Validity of functional independence measure (Hong Kong version)

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Validity of functional independence measure (Hong Kong version)


Author: Tse, Yee-wai Ewert
Title: Validity of functional independence measure (Hong Kong version)
Year: 1999
Subject: Cerebrovascular disease -- Patients -- Rehabilitation -- China -- HongKong
Outcome assessment (Medical care) -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Rehabilitation Sciences
Pages: x, 125 leaves ; 30 cm
Language: English
Abstract: The aims of this study were to develop the Functional Independence Measure (FIM) (Hong Kong version) and to establish the equivalence between the original and revised FIM for assessing Hong Kong Chinese stroke patients. The rating criteria of four items: "Eating", "Bathing", "Social Interaction" and "Expression" were either revised or expanded to accommodate for their cultural relevance after the panel review. Eight certified FIM users in Kowloon and Tung Wah Hospital were randomly assigned to either rating with the original or revised FIM on a total of 57 stroke patients. FIM users from the two groups were matched to assess the same patients both on admission and pre-discharge occasions. Results revealed no significant statistical differences in the motor and cognitive subtotal scores on the same patients between the use of the original and revised FIM versions (p<0.05). At the item level, Kappa statistics revealed moderate to substantial agreement of users' ratings on patients' performance between the two versions: "Eating" (0.50-0.67), "Bathing" (0.63-0.67), "Social Interaction" (0.53-0.64), and "Expression" (0.60-0.78). The addition of chopsticks manipulation to the "Eating" item made the revised item more difficult at admission but not at pre-discharge assessments. The addition of more descriptors to the rating criteria of the "Social Interaction" item resulted in higher ratings assigned on the revised than the original item. Results of the study indicated that four revised FIM items for culturally relevance were found to achieve a better validity in assessing Hong Kong Chinese patients without jeopardizing the psychometric properties of the original FIM and it also indicated that the revised FIM is recommended to be used as an outcome measure in local settings providing stroke rehabilitation service.

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