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Pre- and Postintervention Factor Structure of Functional Independence Measure in Patients with Spinal Cord Injury
Joint Authors
Saltychev, Mikhail
Lähdesmäki, Janne
Jokinen, Petteri
Laimi, Katri
Source
Rehabilitation Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-21
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Objective.
To evaluate the factor structure of Functional Independence Measure (FIM®) scale amongst people with spinal cord injury (SCI).
Methods.
This was a retrospective, register-based cohort study on 155 rehabilitants with SCI.
FIM was assessed at the beginning and at the end of multidisciplinary inpatient rehabilitation.
The internal consistency of the FIM was assessed with Cronbach’s alpha and exploratory factor analysis was employed to approximate the construct structure of FIM.
Results.
The internal consistency demonstrated high Cronbach’s alpha of 0.95 to 0.96.
For both pre- and postintervention assessments, the exploratory factor analysis resulted in 3-factor structures.
Except for two items (“walking or using a wheelchair” and “expression”), the structures of the identified three factors remained the same from the beginning to the end of rehabilitation.
The loadings of all items were sufficient, exceeding 0.3.
Both pre- and postintervention chi-square tests showed significant p values < 0.0001.
The “motor” domain was divided into two factors with this 2-factor structure enduring through the intervention period.
Conclusions.
Amongst rehabilitants with SCI, FIM failed to demonstrate unidimensionality.
Instead, it showed a 3-factor structure that fluctuated only little depending on the timing of measurement.
Additionally, when measured separately, also motor score was 2-dimensional, not 1-dimensional.
Using a total or subscale FIM, scores seem to be unjustified in the studied population.
American Psychological Association (APA)
Saltychev, Mikhail& Lähdesmäki, Janne& Jokinen, Petteri& Laimi, Katri. 2017. Pre- and Postintervention Factor Structure of Functional Independence Measure in Patients with Spinal Cord Injury. Rehabilitation Research and Practice،Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1197658
Modern Language Association (MLA)
Saltychev, Mikhail…[et al.]. Pre- and Postintervention Factor Structure of Functional Independence Measure in Patients with Spinal Cord Injury. Rehabilitation Research and Practice No. 2017 (2017), pp.1-7.
https://search.emarefa.net/detail/BIM-1197658
American Medical Association (AMA)
Saltychev, Mikhail& Lähdesmäki, Janne& Jokinen, Petteri& Laimi, Katri. Pre- and Postintervention Factor Structure of Functional Independence Measure in Patients with Spinal Cord Injury. Rehabilitation Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-7.
https://search.emarefa.net/detail/BIM-1197658
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1197658