Inter-rater agreement of two functional independence scales: The Functional Independence Measure (FIM) and a subjective uniform continuous scale

Chau, Nearkasèn; Daler, S.; André, Jean‐Marc; Patris, A.

doi:10.3109/09638289409166014

Cited by 60 publications

(29 citation statements)

References 10 publications

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“…The FIM SM has been used as a measure of functional ability in numerous studies that span various populations and data support the measure has adequate validity and reliability (Chau, Daler, & Andre, 1994;Dodds, Martin, Stolov, & Deyo, 1993;Granger, Cotter, Hamilton, & Granger, 1993). The instrument contains 13 items that address motor function (eating, grooming, bathing, dressing, toileting, bowel and bladder control, transfers, and locomotion) and 5 items that measure cognitive function (communication and social cognition).…”

Section: Methodsmentioning

confidence: 99%

Family Caregivers of Women with Physical Disabilities

Rivera

Elliott

Berry

et al. 2006

J Clin Psychol Med Settings

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Cross-sectional, correlational analyses of data from two separate studies were conducted to examine the correlates of adjustment among family caregivers of women with disabilities. Participants included 40 caregivers of women with spinal cord injuries in the first study and 53 caregivers of women with cerebral palsy, traumatic brain injury, and other neuromuscular disabilities in the second study. It was hypothesized that a negative problem-solving style would be associated with greater caregiver distress in both studies, and that caregiver adjustment would be associated with care recipient depression in the second study. As expected, results indicated that a higher negative orientation toward solving problems was associated with caregiver depression and lower well-being. However, in the second study, caregiver characteristics were not associated with care recipient depression. These data indicate that considerable variability exists in caregiver adjustment. Methodological limitations and the implications for research, service, and policy formation are! discussed. KeywordsCaregiver; Women; Disability Family caregivers of women with physical disabilitiesAs health care programs continue to circumscribe their service to persons with chronic, debilitating health conditions, many family members are compelled to assume caregiving roles (Hoffman, Rice, & Sung, 1996). In fact, available data indicate that family caregivers " … constitute the largest group of care providers" in the United States (Parish, Pomeranz-Essley, & Braddock, 2003, p. 174), and as they provide the majority of long-term care in this country, the market value of their activity far exceeds that spent on formal health care and nursing home care (Vitaliano, Young, & Zhang, 2004, p. 13). Yet family caregivers function as de facto healthcare providers without adequate training or appropriate remuneration (Shewchuk & Elliott, 2000): They are expected to operate competently as extensions of health care systems, often performing complex medical and therapeutic tasks, helping a loved one perform and adhere to therapeutic regimens .Caregiving is often associated with many deleterious effects on the caregiver (Donelan, Falik, & DesRoaches, 2001;Vitaliano, Zhang, & Scanlan, 2003). However, this work has been largely Correspondence to: Patricia A. Rivera. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript restricted to studies of care recipients who have degenerative diseases (e.g., Alzheimer's disease, dementias). These experiences are ultimately time-limited, contingent upon the eventual progression of the disease. The stress of these caregiving scenarios is unlike that associated with assisting individuals with permanently and severely disabling conditions, in which the care recipient is impaired but has a considerable life expectancy. To date, little research has addressed the impact of caregiving for people with severe physical disabilities who now have considerable life expectancies, and the research that...

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Section: Methodsmentioning

confidence: 99%

Family Caregivers of Women with Physical Disabilities

Rivera

Elliott

Berry

et al. 2006

J Clin Psychol Med Settings

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“…32 Each item is rated with a score from 1 to 7, for a maximum score of 126: 1 = complete assistance to perform basic activities of daily living; 2 = maximal assistance; 3 = moderate assistance; 4 = minimal assistance; 5 = supervision; 6 = modified independence; and 7 = complete independence in performing basic daily living. The FIM has established good interrater reliability, construct validity, 33,34 and discriminate validity. 35 We also used the Motor Activity Log (MAL), a semistructured interview of patients, to assess the amount of use (AOU) and quality of movement (QOM) of the affected UE in 30 important daily activities using a 6-point ordinal scale.…”

Section: Outcome Measuresmentioning

confidence: 98%

The Effects of Bilateral Arm Training on Motor Control and Functional Performance in Chronic Stroke: A Randomized Controlled Study

Lin

Chen²,

Chen

et al. 2009

Neurorehabil Neural Repair

103

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“…The occupational therapist used the FIM™ (Uniform Data System for Medical Rehabilitation, 1997) to measure the amount of assistance needed from a helper for self-care, mobility, and social cognition activities. The FIM has been shown to have excellent validity (Corrigan, SmithKnapp, & Granger, 1997) and reliability (Chau, Daler, Andre, & Patris, 1994). Helen received a score of 1 (total assistance) on most of the FIM items evaluated by the occupational therapist.…”

Section: Discussionmentioning

confidence: 99%

Use of the Occupational Therapy Task-Oriented Approach to Optimize the Motor Performance of a Client With Cognitive Limitations

Preissner

2010

The American Journal of Occupational Therapy

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This case report describes the use of the Occupational Therapy Task-Oriented Approach with a client with occupational performance limitations after a cerebral vascular accident. The Occupational Therapy Task-Oriented Approach is often suggested as a preferred neurorehabilitation intervention to improve occupational performance by optimizing motor behavior. One common critique of this approach, however, is that it may seem inappropriate or have limited application for clients with cognitive deficits. This case report demonstrates how an occupational therapist working in an inpatient rehabilitation setting used the occupational therapy task-oriented evaluation framework and treatment principles described by Mathiowetz (2004) with a person with significant cognitive limitations. This approach was effective in assisting the client in meeting her long-term goals, maximizing her participation in meaningful occupations, and successfully transitioning to home with her daughter.

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Inter-rater agreement of two functional independence scales: The Functional Independence Measure (FIM) and a subjective uniform continuous scale

Cited by 60 publications

References 10 publications

Family Caregivers of Women with Physical Disabilities

Family Caregivers of Women with Physical Disabilities

The Effects of Bilateral Arm Training on Motor Control and Functional Performance in Chronic Stroke: A Randomized Controlled Study

Use of the Occupational Therapy Task-Oriented Approach to Optimize the Motor Performance of a Client With Cognitive Limitations

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