ score (R2>0.95). Regression formulas derived from the models could estimate total motor FIM™ scores accurately in the 2 cross-validation samples (ICC>0.98). Conclusion: The short version of the motor FIM™ developed is a useful measure of functional status, not only in long-term care but in the recovery phase rehabilitation settings.

Original languageEnglish
Pages (from-to)50-56
Number of pages7
JournalJournal of rehabilitation medicine
Volume38
Issue number1
DOIs
Publication statusPublished - 2006 Jan 1

Keywords

  • Activities of daily living
  • Community-based rehabilitation
  • Instrument
  • Rasch analysis
  • Stroke

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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