Factor analysis of the WeeFIM in children with spastic cerebral palsy

Park, Eun‐Young; Kim, Won‐Ho; Choi, Yoo-Im

doi:10.3109/09638288.2012.737082

Cited by 19 publications

(16 citation statements)

References 24 publications

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“…bladder and bowel management, bed/chair/wheelchair, toilet, tub/shower, walk/wheelchair, and stairs) and the factor of 5-items cognitive (the 5 original items of cognitive domain) had fitness with WeeFIM data of cerebral palsy children. As the content of covariate errors in this study and the results of Park et al study ( 26 ) show, it can be withdrawn, “the latent self-care factor” which is nested within the FIM motor domain has tendency to appear in Iranian TBI patients. Results of factor analysis in this study repeat the motor and cognitive dimensions of FIM, which were first introduced by Linacre et al ( 27 ) and Heinemann et al ( 28 ).…”

Section: Discussionmentioning

confidence: 43%

“…Comparing the results of the research literature showed that so far no study has performed CFA on 18-item version of FIM in adults or TBI patient population. However, Park et al ( 26 ) investigated the confirmatory model of WeeFIM in Korean children with cerebral palsy and concluded that the one-factor model (18 items WeeFIM) and the two-factor (13 motor items and 5 cognitive items) had not enough fitness, but the three-factor WeeFIM model, including the factor of 6 self-care items (i.e. eating, grooming, dressing upper, dressing lower, bathing, and toileting), the factor of 7-item motor (i.e.…”

Section: Discussionmentioning

confidence: 99%

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Functional Independence Measure in Iran: A Confirmatory Factor Analysis and Evaluation of Ceiling and Floor Effects in Traumatic Brain Injury Patients

et al. 2015

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Background:The functional independence measure (FIM) is one of the most important assessment instruments for motor and cognitive dependence in rehabilitation medicine; however, there is little data about its confirmatory factor analysis (CFA) and ceiling/floor effects from other countries and also in Iranian patients.Objectives:The aim of this study was to evaluate a two-factor model (motor and cognitive independence as latent variables) and ceiling/floor effects for FIM in Iranian patients with traumatic brain injuries (TBI).Patients and Methods:In this cross-sectional study, 185 subacute TBI patients were selected from emergency and neurosurgery departments of Poursina Hospital (the largest trauma hospital in northern Iran, Rasht) using the consecutive sampling method and were assessed for functional independence.Results:The results of this study showed that the floor effect was not observed; however, ceiling effects were observed for the FIM total score and its subscales. The confirmatory factor analysis showed that the chi-square/df ratio was 2.8 for the two-factor structure and the fit indices for this structural model including root mean square error of approximation (RMSEA) = 0.099, normed fit index (NFI) = 0.96, tucker lewis index (TLI) = 0.97, comparative fit index (CFI) = 0.97 were close to standard indices.Conclusions:Although ceiling effects should be considered for rehabilitation targets, the two-factor model of FIM (motor and cognitive independence) has an eligible fitness for Iranian patients with TBI.

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Section: Discussionmentioning

confidence: 43%

Section: Discussionmentioning

confidence: 99%

Functional Independence Measure in Iran: A Confirmatory Factor Analysis and Evaluation of Ceiling and Floor Effects in Traumatic Brain Injury Patients

et al. 2015

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“…The scree plot examines the graph to determine the last substantial drop in the magnitude of eigenvalues [41]. The criteria of factor loadings exceeded 0.30 [42, 43]. The Kaiser-Meyer-Olkin Measure (KMO) of sampling adequacy is a statistic that indicates the proportion of variance that may be caused by underlying factors.…”

Section: Methodsmentioning

confidence: 99%

Psychometric properties of the geriatric quality of life-dementia in older adults with dementia or mild cognitive impairment living in nursing homes

Park

Kim

2019

BMC Geriatr

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BackgroundGiven the theoretical and methodological limitations, there is insufficient knowledge about the psychometric properties and internal structure of quality of life (QOL) measurements for patients with dementia living in nursing homes. The present study aimed to confirm the validity and reliability of the Geriatric Quality of Life-Dementia scale (GQOL-D) to measure the QOL of patients with dementia in nursing homes and analyze their QOL based on the validated GQOL-D factor structure.MethodsThe GQOL-D was used to assess QOL. A convenience sampling method was used to recruit patients with dementia or mild cognitive impairment from six nursing homes in two cities. In order to confirm the validity and factor structure of the scale, both exploratory factor analysis and confirmatory factor analysis were employed. An independent t-test and a one-way analysis of variance were performed to examine the difference in the QOL across general characteristics.ResultsThe original factor model was not appropriate to assess the QOL of dementia patients living in nursing homes because the models did not show adequate fit indices. The results support a two-factor structure: environmental and personal factors. Our findings suggest that the internal consistency and construct validity of the proposed two-factor model are adequate, and the GQOL-D is a useful tool for assessing the QOL of dementia patients living in nursing homes.ConclusionsThis factor structure model of environmental and personal aspects is a useful theoretical framework for designing and evaluating interventions for people with dementia and providing integrated person-centered care for people with dementia in nursing homes.

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“…From 1 to 7 points are awarded depending on the amount of the help. Accordingly, scores of at least 18 (fully dependent) and 126 (fully independent) can be taken [19].…”

Section: Functional Independence Measurement (Weefim)mentioning

confidence: 99%

The effects of music therapy on gross motor functions, pain and level of functional independence in children with cerebral palsy

Duymaz¹

2020

Ann Clin Anal Med

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Aim: In this study, we aimed to observe the effects of music therapy on gross motor functions, pain, and functional independence measurement in children with cerebral palsy(CP). Material and Method: One hundred and twenty children with CP between 5-11years of age,were randomly divided into a music therapy(MT)+Neurodevelopmental techniques(NDT) group and only NDT group. The children listened to Classical music disc for 45 minutes. Children were treated by NDT while listening to this music. Children were evaluated with Gross Motor Function Measurement (GMFM-88), WeeFIM for functional independence measurement,Wong-Baker faces pain rating scale (FACES) for pain intensity before, at the end of treatment and after 3 months of treatment. The treatments were given 3 times every week, and totally 15 treatments were applied for 5 weeks. Results: GMFM, functional independence and pain were also improved in Group MT+NDT. The differences in improvement of creeping and kneeling, standing, and walking were significant between the two groups (p<0.001),showing the effect in Group MT+NDT was better than that in Group NDT. Discussion: MT, which is applied additionally in the treatment of children with spastic CP, reduces the pain of children more and increases the gross motor functions and functional capacities according to the rehabilitation program applied alone.

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Factor analysis of the WeeFIM in children with spastic cerebral palsy

Abstract: In children with spastic CP, 3 factors of the WeeFIM were determined by factor analysis. Therefore, self-care, motor, and cognitive domains should be treated as separate scales in children with spastic CP.

Cited by 19 publications

References 24 publications

Functional Independence Measure in Iran: A Confirmatory Factor Analysis and Evaluation of Ceiling and Floor Effects in Traumatic Brain Injury Patients

Functional Independence Measure in Iran: A Confirmatory Factor Analysis and Evaluation of Ceiling and Floor Effects in Traumatic Brain Injury Patients

Psychometric properties of the geriatric quality of life-dementia in older adults with dementia or mild cognitive impairment living in nursing homes

The effects of music therapy on gross motor functions, pain and level of functional independence in children with cerebral palsy

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