Journal ArticleDOI
Evidence-based measurement: which disability scale for neurologic rehabilitation?
Jeremy Hobart,Donna L. Lamping,Jennifer Freeman,Dawn Langdon,D.L. McLellan,Richard Greenwood,Alan J. Thompson +6 more
TLDR
In the sample studied, the BI, F IM, FIM+FAM have similar measurement properties, when examined using traditional psychometric analyses, which highlight the importance of using recognized techniques of scale construction to develop health outcome measures.Abstract:
Objective: To compare the 10-item Barthel Index (BI), 18-item Functional Independence Measure (FIM), and 30-item Functional Independence Measure + Functional Assessment Measure (FIM+FAM) as measures of disability outcomes for neurologic rehabilitation.
Methods: A total of 149 inpatients from two rehabilitation units in South England specializing in neurologic disorders were studied. Traditional psychometric methods were used to evaluate and compare acceptability (score distributions), reliability (internal consistency, intrarater reproducibility), validity (concurrent, convergent and discriminant construct), and responsiveness (standardized response mean).
Results: All three rating scales satisfied recommended criteria for reliable and valid measurement of disability, and are acceptable and responsive in this study sample. The FIM and FIM+FAM total scales are psychometrically similar measures of global disability. The BI, FIM, and FIM+FAM motor scales are psychometrically similar measures of physical disability. The FIM and FIM+FAM cognitive scales are psychometrically similar measures of physical disability.
Conclusions: In the sample studied, the BI, FIM, FIM+FAM have similar measurement properties, when examined using traditional psychometric analyses. Although instruments with more items and item response categories generate more qualitative information about an outcome, they may not improve its measurement. Results highlight the importance of using recognized techniques of scale construction to develop health outcome measures.read more
Citations
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Journal ArticleDOI
Using psychometric techniques to improve the balance evaluation systems test: the mini-bestest
TL;DR: The new 14-item scale (dubbed mini-BESTest) focuses on dynamic balance, can be conducted in 10-15 min, and contains items belonging evenly to 4 of the 6 sections from the original BESTest.
Journal ArticleDOI
Measuring the impact of MS on walking ability: the 12-Item MS Walking Scale (MSWS-12).
TL;DR: The 12-Item MS Walking Scale satisfies standard criteria as a reliable and valid patient-based measure of the impact of MS on walking and was more responsive than other walking-based scales.
Journal ArticleDOI
Recommendations for the use of common outcome measures in traumatic brain injury research
Elisabeth A. Wilde,Gale G. Whiteneck,Jennifer Bogner,Tamara Bushnik,David X. Cifu,Sureyya Dikmen,Louis M. French,Joseph T. Giacino,Tessa Hart,James F. Malec,Scott R. Millis,Thomas A. Novack,Mark Sherer,Mark Sherer,Mark Sherer,David S. Tulsky,Rodney D. Vanderploeg,Nicole von Steinbuechel +17 more
TL;DR: This article summarizes the selection of outcome measures by the interagency Traumatic Brain Injury (TBI) Outcomes Workgroup to address primary clinical research objectives, including documentation of the natural course of recovery from TBI, prediction of later outcome, measurement of treatment effects, and comparison of outcomes across studies.
Journal ArticleDOI
Determination of the minimal clinically important difference in the FIM instrument in patients with stroke.
Marianne Beninato,Kathleen M Gill-Body,Sara S. Salles,Paul Stark,Randie M. Black-Schaffer,Joel Stein +5 more
TL;DR: These findings will assist in the interpretation of FIM change scores relative to physicians' assessments of important clinical change as well as help to define the minimal clinically important difference (MCID) for the FIM instrument in patients poststroke.
Journal ArticleDOI
Comparison of the psychometric characteristics of the functional independence measure, 5 item Barthel index, and 10 item Barthel index in patients with stroke
TL;DR: The results showed that the BI and FIM motor subscale had very acceptable and similar psychometric characteristics and the BI-5 appeared to have limited discriminative ability at admission, particularly for patients with severe disability; otherwise the BI had very adequate psychometric properties.
References
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