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Reliability of the functional independence measure with occupational therapists

journal contribution
posted on 2019-05-29, 00:00 authored by J Fricke, Carolyn Unsworth, D Worrell
This paper reports an inter-rater reliability study on the Functional Independence Measure (FIM). The FIM measures inpatient burden of care, as reflected in 18 self care items, rated on a seven point scale from dependent to independent. The subjects were 40 occupational therapists, divided according to experience with the FIM and randomly assigned to a FIM training or non-training group. Subjects rated video tapes of four stroke patients on transfers, bathing, dressing, grooming, toileting and eating items from the FIM. Rater consensus was calculated using the intraclass correlation coefficient (ICC), percentage agreement and a measure of disagreement. Rating accuracy was measured by comparisons with an expert rater. Ratings were most reliable when done by clinicians with no prior FIM experience, from the FIM training group. It is strongly recommended that all clinicians undergo FIM training before using this tool to ensure acceptable reliability.

History

Volume

40

Issue

1

Start Page

7

End Page

15

Number of Pages

9

ISSN

0045-0766

Publisher

Wiley-Blackwell Publishing Asia

Peer Reviewed

  • Yes

Open Access

  • No

External Author Affiliations

La Trobe Univrsity

Era Eligible

  • No

Journal

Australian Occupational Therapy Journal

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