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Evaluation of the Functional Mobility Assessment Through Rasch Analysis.

Julie M Faieta¹, Brittany N Hand¹, Theresa Berner²

¹School of Health and Rehabilitation Sciences, Ohio State University, Columbus, Ohio.

Archives of Physical Medicine and Rehabilitation

|December 7, 2019

Summary

The Functional Mobility Assessment (FMA) effectively measures satisfaction with mobility devices. This tool is reliable for research and clinical use, aiding individuals with disabilities.

Keywords:

Health services Patient outcome assessment Psychometrics Rehabilitation Statistics Walkers Wheelchairs

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Area of Science:

Rehabilitation Science
Assistive Technology
Measurement Science

Background:

Patient satisfaction is crucial for effective assistive device use.
Quantifying satisfaction with functional mobility requires validated instruments.
The Functional Mobility Assessment (FMA) is a potential tool for this purpose.

Purpose of the Study:

To evaluate the effectiveness of the Functional Mobility Assessment (FMA) in measuring user satisfaction with functional mobility.
To determine if the FMA is a suitable instrument for assessing satisfaction among mobility device users.

Main Methods:

Secondary analysis of cross-sectional self-report data from 871 individuals with disabilities using mobility devices.
Utilized confirmatory factor analysis and Rasch analysis to assess the FMA's psychometric properties.

Main Results:

The FMA demonstrated a strong fit to a unidimensional model, indicating it measures a single construct.
Rasch analysis confirmed that most participants and all items fit the measurement model.
The FMA showed adequate reliability (person reliability=0.85) and effectively stratified users into high, medium, and low satisfaction groups.

Conclusions:

The Functional Mobility Assessment (FMA) is a psychometrically sound instrument for quantifying satisfaction with functional mobility.
The FMA is appropriate for both research and clinical applications involving mobility device users.