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Critical Care Functional Rehabilitation Outcome Measure: developing a validated measure
Paul W Twose1, Matt P Wise2, Stephanie Enright3
1a Department of Physiotherapy and.
Physiotherapy Theory and Practice
|July 23, 2015
Summary
A new Critical Care Functional Rehabilitation Outcome Measure (CcFROM) was developed and validated. This tool demonstrates high reliability for assessing patient recovery in critical care settings.
Area of Science:
- Rehabilitation Medicine
- Clinical Assessment Tools
- Physiotherapy Research
Background:
- National guidelines emphasize rehabilitation's role in patient recovery.
- Valid and reliable outcome measures are crucial for evaluating rehabilitation effectiveness.
- Existing measures may not fully capture functional recovery in critical care.
Purpose of the Study:
- To develop a novel outcome measure for critical care rehabilitation.
- To evaluate the validity and reliability of the Critical Care Functional Rehabilitation Outcome Measure (CcFROM).
Main Methods:
- The CcFROM was created by physiotherapists based on existing measures.
- Face and content validity were assessed via a physiotherapist questionnaire.
- Intra-rater and inter-rater reliability were tested by observing 20 physiotherapy sessions.
Main Results:
- The CcFROM exhibited very high face validity and moderate content validity.
- Excellent intra-rater reliability (ICC=0.985) and good inter-rater reliability (ICC=0.906) were found.
- Physiotherapists suggested incorporating upper limb activity assessment.
Conclusions:
- The Critical Care Functional Rehabilitation Outcome Measure (CcFROM) is a valid tool.
- The CcFROM is a reliable outcome measure for use in critical care settings.
- This measure supports evidence-based practice in critical care rehabilitation.
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