Sperle P A, Ottenbacher K J, Braun S L, Lane S J, Nochajski S
University of New York at Buffalo, Buffalo, New York, USA.
Am J Occup Ther. 1997 Jan;51(1):35-41. doi: 10.5014/ajot.51.1.35.
This study examined the equivalence reliability of two administration methods for the Functional Independence Measure for Children (WeeFIM). The two methods were direct observation of child performance and parental interview.
Thirty children between the ages of 19 months and 71 months with identified developmental disabilities were included in this study. The direct observation and interview methods were administered in random order to each subject within a 3-week period. The direct observation was completed in the educational setting, and the WeeFIM interview was obtained by either in-person interview or telephone interview with the parent.
The intraclass correlation coefficient (ICC) for total WeeFIM ratings was .93, indicating consistency between the two administration methods. Analysis of the WeeFIM Motor (13 items) and Cognitive (5 items) domains yielded ICC values of .93 and .75, respectively, suggesting greater consistency for items measuring motor-related skills.
The results demonstrate good agreement for total ratings when the WeeFIM is administered by direct observation and by interview with a parent. The findings establish the clinical usefulness of information collected by clinical interview.
本研究检验了儿童功能独立性测量量表(WeeFIM)两种施测方法的等效信度。这两种方法分别是直接观察儿童表现和家长访谈。
本研究纳入了30名年龄在19个月至71个月之间、已确诊发育障碍的儿童。在3周内,对每位受试者随机采用直接观察法和访谈法。直接观察在教育环境中完成,WeeFIM访谈通过与家长进行面对面访谈或电话访谈获得。
WeeFIM总评分的组内相关系数(ICC)为0.93,表明两种施测方法之间具有一致性。对WeeFIM运动(13项)和认知(5项)领域的分析得出的ICC值分别为0.93和0.75,这表明测量运动相关技能的项目具有更高的一致性。
结果表明,当通过直接观察和与家长访谈来施测WeeFIM时,总评分具有良好的一致性。这些发现确立了通过临床访谈收集的信息在临床上的实用性。