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논문KCI 등재

Psychometric Properties of the WeeFIM in Korean Children With Cerebral Palsy

박은영|박소연
한국전문물리치료학회 (Korean Research Society of Physical Therapy)|2010.11|한국전문물리치료학회지 (Physical Therapy Korea)|제17권 제4호|pp. 41-48

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참고문헌

키워드

Cerebral palsy; Rasch analysis; WeeFIM.
주제분류물리치료학

초록

The WeeFIM is an outcome measure used worldwide to evaluate the functional abilities of children. The aim of this study was to evaluate the psychometric properties of WeeFIM in Korean children with cerebral palsy (CP) using the Rasch model. The mean age of the participants (92 boys and 53 girls) was 10.6 years (SD=2.3, range 5～15 years). The Winsteps software was used for analyzing the internal construct validity and reliability of WeeFIM. For analyzing the internal validity the motor and cognitive area items of the WeeFIM were analyzed both together and separately. When all 18 items were analyzed, 4 were considered to be misfits; upper extremity dressing, lower extremity dressing, toileting, and comprehension. When only the 13 motor items were analyzed, toileting, bladder management, and bowel management were considered misfits. In addition, only comprehension was considered as a misfit among the 5 cognitive items. The most difficult motor items were stair climbing, and bathing. The simple ones were eating, bowel management, and bladder management. The most difficult cognitive item was problem solving, and the simplest one was comprehension. The person separation indexes and reliability for combined and divided instruments were reported as excellent. These results demonstrated the applicability of WeeFIM to Korean CP children with satisfactory reliability and validity. Further studies should include young children with CP and compare item difficulty among the different types of CP. In addition, the Korean normative data of nondisabled children should be used to compare the cultural differences between Korea and other countries

Abstract

The WeeFIM is an outcome measure used worldwide to evaluate the functional abilities of children. The aim of this study was to evaluate the psychometric properties of WeeFIM in Korean children with cerebral palsy (CP) using the Rasch model. The mean age of the participants (92 boys and 53 girls) was 10.6 years (SD=2.3, range 5～15 years). The Winsteps software was used for analyzing the internal construct validity and reliability of WeeFIM. For analyzing the internal validity the motor and cognitive area items of the WeeFIM were analyzed both together and separately. When all 18 items were analyzed, 4 were considered to be misfits; upper extremity dressing, lower extremity dressing, toileting, and comprehension. When only the 13 motor items were analyzed, toileting, bladder management, and bowel management were considered misfits. In addition, only comprehension was considered as a misfit among the 5 cognitive items. The most difficult motor items were stair climbing, and bathing. The simple ones were eating, bowel management, and bladder management. The most difficult cognitive item was problem solving, and the simplest one was comprehension. The person separation indexes and reliability for combined and divided instruments were reported as excellent. These results demonstrated the applicability of WeeFIM to Korean CP children with satisfactory reliability and validity. Further studies should include young children with CP and compare item difficulty among the different types of CP. In addition, the Korean normative data of nondisabled children should be used to compare the cultural differences between Korea and other countries

참고문헌 (19)

  1. Aybay C, "ADL assessment of nondisabled Turkish children with the WeeFIM instrument", Am J Phys Med Rehabil., 86(3), pp.176~182 (2007)
  2. Bond TG, "Appling the Rasch Model: Fundamental measurement in the human sciences. 2nd ed" (2007), Lawrence Erlbaum Associates
  3. Chen CC, "Psychometric properties and developmental differences in children's ADL item hierarchy: A study of the WeeFIM instrument", Am J Phys Med Rehabil., 84(9), pp.671~679 (2005)
  4. Duncan PW, "Rasch analysis of a new stroke-specific outcome scale: The Stroke Impact Scale", Arch Phys Med Rehabil., 84(7), pp.950~963 (2003)
  5. Finch E, "Physical Rehabilitation Outcome Measures. A guide to enhanced clinical decision making. 2nd ed" (2002), BC Decker Inc
  6. Gunel MK, "Relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy", Eur J Pediatr., 168(4), pp.477~485 (2009)
  7. Jongjit J, "Reliability of the functional independence measure for children in normal Thai children", Pediatr Int., 48(2), pp.132~137 (2006)
  8. Liu M, "Functional Independence Measure for Children (WeeFIM): A preliminary study in nondisabled Japanese children", Am J Phys Med Rehabil., 77(1), pp.36~44 (1998)
  9. Msall ME, "WeeFIM: Normative sample of an instrument for tracking functional independence in children", Clin Pediatr., 33(7), pp.431~438 (1994)
  10. Ottenbacher KJ, "Functional assessment and care of children with neurodevelopmental disabilities", Am J Phys Med Rehabil., 79(2), pp.114~123 (2000)
  11. Ottenbacher KJ, "Interrater agreement and stability of the Functional Independence Measure for Children (WeeFIM): Use in children with developmental disabilities", Arch Phys Med Rehabil., 78(12), pp.1309~1315 (1997)
  12. Ottenbacher KJ, "Measuring developmental and functional status in children with disabilities", Dev Med Child Neurol., 41(3), pp.186~194 (1999)
  13. Tsuji T, "ADL structure for nondisabled Japanese children based on the Functional Independence Measure for Children (WeeFIM)", Am J Phys Med Rehabil., 78(3), pp.208~212 (1999)
  14. Tur BS, "Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey", Dev Med Child Neurol., 51(9), pp.732~738 (2009)
  15. Uniform Data System for Medical Rehabilitation, "WeeFIM System Clinical Guide. Version 5.01" (1998), University of Buffalo
  16. Wong V, "Independence Measure (WeeFIM) for Chinese children: Hong Kong Cohort", Pediatrics, 109(2), pp.E36~ (2002)
  17. Wright BD, "Rating Scale Analysis" (1982), Mesa Press
  18. Yung A, "Outcome measure for paediatric rehabilitation: Use of the Functional Independence Measure for children (WeeFIM). A pilot study in Chinese children with neurodevelopmental disabilities", Pediatr Rehabil, 3(1), pp.21~28 (1999)
  19. Ziviani J, "Concurrent validity of the Functional Independence Measure for Children (WeeFIM) and the Pediatric Evaluation of Disabilities Inventory in children with developmental disabilities and acquired brain injuries", Phys Occup Ther Pediatr., 21(2), pp.91~101 (2001)

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