Identification of quasi-in-need-of-care state (QUINOCS) among community dwelling elderly people using a seven-item subset of the Functional Independence Measure (FIM™)

Yamada, Shin; Liu, Meigen; Fujimoto, Mikio; Hase, Kimitaka; Tsuji, Takao; Fujiwara, Toshiyuki; Okajima, Yasutomo

doi:10.1080/09638280801983486

Cited by 3 publications

(5 citation statements)

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“…The motor FIM was shown to be valid, reliable and able to detect changes in disability [ 19 ] and was successfully used in a recent study dealing with patients after hip fracture [ 20 ]. Previously, some studies used only parts of the FIM in community dwelling elderly people [ 21 ], for use in long-term care setting [ 22 ], or spinal cord injuries [ 23 ] and described their score as valid [ 22 ], sensitive and specific [ 21 ], and reliable [ 23 ]. Our physiotherapists had been well trained in evaluating mobility using the FIM in advance.…”

Section: Methodsmentioning

confidence: 99%

Reliability, validity, sensitivity and internal consistency of the ICF based Basic Mobility Scale for measuring the mobility of patients with musculoskeletal problems in the acute hospital setting: a prospective study

Pieber

Herceg

Paternostro-Sluga

et al. 2015

BMC Musculoskelet Disord

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BackgroundThe assessment of mobility is important in the acute care setting. Existing tests suffer from limitations. The aim of the study was to examine the inter-rater reliability, the validity, the sensitivity to change, and the internal consistency of an ICF based scale.MethodsIn a prospective study inpatients in the acute care setting with restricted mobility aged above 50 years assigned to rehabilitative treatment were included. Assessment of subscales of the Functional Independence Measure (FIM) and the ICF based Basic Mobility Scale (BMS) were performed at admission and before discharge. Furthermore pain, length of stay in hospital, and post-discharge residential status were recorded. Inter-rater reliability, criterion-concurrent validity, sensitivity to change, and internal consistency were calculated. Furthermore, floor and ceiling effects were determined.ResultsOne hundred twenty-five patients (79 women/46 men) were included. The BMS showed an excellent inter-rater reliability for the total BMS (ICC BMS: 0.85 (95 % CI: 0.81–0.88). The criterion-concurrent validity was high to excellent (Spearman correlation coefficient: −0.91 in correlation to FIM) and the internal consistency was good (Cronbach’s alpha 0.88). The BMS proved to be sensitive to improvements in mobility (Wilcoxon’s signed rank test: p < 0.0001; The effect size for the BMS was 1.075 and the standardized response mean 1.10. At admission, the BMS was less vulnerable to floor effects.ConclusionsThe BMS may be used as a reliable and valid tool for the assessment of mobility in the acute care setting. It is easy to apply, sensitive to change during the hospital stay and not vulnerable to floor and ceiling effects.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-015-0638-7) contains supplementary material, which is available to authorized users.

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Section: Methodsmentioning

confidence: 99%

Reliability, validity, sensitivity and internal consistency of the ICF based Basic Mobility Scale for measuring the mobility of patients with musculoskeletal problems in the acute hospital setting: a prospective study

Pieber

Herceg

Paternostro-Sluga

et al. 2015

BMC Musculoskelet Disord

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“…However, Rasch analysis has revealed that the BI has no psychometric properties that enable the measurement of patients' ability 3) . In Japan, several evaluation instruments have been developed for caregivers to assess patients' ADL ability at home, such as the questionnaire version of the FIM 4) , the short version of the FIM 1,5) , the computer program to assist evaluating the FIM 6) , and the University of Occupational and Environmental Health self-assessment version of the BI 7) . The reliability and validity of these instruments have been examined.…”

Section: Introductionmentioning

confidence: 99%

“…To simplify the FIM evaluation, the short version of the FIM excludes cognitive items whose reliability is inferior to motor items, and consequently contains only seven motor items. The short version of the FIM involves a complex scoring process and requires expert knowledge to administer, so is not suitable for home use 1,5) . The FIM questionnaire, a computer program to assist evaluating the FIM, and the University of Occupational and Environmental Health self-assessment version of the BI have not yet been examined using Rasch analysis.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, we developed a prototype version of the Self-Assessment Burden Scale-Motor (SAB-M-P) to assess patients' need of care by assessing their ADL. The SAB-M-P was developed with reference to a range of ADL evaluation instruments, including the Katz Index of Independence in Activities of Daily Living 13) , the Physical Self-Maintenance Scale 14) , and the Rapid Disability Rating Scale 15) reported by McDowell 16) , as well as the University of Occupational and Environmental Health self-assessment version of the BI, and the short version of the FIM 1,[4][5][6][7] . The SAB-M-P consists of seven items: Feeding, Bathing, Dressing the lower body, Bed/Chair/Wheelchair transfer, Walk/Wheelchair, Stairs, and Bladder management.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of psychometric properties of the activities of daily living scale of motor function used by caregivers using Rasch analysis

et al. 2020

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We developed a prototype version of the Self-Assessment Burden Scale-Motor as a screening questionnaire for the need of care based on the evaluation of patients' activities of daily living. The questionnaire is comprised of seven items, each of which is scored on a 7-point Likert scale. This study aimed to examine the psychometric properties of the questionnaire using Rasch analysis. [Participants and Methods] A total of 200 individuals completed the questionnaire. Rasch analysis to investigate the rating scale structure and examine the structural validity and reliability of the scale. The unidimensionality of the items was examined using the mean square infit values and principal component analysis of residuals. The separation reliability of the scale was also examined. [Results] The rating scale structure can be improved by collapsing several categories (from seven categories to four categories). Unidimensionality was found for seven items. The separation reliability was acceptable for item calibrations and persons. [Conclusion] Inclusion of seven items with a 4-category rating scale was appropriate for the Self-Assessment Burden Scale-Motor questionnaire. Future studies should examine the intra-rater reliability and the criterion-related validity in more depth and develop a new scale to evaluate cognitive function.

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“…Although generally used in either acute or post-acute rehabilitation facilities, the FIM can be modified for use as a measurement instrument for community-dwelling elderly people (Yamada, Liu, Fujimoto, Hase, Tsuji, Fujiwara & Okajima, 2009). In a study done in Japan, a modified version of the FIM using seven subset activities from the original thirteen motor items yielded high correlations to the original 13-item motor FIM scores, and was able to predict which individuals in the study could benefit from rehabilitation and intervention (Yamada, et al, 2009).…”

Section: Functional Assessments For Older Adultsmentioning

confidence: 99%

Healthy Seniors

Maffei¹,

Patjawee²,

Thompson³

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I am profoundly grateful for the support of my parents and friends throughout undergraduate and graduate school, especially for your understanding of my need for time to complete my work. I would also like to thank my thesis partners, Matt and Jamie, for making this thesis process such a joyful experience. Andrea E. Maffei I owe my deepest gratitude to my mother, Georgia, for all her support, guidance and encouragement. Without you I wouldn't have made it this far. I would also like to thank my family for their love and support. To my friends, thank you for all the stress relieving times. I want to also thank my thesis team, Jamie and Andrea, for all their hard work and diligence. It was a great experience working with both of you, and I wish you both the best in your careers as occupational therapists. Matthew A. Patjawee I would like to express my thanks and gratitude toward my parents and family for supporting me throughout graduate school and completing this thesis. Thank you to my thesis team, Matt and Andrea, for all of their dedication and hard work. Also, thanks to my friends for their patience and moral support.

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Identification of quasi-in-need-of-care state (QUINOCS) among community dwelling elderly people using a seven-item subset of the Functional Independence Measure (FIM™)

Abstract: The screening method using the 7-item subset of the FIM can be used for identification of the QUINOCS among elderly people efficiently.

Cited by 3 publications

References 12 publications

Reliability, validity, sensitivity and internal consistency of the ICF based Basic Mobility Scale for measuring the mobility of patients with musculoskeletal problems in the acute hospital setting: a prospective study

Reliability, validity, sensitivity and internal consistency of the ICF based Basic Mobility Scale for measuring the mobility of patients with musculoskeletal problems in the acute hospital setting: a prospective study

Evaluation of psychometric properties of the activities of daily living scale of motor function used by caregivers using Rasch analysis

Healthy Seniors

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