Instituto de Rehabilitación Neurológica (IRENEA), Fundación Vithas, Valencia, Spain -
Instituto de Rehabilitación Neurológica (IRENEA), Fundación Vithas, Valencia, Spain.
Eur J Phys Rehabil Med. 2023 Aug;59(4):452-457. doi: 10.23736/S1973-9087.23.07841-3. Epub 2023 May 25.
The Functional Independence Measure + Functional Assessment Measure (FIM+FAM) Scale is one of the most widely used instruments to measure functional independence post-stroke, and features many cultural adaptations to various languages.
The aim of this study was to determine the psychometric properties of a Spanish cross-cultural adaptation of the FIM+FAM for use in the stroke population.
Observational study.
Outpatient long-term service of a neurorehabilitation unit.
One hundred and twenty-two individuals with stroke.
The functional independence of the participants was assessed with the adapted version of the FIM+FAM. Additionally, the functional, motor and cognitive condition of the participants was assessed with a battery of standardized clinical instruments. Finally, a group of 31 participants out of the total were evaluated a second time with the FIM+FAM by a different evaluator than the one who performed the first evaluation. Internal consistency, inter-rater reliability and convergent validity with other clinical instruments of the adapted version of the FIM+FAM were determined.
The internal consistency of the adapted version of the FIM+FAM was excellent, as evidenced by Cronbach's α values that exceeded 0.973. The inter-rater reliability was likewise excellent, with correlations above 0.990 in all domains and subscales. Additionally, the convergent validity of the scale adaptation with clinical instruments was variable, with values ranging from 0.264 to 0.983, but consistent with the construct assessed in the different instruments examined.
The internal consistency, inter-rater reliability and convergent validity of the Spanish-adapted version of the FIM+FAM Scale showed excellent reliability and validity of the adaptation, which supports its use to assess functional independence after stroke.
Availability of a valid adaptation for the evaluation of functional independence after stroke in Spanish population.
功能独立性测量+功能评估量表（FIM+FAM）是衡量卒中后功能独立性最广泛使用的工具之一，它具有许多针对各种语言的文化适应性。
本研究旨在确定 FIM+FAM 的西班牙跨文化适应版本用于卒中人群的心理测量特性。
观察性研究。
神经康复单位的门诊长期服务。
122 名卒中患者。
采用改编版 FIM+FAM 评估参与者的功能独立性。此外，还使用一套标准化的临床仪器评估参与者的功能、运动和认知状况。最后，在总共 122 名参与者中，有 31 名参与者由与第一次评估不同的评估者进行了第二次 FIM+FAM 评估。确定了改编版 FIM+FAM 的内部一致性、评定者间信度和与其他临床仪器的收敛效度。
改编版 FIM+FAM 的内部一致性非常好，Cronbach's α 值超过 0.973。评定者间信度也非常好，所有领域和子量表的相关性均高于 0.990。此外，量表改编与临床仪器的收敛效度是可变的，值范围从 0.264 到 0.983，但与不同仪器评估的结构一致。
FIM+FAM 西班牙改编版的内部一致性、评定者间信度和收敛效度显示出改编的可靠性和有效性，支持其用于评估卒中后功能独立性。
为评估西班牙语人群卒中后功能独立性提供了有效的适应版本。
