TY  - JOUR
PY  - 2020//
TI  - The Brain Injury Functional Outcome Measure (BI-FOM): a single instrument capturing the range of recovery in moderate-severe traumatic brain injury
JO  - Archives of physical medicine and rehabilitation
A1  - Whyte, John
A1  - Giacino, Joseph T.
A1  - Heinemann, Allen W.
A1  - Bodien, Yelena
A1  - Hart, Tessa
A1  - Sherer, Mark
A1  - Whiteneck, Gale G.
A1  - Mellick, David
A1  - Hammond, Flora M.
A1  - Semik, Patrick
A1  - Rosenbaum, Amy
A1  - Richardson, Risa Nakase
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To develop a measure of global functioning after moderate-severe TBI with similar measurement precision but a longer measurement range than the FIM.   DESIGN: Phase 1: Retrospective analysis of 5 data sets containing FIM, DRS, and other assessment items, to identify candidate items for extending the measurement range of the FIM; Phase 2. Prospective administration of 49 candidate items from phase 1, with Rasch analysis to identify a unidimensional scale with an extended range.     SETTING: Six TBI Model System rehabilitation hospitals.     PARTICIPANTS: 184 individuals with moderate-severe injury recruited during inpatient rehabilitation or at 1-year telephone follow up.     INTERVENTIONS: Participants were administered the 49 assessment items in person or via telephone.     MAIN OUTCOME MEASURE(S): IRT parameters: item monotonicity, infit/outfit statistics, and Factor 1 variance.     RESULTS: After collapsing misordered rating categories and removing misfitting items, we derived the Brain Injury Functional Outcome Measure (BI-FOM), a 31-item assessment instrument with high reliability, greatly extended measurement range, and improved unidimensionality in comparison to the FIM.     CONCLUSIONS: The BI-FOM improves global measurement of function after moderate-severe brain injury. Its high precision, relative lack of floor and ceiling effects, and feasibility for telephone follow up, if replicated in an independent sample, are substantial advantages.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2020.09.377
ID  - ref1
ER  -