Linking existing instruments to develop a continuum of care measure: accuracy comparison using function-related group classification.

Purposes: To compare measurement accuracy of test forms with varied number of items (13, 8, and 4 items) generated from the self-care physical function item bank composed of Functional Independence Measure (FIM™) and the Minimum Data Set (MDS).Methods: Retrospective data analysis of 2499 Veterans wh...

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Publicado en:Quality of Life Research Vol. 26; no. 9; pp. 2563 - 2573
Autores principales: Li, Chih-Ying, Romero, Sergio, Simpson, Kit, Bonilha, Heather, Simpson, Annie, Hong, Ickpyo, Velozo, Craig, Simpson, Kit N, Bonilha, Heather S, Simpson, Annie N, Velozo, Craig A
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2017
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2017
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      pub: Springer Nature
      place: New York, New York
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        atl: Linking existing instruments to develop a continuum of care measure: accuracy comparison using function-related group classification.
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          Li, Chih-Ying
          Romero, Sergio
          Simpson, Kit
          Bonilha, Heather
          Simpson, Annie
          Hong, Ickpyo
          Velozo, Craig
          Simpson, Kit N
          Bonilha, Heather S
          Simpson, Annie N
          Velozo, Craig A
        affil: Division of Rehabilitation Sciences, School of Health Professions , University of Texas Medical Branch , Office 4.430, 301 University Boulevard Galveston 77555-1137 USA
      sug:
        subj:
          Outcome Assessment Methods
          Self Care Equipment and Supplies
          Activities of Daily Living Classification
          Aged
          Female
          Male
          Retrospective Design
          Self Care Methods
          Quality of Life
          Activities of Daily Living Psychosocial Factors
          Funding Source
          Human
          Aged: 65+ years
          Female
          Male
      ab: Purposes: To compare measurement accuracy of test forms with varied number of items (13, 8, and 4 items) generated from the self-care physical function item bank composed of Functional Independence Measure (FIM™) and the Minimum Data Set (MDS).Methods: Retrospective data analysis of 2499 Veterans who completed both FIM and MDS within 6 days. We compared measurement accuracy between the converted FIM (FIMc) motor score generated from the MDS and the original FIM (FIMa) motor score (13 items) at: (a) individual-level using point differences, and (b) group-level using function-related group (FRG).Results: The differences of mean FIMa and FIMc scores were between 0.05 and 1.07 points for all test forms. Over 81% of FIMc from MDS_13 were within 15 points of the FIMa. 81-90% of FRGs generated by the FIM short forms was identical to those generated by the FIMa for stroke, lower limb amputation, knee and hip replacement; and 59.9-90.5% by all MDS test forms. All MDS test forms had above 74% agreement with same or adjacent FMGs (ICC 0.65-0.91).Conclusions: The accuracy is dependent on the comparison level (i.e., individual or group), length of the test and which FRG is used. Our results partially support using existing instruments-without decreasing the number of the items-to generate a continuum of care measurement.
      pubtype: Academic Journal
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        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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