Comprehensive rehabilitation outcome measurement scale (CROMS): development and preliminary validation of an interdisciplinary measure for rehabilitation outcomes

Abstract

Introduction Comprehensive and interdisciplinary measurement of rehabilitation outcome is an essential part of the assessment and prognosis of a patient. Thus, this requires substantial contributions from the patient, their family and the rehabilitation professional working with them. Moreover, the measurement tool should be comprehensive and must consider the cultural compatibility, cost efficiency and contextual factors of the region. Methods The Comprehensive Rehabilitation Outcome Measurement Scale (CROMS) was developed through consensus and followed the Delphi process incorporating inputs from various rehabilitation professionals. The domains and items were finalized using Principal Component Analysis (PCA). The tool was validated in two native languages and back-translated considering the semantic equivalence of the scale. Intra-class correlation coefficient was performed to determine the agreement between the therapist and patient-reported scales. Results The final CROMS carries 32 comprehensive items that can be completed by the person with disability and the professional team. CROMS compares well to similar items on FIM (l ICC of 0.93) and has good internal consistency with a Cronbach's Alpha of 0.92 for both patient and therapist reported measures. Conclusions The 32 item CROMS is a tool that can potentially be used to evaluate the functional independence of various patient populations, predominantly patients with neurological disabilities.

Physiotherapists’ Use of Outcome Measure Tools in the Assessment of Neuro-Musculoskeletal Injuries for Short-Term Functional Rehabilitation Domains to Minimize Impairments and Disability following Commercial Motorcycle Road-Related Accident, Eldoret, Kenya

“…Physiotherapy assessment of individuals with musculoskeletal impairments of lower limbs, fractures, and spinal cord injuries was done in line with Scott et al (2020) to determine lost function and impairments and interventions to restore and improve level of independence and Waddell and Burton (2004) in the determination of rehabilitation strategies. Although there were no policies enforced for the use of OMs, they developed comprehensive rehabilitation for an interdisciplinary approach, as pointed out by Rashid et al (2022).…”

Relationship between the components of disability definition and the effectiveness of rehabilitation measures as a process

“…A valuable scale presented by Rashid has great potential: The Comprehensive Rehabilitation Outcome Measurement Scale (CROMS), developed in compliance with the Delphi process, and takes into account the comments from various rehabilitation experts [24,25]. The scale provides an opportunity to determine the correspondence between the therapist's rating scale and the scale provided by the patient applying the intraclass correlation coefficient.…”

Evidence-based rehabilitation medicine: definition, foundation, practice and development

“…The International Classification of Functioning, Disability, and Health (ICF) is a framework that views health as a comprehensive concept beyond the mere focus on disease or bodily impairment. From the perspective of the ICF, the development of EBRM and its future direction can be seen through the following four trends: personalized rehabilitation [ 23 ], multidisciplinary cooperation and comprehensive rehabilitation [ 24 , 25 ], community rehabilitation and environmental optimization [ 26 , 27 ]. These trends align with the principles and framework of the ICF, which emphasizes a holistic perspective on health and functioning.…”