Concurrent Validity of Administering the Functional Independence Measure (FIM) Instrument by Interview

Abstract

In this study we measure the concurrent validity of administering FIM™ instrument ("FIM") by interview. Data from twenty-eight community-dwelling, cognitively intact, elderly patients with hip fracture were collected in five post-acute rehabilitation facilities. Within 72 hours of admission to (and at discharge from) the post-acute facilities, both a FIM-certified interviewer and a multidisciplinary team administered the FIM instrument to each participant concurrently. At admission, the mean FIM ratings assigned by the interviewer and by the team were 84.3 and 80.5, respectively (p<0.001). At discharge, the mean FIM ratings were 104.4 and 103.4 (p>0.50), reflecting the participants' functional recovery during post-acute rehabilitation. The intra-class correlation between the FIM ratings assigned by the interviewer and by the team was 0.74 (95% CI = 0.58-0.91) at admission and 0.76 (95% CI = 0.60-0.92) at discharge. FIM ratings assigned by FIM-certified interviewers are valid indicators of the functional status of groups of older people recovering from hip fracture, and feasible for longitudinal study.

Evaluation of Functional Recovery by Motor Functional Independence Measure Test of Elderly After Hip Fracture in Serbia

“…12 FIM presents valid and reliable test in the estimation of aggregated changes in functional status that appears in the defined period of the study evaluation. [13][14][15] It is composed of 18 categories that are scaled from 1-7 each. 13 For the estimation of comorbidity of participants we used Cumulative Illness rating Scale for Geriatrics (CIRS-G), and findings were presented as severity index (SI), where SI was calculated as total CIRS-G score divided by the number of endorsed categories.…”

“…[13][14][15] It is composed of 18 categories that are scaled from 1-7 each. 13 For the estimation of comorbidity of participants we used Cumulative Illness rating Scale for Geriatrics (CIRS-G), and findings were presented as severity index (SI), where SI was calculated as total CIRS-G score divided by the number of endorsed categories. 1 Concerning SI values, patients were divided into 2 groups: group 0-1.99 (SI 1 ) and group ≥ 2 (Group SI 2 ).…”

Effect of balneo-physical therapy on quality of life of patients with surgically treated hip

“…Uzet je period praćenja od 6 meseci jer ovi pacijenti 90% svog oporavka dostignu u prvih 6 meseci nakon operacije (75). U toku svog boravka na stacionarnoj rehabilitaciji pacijenti imaju individulano dizajniran rehabilitacioni program koji će sadržati fizikalne procedure propisane od strane fizijatra i sprovedene od strane tima za rehabilitaciju.…”

“…Upitnik i dobijeni FIM skor predstavjaju pouzdano i validno stredstvo za prećenje funkcionalnog oporavka pacijenata i njihove samostalnosti u različitom patološki stanjima uključujući i ortopedsa i gerijatrijska (75,76).…”

“…Osim ovog rada u toku programa kineziterapie, uz svakodnevno uvežbavanje u aktivnostima dnevnog života u programu radne terapije i obučavanje za samostalno obavljanje toalete i hranjenje pod nadzorom medicinskih sestara iz rehabilitacionog tima. Naš uspeh i uspeh naših pacijenata u osposobljavanju za obavljanje aktivnosti dnevnog života proveravali smo motornom komponetom FIMa, koji je pozdan pokazatelj stanja osposobljenosti ispitanika za obavljanje svakodnevnih zadataka, čak kada je i u obliku upitnika koji pacjenti sami popunjavaju (75,76). Vrednosti dobijene za ovaj posmatrani parametar su slične onima koje su dobijene u sličnim istraživanjima koja su se bavila merenjem kvaliteta života među starijim pacijentima sa prelomom kuka (144,145).…”