| Titre : | Brain Injury Functional Outcome Measure (BI-FOM): A Single Instrument Capturing the Range of Recovery in Moderate-Severe Traumatic Brain Injury (2021) |
| Auteurs : | John Whyte ; Joseph T. Giacino ; Allen W. Heinemann ; Yelena G. Bodien ; Tessa Hart ; Mark Sherer ; Gale G. Whiteneck ; David Mellick ; Flora M. Hammond ; Patrick Semik ; Amy Rosenbaum ; Risa Nakase-Richardson |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 1, 2021) |
| Article en page(s) : | p. 87-96 |
| Note générale : | https://doi.org/10.1016/j.apmr.2020.09.377 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Évaluation des résultats des patients ; Lésions encéphaliques ; Réadaptation |
| Résumé : |
Objective
To develop a measure of global functioning after moderate-severe TBI with similar measurement precision but a longer measurement range than the FIM. Design Phase 1: retrospective analysis of 5 data sets containing FIM, Disability Rating Scale, and other assessment items to identify candidate items for extending the measurement range of the FIM; Phase 2: prospective administration of 49 candidate items from phase 1, with Rasch analysis to identify a unidimensional scale with an extended range. Setting Six TBI Model System rehabilitation hospitals. Participants Individuals (N=184) with moderate-severe injury recruited during inpatient rehabilitation or at 1-year telephone follow-up. Interventions Participants were administered the 49 assessment items in person or via telephone. Main Outcome Measures Item response theory parameters: item monotonicity, infit/outfit statistics, and Factor 1 variance. Results After collapsing misordered rating categories and removing misfitting items, we derived the Brain Injury Functional Outcome Measure (BI-FOM), a 31-item assessment instrument with high reliability, greatly extended measurement range, and improved unidimensionality compared with the FIM. Conclusions The BI-FOM improves global measurement of function after moderate-severe brain injury. Its high precision, relative lack of floor and ceiling effects, and feasibility for telephone follow-up, if replicated in an independent sample, are substantial advantages. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999320309680#! |
Bibliothèques HE Vinci
