34962Department of Emergency Medical Rehabilitation, Kangwon National University, Chuncheon, South Korea.
26721Department of Occupational Therapy, College of Health Science, Yonsei University, Seodaemun-Gu, South Korea.
Inquiry. 2022 Jan-Dec;59:469580211072454. doi: 10.1177/00469580211072454.
This study was conducted to verify the validity and reliability of the Functional Independence Measure for Children (WeeFIM) for children with cerebral palsy by verifying the construct validity, difficulty, suitability, and cultural differences using Rasch analysis. From May 1, 2015, to February 27, 2020, 105 children with cerebral palsy aged 6 months-95 months (7 years and 11 months old) from Hospital Y located in Korea were included. In WeeFIM, 18 items were divided into 3 areas: Self-care 8 items, Motor 5 items, and Cognition 5 items. Analysis and separation reliability were analyzed. In the -care area, the item and in the Motor area, the Transfer (Tub, Shower) item were judged as inappropriate items, and the order of difficulty was arranged without excluding the unsuitable items. In Self-acre, the most difficult item was Bathing, the easiest items were Eating and , and the separation reliability was .87, the most difficult item in Motor was Stair, and the easiest item was Locomotion, and the separation reliability was .99. In Cognition, the most difficult item was Problem Solving, the easiest item was Communication, and the separation reliability was .95. The reliability and validity of WeeFIM was verified for children with cerebral palsy by applying Rasch Analysis. In future research, it is thought that additional research should be conducted by dividing the children by age and type so that they can be generalized.
本研究旨在通过使用 Rasch 分析验证构念效度、难度、适宜性和文化差异，验证脑瘫儿童用功能独立性评定量表（WeeFIM）的有效性和可靠性。该研究于 2015 年 5 月 1 日至 2020 年 2 月 27 日，选取韩国 Y 医院的 105 名 6 个月至 95 个月（7 岁 11 个月）的脑瘫儿童为研究对象。在 WeeFIM 中，18 个项目分为 3 个领域：自理 8 项、运动 5 项和认知 5 项。分析并分离可靠性。在自理领域，项目和运动领域的转移（管饲、淋浴）项目被判断为不适当项目，难度顺序排列时不排除不适当项目。在自理领域，最困难的项目是洗澡，最容易的项目是吃饭和穿衣，分离可靠性为.87；在运动领域，最困难的项目是上下楼梯，最容易的项目是移动，分离可靠性为.99。在认知领域，最困难的项目是解决问题，最容易的项目是沟通，分离可靠性为.95。通过应用 Rasch 分析，验证了脑瘫儿童用 WeeFIM 的可靠性和有效性。未来的研究，应进一步对儿童进行年龄和类型的细分，以便推广应用。
