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Related Experiment Videos

Evaluating the FONE FIM: Part I. Construct validity

W C Chang1, S Slaughter, D Cartwright

  • 1Department of Public Health Sciences, Faculty of Medicine and Oral Health Sciences, University of Alberta, Edmonton, Canada.

Journal of Outcome Measurement
|January 1, 1997
PubMed
Summary
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The telephone version of the Functional Independence Measure (FONE FIM) accurately assesses geriatric patients

Area of Science:

  • Gerontology
  • Rehabilitation Medicine
  • Psychometrics

Background:

  • Geriatric patients often experience functional decline after inpatient rehabilitation.
  • Accurate functional assessment is crucial for effective care planning and outcome measurement.
  • The Functional Independence Measure (FIM) is a widely used tool, but a telephone version (FONE FIM) may improve accessibility.

Purpose of the Study:

  • To evaluate the psychometric properties of the Motor component of the FONE FIM.
  • To compare the FONE FIM with in-home observational FIM (OBS FIM) assessments in geriatric patients.

Main Methods:

  • Rasch analysis was applied to data from 132 geriatric patients.
  • Patients were assessed using the FONE FIM and OBS FIM approximately 5-6 weeks post-discharge.

Related Experiment Videos

  • Item hierarchy, fit statistics, and person separation index were analyzed.
  • Main Results:

    • The FONE FIM demonstrated a similar item hierarchy to the OBS FIM, indicating comparable measurement properties.
    • Bladder management and climbing stairs were identified as potential areas for refinement.
    • A 13-item set with 4-point scales was found to be psychometrically optimal for both assessment methods.

    Conclusions:

    • The FONE FIM shows strong psychometric validity for assessing motor function in geriatric patients.
    • Further research is needed to optimize the item set and scale levels for clinical and psychometric utility.
    • The FONE FIM offers a viable alternative for functional status assessment in this population.