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MINDFIM: a measure of disability in high-functioning traumatic brain injury outpatients
Anna Cantagallo1, Silvia Carli, Anna Simone
1Department of Rehabilitation, Hospital and University of Ferrara, Unit of Neuropsychological Rehabilitation, Italy.
Primary Objective:
The study aimed at developing a new valid measure of disability in TBI outpatients.
Research Design And Methods:
The Rasch model (Winsteps 3.45 software, 2005) was adopted to achieve a linear measure, unidimensional and reliable. The predictive capacity with respect to return to school or job was also tested (logistic regression, STATA 8.0 software, 2004).
Experimental Interventions:
Either tests of Attention, Memory and Verbal Fluency or the FIM were administered to 160 TBI ambulatory outpatients (52 women, age 14-72, 2-117 months after trauma, 111 cases with coma > or = 1 week). Fifty of them (31%) had returned to school or job.
Main Outcomes And Results:
A new scale called MINDFIM could be successfully developed. It includes three cognitive and four FIM motor items (Grooming, Upper Body Dressing, Bathing and Tub/Shower Transfer). The scale raises the ceiling affecting existing instruments. The summated scores are predictive of return to community (74% correct classification).
Conclusions:
MINDFIM is valid and useful measure of disability in TBI outpatients.
