Donaghy S, Wass P J
Brain Injury Rehabilitation Program, Alberta Hospital Ponoka, Canada.
Arch Phys Med Rehabil. 1998 Oct;79(10):1231-6. doi: 10.1016/s0003-9993(98)90267-2.
To examine the interrater reliability and completion time of the Functional Assessment Measure, which is the Functional Independence Measure (FIM) plus additional items (FIM+FAM).
Interrater reliability study.
Inpatient rehabilitation units of a postacute care brain injury rehabilitation program.
A convenience sample of 53 extremely severely impaired adult survivors of traumatic brain injuries (40 men, 13 women, mean age 38yrs).
Treatment team members' ratings of the 30 FIM +FAM items, and time taken to complete the FIM+FAM.
Intraclass Correlation Coefficients (ICCs) were within the good to excellent range (ICC > .60) for 29 of 30 items and for all subscales except psychosocial adjustment. Higher mean ICC values were obtained for motor domain items than for cognitive/psychosocial domain items. Treatment teams became progressively faster over a 12-week period in completing the FIM+FAM. The generally good to excellent range interrater reliability found in this study helps support the use of the FIM+FAM in rehabilitation settings. Further support was obtained for the finding that motor items are more reliable than cognitive and psychosocial items. Administration of the FIM+FAM can be done in a timely manner in a rehabilitation setting.
检验功能评估量表（即功能独立性测量量表[FIM]加上附加项目[FIM+FAM]）的评分者间信度和完成时间。
评分者间信度研究。
急性后期脑损伤康复项目的住院康复单元。
53例创伤性脑损伤的极重度受损成年幸存者的便利样本（40名男性，13名女性，平均年龄38岁）。
治疗团队成员对30项FIM+FAM项目的评分，以及完成FIM+FAM所需的时间。
30项中的29项以及除心理社会适应外的所有子量表的组内相关系数（ICC）均在良好至优秀范围内（ICC>.60）。运动领域项目的平均ICC值高于认知/心理社会领域项目。在12周的时间里，治疗团队完成FIM+FAM的速度越来越快。本研究中发现的评分者间信度总体处于良好至优秀范围，这有助于支持在康复环境中使用FIM+FAM。运动项目比认知和心理社会项目更可靠这一发现得到了进一步支持。在康复环境中可以及时完成FIM+FAM的评定。
