Concurrent validity of administering the functional independence measure (FIM) instrument by interview
Yuchi Young, Ming-Yu Fan, J Richard Hebel, Chad Boult, Yuchi Young, Ming-Yu Fan, J Richard Hebel, Chad Boult
Abstract
In this study, we measure the concurrent validity of administering the Functional Independence Measure instrument by interview. Data from 28 community-dwelling, cognitively intact, elderly patients with hip fracture were collected in 5 postacute rehabilitation facilities. Within 72 hrs of admission to (and at discharge from) the postacute facilities, both a Functional Independence Measure-certified interviewer and a multidisciplinary team administered the Functional Independence Measure instrument to each participant concurrently. At admission, the mean Functional Independence Measure ratings assigned by the interviewer and by the team were 84.3 and 80.5, respectively (P < 0.001). At discharge, the mean Functional Independence Measure ratings were 104.4 and 103.4 (P > 0.50), reflecting the participants' functional recovery during postacute rehabilitation. The intraclass correlation between the Functional Independence Measure ratings assigned by the interviewer and by the team was 0.74 (95% confidence interval = 0.58-0.91) at admission and 0.76 (95% confidence interval = 0.60-0.92) at discharge. Functional Independence Measure ratings assigned by Functional Independence Measure-certified interviewers are valid indicators of the functional status of groups of older people recovering from hip fracture and feasible for longitudinal study.
Figures
![Figure 1](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/2966385/bin/nihms-125159-f0001.jpg)
Figure 2
Mean FIM ratings assigned at…
Figure 2
Mean FIM ratings assigned at discharge by interviewer and by multidisciplinary team. *P…
Figure 3
Mean FIM ratings assigned by…
Figure 3
Mean FIM ratings assigned by interviewer at admission and discharge. *P <.05>
- Functional outcome of cognitively impaired hip fracture patients on a geriatric rehabilitation unit.Goldstein FC, Strasser DC, Woodard JL, Roberts VJ. Goldstein FC, et al. J Am Geriatr Soc. 1997 Jan;45(1):35-42. doi: 10.1111/j.1532-5415.1997.tb00975.x. J Am Geriatr Soc. 1997. PMID: 8994485
- Effect of comorbidity on functional recovery after hip fracture in the elderly.Mathew RO, Hsu WH, Young Y. Mathew RO, et al. Am J Phys Med Rehabil. 2013 Aug;92(8):686-96. doi: 10.1097/PHM.0b013e318282bc67. Am J Phys Med Rehabil. 2013. PMID: 23370578
- Longitudinal functional recovery after postacute rehabilitation in older hip fracture patients: the role of cognitive impairment and implications for long-term care.Young Y, Xiong K, Pruzek RM. Young Y, et al. J Am Med Dir Assoc. 2011 Jul;12(6):431-8. doi: 10.1016/j.jamda.2010.08.005. Epub 2010 Nov 4. J Am Med Dir Assoc. 2011. PMID: 21450204
- Initial recovery trajectories among patients with hip fracture: a conceptual approach to exploring comparative effectiveness in postacute care.Aronow HU, Sharkey P, Siebens HC, Horn SD, Smout RJ, DeJong G, Munin MC, Radnay CS. Aronow HU, et al. PM R. 2012 Apr;4(4):264-72. doi: 10.1016/j.pmrj.2011.10.002. Epub 2012 Jan 13. PM R. 2012. PMID: 22244336
- Measuring rehabilitation outcome in post-acute hip fractured patients.Hershkovitz A, Brown R, Burstin A, Brill S. Hershkovitz A, et al. Disabil Rehabil. 2015;37(2):158-64. doi: 10.3109/09638288.2014.911968. Epub 2014 Apr 23. Disabil Rehabil. 2015. PMID: 24754637
- Non-pharmacological prevention of postoperative delirium by occupational therapy teams: A randomized clinical trial.Alvarez EA, Rojas VA, Caipo LI, Galaz MM, Ponce DP, Gutierrez RG, Salech F, Tobar E, Reyes FI, Vergara RC, Egaña JI, Briceño CA, Penna A. Alvarez EA, et al. Front Med (Lausanne). 2023 Feb 2;10:1099594. doi: 10.3389/fmed.2023.1099594. eCollection 2023. Front Med (Lausanne). 2023. PMID: 36817762 Free PMC article.
- Belt Electrode-Skeletal Muscle Electrical Stimulation in Older Hemodialysis Patients with Reduced Physical Activity: A Randomized Controlled Pilot Study.Homma M, Miura M, Hirayama Y, Takahashi T, Miura T, Yoshida N, Miyata S, Kohzuki M, Ebihara S. Homma M, et al. J Clin Med. 2022 Oct 19;11(20):6170. doi: 10.3390/jcm11206170. J Clin Med. 2022. PMID: 36294490 Free PMC article.
- Functional recovery following hospitalisation of patients diagnosed with COVID-19: a protocol for a longitudinal cohort study.Reid JC, Costa AP, Duong M, Ho T, Kruisselbrink R, Raina P, Kirkwood R, Jones A, Corriveau S, Griffith LE, Haider S, Marcucci M, Markle-Reid M, Morrison H, Raghavan N, Schumacher C, Vrkljan B, Junek M, Martin L, Patel A, Girolametto C, Pitre T, Beauchamp MK; COREG Investigators. Reid JC, et al. BMJ Open. 2021 Dec 13;11(12):e053021. doi: 10.1136/bmjopen-2021-053021. BMJ Open. 2021. PMID: 34903545 Free PMC article.
- Rehabilitation Outcomes in Subjects with West Nile Neuro-Invasive Disease.Patel K, Greenwald BD, Sabini RC. Patel K, et al. Brain Sci. 2021 Sep 22;11(10):1253. doi: 10.3390/brainsci11101253. Brain Sci. 2021. PMID: 34679318 Free PMC article.
- Rehabilitation for ataxia study: protocol for a randomised controlled trial of an outpatient and supported home-based physiotherapy programme for people with hereditary cerebellar ataxia.Milne SC, Corben LA, Roberts M, Szmulewicz D, Burns J, Grobler AC, Williams S, Chua J, Liang C, Lamont PJ, Grootendorst AC, Massey L, Sue C, Dalziel K, LaGrappe D, Willis L, Freijah A, Gerken P, Delatycki MB. Milne SC, et al. BMJ Open. 2020 Dec 17;10(12):e040230. doi: 10.1136/bmjopen-2020-040230. BMJ Open. 2020. PMID: 33334834 Free PMC article.
- Multicenter Study
- Research Support, N.I.H., Extramural
- Validation Study
- Aged
- Aged, 80 and over
- Brief Psychiatric Rating Scale
- Disability Evaluation*
- Female
- Geriatric Assessment / methods
- Hip Fractures / rehabilitation
- Humans
- Interviews as Topic*
- Male
- Patient Care Team
- Pilot Projects
- Prospective Studies
- Rehabilitation Centers*
- Full Text Sources
- Medical
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![Figure 2](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/2966385/bin/nihms-125159-f0002.jpg)
Figure 3
Mean FIM ratings assigned by…
Figure 3
Mean FIM ratings assigned by interviewer at admission and discharge. *P <.05>
- Functional outcome of cognitively impaired hip fracture patients on a geriatric rehabilitation unit.Goldstein FC, Strasser DC, Woodard JL, Roberts VJ. Goldstein FC, et al. J Am Geriatr Soc. 1997 Jan;45(1):35-42. doi: 10.1111/j.1532-5415.1997.tb00975.x. J Am Geriatr Soc. 1997. PMID: 8994485
- Effect of comorbidity on functional recovery after hip fracture in the elderly.Mathew RO, Hsu WH, Young Y. Mathew RO, et al. Am J Phys Med Rehabil. 2013 Aug;92(8):686-96. doi: 10.1097/PHM.0b013e318282bc67. Am J Phys Med Rehabil. 2013. PMID: 23370578
- Longitudinal functional recovery after postacute rehabilitation in older hip fracture patients: the role of cognitive impairment and implications for long-term care.Young Y, Xiong K, Pruzek RM. Young Y, et al. J Am Med Dir Assoc. 2011 Jul;12(6):431-8. doi: 10.1016/j.jamda.2010.08.005. Epub 2010 Nov 4. J Am Med Dir Assoc. 2011. PMID: 21450204
- Initial recovery trajectories among patients with hip fracture: a conceptual approach to exploring comparative effectiveness in postacute care.Aronow HU, Sharkey P, Siebens HC, Horn SD, Smout RJ, DeJong G, Munin MC, Radnay CS. Aronow HU, et al. PM R. 2012 Apr;4(4):264-72. doi: 10.1016/j.pmrj.2011.10.002. Epub 2012 Jan 13. PM R. 2012. PMID: 22244336
- Measuring rehabilitation outcome in post-acute hip fractured patients.Hershkovitz A, Brown R, Burstin A, Brill S. Hershkovitz A, et al. Disabil Rehabil. 2015;37(2):158-64. doi: 10.3109/09638288.2014.911968. Epub 2014 Apr 23. Disabil Rehabil. 2015. PMID: 24754637
- Non-pharmacological prevention of postoperative delirium by occupational therapy teams: A randomized clinical trial.Alvarez EA, Rojas VA, Caipo LI, Galaz MM, Ponce DP, Gutierrez RG, Salech F, Tobar E, Reyes FI, Vergara RC, Egaña JI, Briceño CA, Penna A. Alvarez EA, et al. Front Med (Lausanne). 2023 Feb 2;10:1099594. doi: 10.3389/fmed.2023.1099594. eCollection 2023. Front Med (Lausanne). 2023. PMID: 36817762 Free PMC article.
- Belt Electrode-Skeletal Muscle Electrical Stimulation in Older Hemodialysis Patients with Reduced Physical Activity: A Randomized Controlled Pilot Study.Homma M, Miura M, Hirayama Y, Takahashi T, Miura T, Yoshida N, Miyata S, Kohzuki M, Ebihara S. Homma M, et al. J Clin Med. 2022 Oct 19;11(20):6170. doi: 10.3390/jcm11206170. J Clin Med. 2022. PMID: 36294490 Free PMC article.
- Functional recovery following hospitalisation of patients diagnosed with COVID-19: a protocol for a longitudinal cohort study.Reid JC, Costa AP, Duong M, Ho T, Kruisselbrink R, Raina P, Kirkwood R, Jones A, Corriveau S, Griffith LE, Haider S, Marcucci M, Markle-Reid M, Morrison H, Raghavan N, Schumacher C, Vrkljan B, Junek M, Martin L, Patel A, Girolametto C, Pitre T, Beauchamp MK; COREG Investigators. Reid JC, et al. BMJ Open. 2021 Dec 13;11(12):e053021. doi: 10.1136/bmjopen-2021-053021. BMJ Open. 2021. PMID: 34903545 Free PMC article.
- Rehabilitation Outcomes in Subjects with West Nile Neuro-Invasive Disease.Patel K, Greenwald BD, Sabini RC. Patel K, et al. Brain Sci. 2021 Sep 22;11(10):1253. doi: 10.3390/brainsci11101253. Brain Sci. 2021. PMID: 34679318 Free PMC article.
- Rehabilitation for ataxia study: protocol for a randomised controlled trial of an outpatient and supported home-based physiotherapy programme for people with hereditary cerebellar ataxia.Milne SC, Corben LA, Roberts M, Szmulewicz D, Burns J, Grobler AC, Williams S, Chua J, Liang C, Lamont PJ, Grootendorst AC, Massey L, Sue C, Dalziel K, LaGrappe D, Willis L, Freijah A, Gerken P, Delatycki MB. Milne SC, et al. BMJ Open. 2020 Dec 17;10(12):e040230. doi: 10.1136/bmjopen-2020-040230. BMJ Open. 2020. PMID: 33334834 Free PMC article.
- Multicenter Study
- Research Support, N.I.H., Extramural
- Validation Study
- Aged
- Aged, 80 and over
- Brief Psychiatric Rating Scale
- Disability Evaluation*
- Female
- Geriatric Assessment / methods
- Hip Fractures / rehabilitation
- Humans
- Interviews as Topic*
- Male
- Patient Care Team
- Pilot Projects
- Prospective Studies
- Rehabilitation Centers*
- Full Text Sources
- Medical
![Figure 3](https://www.ncbi.nlm.nih.gov/pmc/articles/instance/2966385/bin/nihms-125159-f0003.jpg)
Source: PubMed