JSS College of Physiotherapy, Mysuru, 570004, India.
University of Otago, Dunedin, New Zealand.
Health Qual Life Outcomes. 2022 Dec 1;20(1):160. doi: 10.1186/s12955-022-02048-z.
Comprehensive and interdisciplinary measurement of rehabilitation outcome is an essential part of the assessment and prognosis of a patient. Thus, this requires substantial contributions from the patient, their family and the rehabilitation professional working with them. Moreover, the measurement tool should be comprehensive and must consider the cultural compatibility, cost efficiency and contextual factors of the region.
The Comprehensive Rehabilitation Outcome Measurement Scale (CROMS) was developed through consensus and followed the Delphi process incorporating inputs from various rehabilitation professionals. The domains and items were finalized using Principal Component Analysis (PCA). The tool was validated in two native languages and back-translated considering the semantic equivalence of the scale. Intra-class correlation coefficient was performed to determine the agreement between the therapist and patient-reported scales.
The final CROMS carries 32 comprehensive items that can be completed by the person with disability and the professional team. CROMS compares well to similar items on FIM (l ICC of 0.93) and has good internal consistency with a Cronbach's Alpha of 0.92 for both patient and therapist reported measures.
The 32 item CROMS is a tool that can potentially be used to evaluate the functional independence of various patient populations, predominantly patients with neurological disabilities.
全面的跨学科康复结果测量是患者评估和预后的重要组成部分。因此，这需要患者、他们的家人以及与之合作的康复专业人员的大量贡献。此外，测量工具应该全面，并且必须考虑到该地区的文化兼容性、成本效益和背景因素。
全面康复结果测量量表（CROMS）是通过共识制定的，并遵循德尔菲法，纳入了来自不同康复专业人员的意见。使用主成分分析（PCA）确定了各个领域和项目。该工具使用两种母语进行了验证，并考虑了量表的语义等效性进行了回译。采用组内相关系数来确定治疗师和患者报告量表之间的一致性。
最终的 CROMS 有 32 个综合项目，可由残疾人和专业团队完成。CROMS 与 FIM 上的类似项目相比（l ICC 为 0.93），具有良好的内部一致性，患者和治疗师报告的测量值的 Cronbach's Alpha 分别为 0.92。
32 项 CROMS 是一种工具，可用于评估各种患者群体的功能独立性，主要是神经残疾患者。
