
@article{ref1,
title="Short versions of the telephone motor Functional Independence Measure for use with persons with spinal cord injury",
journal="Archives of physical medicine and rehabilitation",
year="1999",
author="Dijkers, M. P. and Yavuzer, G.",
volume="80",
number="11",
pages="1477-1484",
abstract="OBJECTIVE: To determine if the motor ability of persons with spinal cord injury (SCI) can be reliably estimated using a subset of the 13 Functional Independence Measure (FIM) items. STUDY DESIGN: FIM item subsets of 5, 6, or 7 items were selected using one of five strategies: random, coefficient alpha maximization, spread across the range of item difficulties, optimization by neurologic category, and individual optimization. Motor ability estimated by these 15 subsets was compared to the 13-item estimate, using intraclass correlation coefficient (ICC), Rasch calibration person reliability estimate, and other indices of reliability. SUBJECTS: Subjects were 4,128 persons with SCI, 1 to 25 years postinjury, interviewed for annual research follow-up using the FIM. RESULTS: All subsets had high ICC reliability (>.90). Subsets of 7 items performed generally better than those of 6 or 5 items. The best performance was provided by individual optimization subsets. The ICC for the 7-item set thus selected was .99. CONCLUSION: In annual follow-up, the number of FIM motor items can be reduced almost 50% while maintaining reliable estimates of subjects' motor ability. This approach may also be useful for other applications of interviewing to obtain FIM data, eg, for program evaluation.<p /><p>Language: en</p>",
language="en",
issn="0003-9993",
doi="",
url="http://dx.doi.org/"
}