Standardisation of the Brazilian version of Lucerne ICF-based multidisciplinary observational scale (LIMOS) into a patient-reported outcome measure (PROM).
Purpose: The LIMOS is a validated observational tool designed to assess stroke rehabilitation within hospital settings. To enable its application in outpatient settings in Brazil and similar low- and middle-income countries, it is necessary to adapt LIMOS into a Patient-Reported Outcome Measure (PRO...
| Publicado en: | Disability & Rehabilitation Vol. 47; no. 17; pp. 4533 - 4548 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Aug2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188362987&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188362987 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09638288 B73 jtl: Disability & Rehabilitation issn: 09638288 maglogo: Y pubinfo: dt: Aug2025 vid: 47 iid: 17 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 188362987 182295282 188362987 188362987 10.1080/09638288.2025.2453099 188362987 ppf: 4533 ppct: 15 formats: tig: atl: Standardisation of the Brazilian version of Lucerne ICF-based multidisciplinary observational scale (LIMOS) into a patient-reported outcome measure (PROM). aug: au: Caldeira Monteiro, Bibiana Ottiger, Beatrice Cardoso da Silva, Ariadne Leandro, Gleiciane Colaça Baldi, Elisa Ramos de Souza Vanbellingen, Tim Silva, Soraia Micaela affil: Postgraduate Program in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, SP, Brazil sug: subj: Patient-Reported Outcomes Outcome Assessment Instrument Adaptation Stroke Rehabilitation Recovery Instrument Validation Human Male Female Middle Age Aged Funding Source Scales Validation Studies Activities of Daily Living Disability Evaluation Psychometrics Functional Status Content Validity Internal Consistency Coefficient alpha Intrarater Reliability Interrater Reliability Criterion-Related Validity Confidence Intervals Patient Attitudes Low and Middle Income Countries ROC Curve Test-Retest Reliability Spearman's Rank Correlation Coefficient Rasch Analysis Sensitivity and Specificity Convenience Sample Sociodemographic Factors Ischemic Stroke Marital Status Educational Status Methodological Research Descriptive Statistics Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Purpose: The LIMOS is a validated observational tool designed to assess stroke rehabilitation within hospital settings. To enable its application in outpatient settings in Brazil and similar low- and middle-income countries, it is necessary to adapt LIMOS into a Patient-Reported Outcome Measure (PROM). Accordingly, this study aimed to translate, cross-culturally adapt, and standardise LIMOS for the Brazilian context (LIMOS-Br) and transform it into a PROM. Material and methods: The adaptation process included translation, synthesis, expert evaluation, back-translation, target population evaluation and re-evaluation by experts. The study involved 100 adult stroke survivors. We assessed content validity, reliability, internal consistency, Criterion-related validity with the Functional Independence Measure (FIM), item and participant calibration, and accuracy. Results: The LIMOS-Br demonstrated good internal consistency (Cronbach's alpha = 0.8), and excellent intra- and inter-rater reliability (ICC2.1=0.97; 95%CI = 0.94–0.98 and ICC2.1=0.85; 95%CI = 0.74–0.91, respectively). Criterion-related validity with FIM was high (rho = 0.85; p < 0.01). Rasch analyses indicated high reliability indices (item: 0.96, people: 0.94), good item and person variance (separation indices: items 5.18, people 4.06), and adequate performance deviations. Accuracy for functional independence was optimal with a cut-off score of 180 points (sensitivity 83.3% and specificity 88.9%). Conclusions: The LIMOS-Br maintained its clinimetric integrity, validating its use as a PROM. IMPLICATIONS FOR REHABILITATION: LIMOS-Br adopts a multidisciplinary approach grounded in the International Classification of Functioning, Disability, and Health (ICF), promoting standardised communication among healthcare professionals, patients, and family members. LIMOS-Br focuses on the ICF component of activity, guiding professionals in assessing specific tasks to tailor patient-centered therapeutic planning. Its adaptation as a Patient-Reported Outcome Measure (PROM) ensures standardised evaluations that incorporate the patient's perspective across various environments and contexts. LIMOS-Br is valid and reliable for assessing the functioning of stroke patients in outpatient settings, enhancing data collection. pubtype: Academic Journal doctype: pictorial questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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