Comparison of the Responsiveness of the FIM and the interRAI Post Acute Care Assessment Instrument in Rehabilitation of Older Adults

被引:14
作者
Glenny, Christine [1 ]
Stolee, Paul [1 ]
Husted, Janice [1 ]
Thompson, Mary [2 ]
Berg, Katherine [3 ]
机构
[1] Univ Waterloo, Dept Hlth Studies & Gerontol, Waterloo, ON N2L 3G1, Canada
[2] Univ Waterloo, Dept Stat & Actuarial Sci, Waterloo, ON N2L 3G1, Canada
[3] Univ Toronto, Dept Phys Therapy, Toronto, ON, Canada
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2010年 / 91卷 / 07期
关键词
Activities of daily living; Geriatric assessment; Rehabilitation; FUNCTIONAL INDEPENDENCE MEASURE; MINIMUM DATA SET; HEALTH-STATUS MEASURES; GERIATRIC REHABILITATION; BARTHEL INDEX; INPATIENT REHABILITATION; PERFORMANCE; COMORBIDITY; RELIABILITY; VALIDITY;
D O I
10.1016/j.apmr.2010.03.014
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Glenny C, Stolee P, Husted J, Thompson M, Berg K. Comparison of the responsiveness of the FIM and the interRAI Post Acute Care Assessment Instrument in rehabilitation of older adults. Arch Phys Med Rehabil 2010;91:1038-43. Objective: To compare the responsiveness of 2 major systems developed for rehabilitation settings-the FIM and the interRAI Post Acute Care (PAC) assessment-in older patients. Design: Trained raters assessed patients with both tools at admission and discharge. Setting: Musculoskeletal (MSK) and geriatric rehabilitation units (GRUs) in 2 rehabilitation hospitals. Participants: Older adults receiving rehabilitation (N=208; mean age +/- SD, 78.5 +/- 9.3; 67% women). Interventions: Not applicable. Main Outcome Measures: Responsiveness was evaluated using effect size (ES) and standardized response mean (SRM). Results: ES and SRM were somewhat higher for the FIM motor (GRU ES = 1.68, SRM = 1.31; MSK ES = 2.12, SRM = 2.25) than the PAC (GRU ES = 1.64, SRM = 1.29; MSK ES = 1.57, SRM = 1.89) in both patient groups. Both tools were more responsive in MSKs than GRUs. This may reflect the greater frailty and clinical complexity of GRU patients. Conclusions: Both the FIM motor and the PAC were able to detect clinically relevant improvement in functional ability in older rehabilitation inpatients.
引用
收藏
页码:1038 / 1043
页数:6
相关论文
共 44 条
[1]   Functional Independence Measure versus Short Form-36: relative responsiveness and validity [J].
Aitken, DM ;
Bohannon, RW .
INTERNATIONAL JOURNAL OF REHABILITATION RESEARCH, 2001, 24 (01) :65-68
[2]   Evaluating changes in health status: Reliability and responsiveness of five generic health status measures in workers with musculoskeletal disorders [J].
Beaton, DE ;
HoggJohnson, S ;
Bombardier, C .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1997, 50 (01) :79-93
[3]  
BORRIE MJ, 2005, GERIATRICS TODAY CAN, V8, P148
[4]   Validity of 3 physical performance measures in inpatient geriatric rehabilitation [J].
Brooks, D ;
Davis, AM ;
Naglie, G .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2006, 87 (01) :105-110
[5]  
*CAN I HLTH INF, 2008, INP REH CAN 2006 200
[6]   Measuring change in activities of daily living in nursing home residents with moderate to severe cognitive impairment [J].
Carpenter G.I. ;
Hastie C.L. ;
Morris J.N. ;
Fries B.E. ;
Ankri J. .
BMC Geriatrics, 6 (1)
[7]  
Cohen J., 1987, Statistical analysis for the behavioral science, VRev.
[8]   Measurement of decline of functioning in persons with amyotrophic lateral sclerosis: Responsiveness and possible applications of the Functional Independence Measure, Barthel Index, Rehabilitation Activities Profile and Frenchay Activities Index [J].
De Groot, Imelda J. M. ;
Post, Marcel W. M. ;
Van Heuveln, Tineke ;
Van den Berg, Leonard H. ;
Lindeman, Eline .
AMYOTROPHIC LATERAL SCLEROSIS, 2006, 7 (03) :167-172
[9]   Development of a conceptual framework for the assessment of geriatric rehabilitation outcomes [J].
Demers, L ;
Ska, B ;
Desrosiers, J ;
Alix, C ;
Wolfson, C .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2004, 38 (03) :221-237
[10]   Comparison of two functional independence scales with a participation measure in post-stroke rehabilitation [J].
Desrosiers, J ;
Rochette, A ;
Noreau, L ;
Bravo, G ;
Hébert, R ;
Boutin, C .
ARCHIVES OF GERONTOLOGY AND GERIATRICS, 2003, 37 (02) :157-172