Cross-cultural validity of functional independence measure items in stroke: a study using Rasch analysis

Asa Lundgren-Nilsson; Gunnar Grimby; Haim Ring; Luigi Tesio; Gemma Lawton; Anita Slade; Massimo Penta; Maria Tripolski; Fin Biering-Sørensen; Jane Carter; Crt Marincek; Suzanne Phillips; Anna Simone; Alan Tennant

doi:10.1080/16501970410032696

Cross-cultural validity of functional independence measure items in stroke: a study using Rasch analysis

Asa Lundgren-Nilsson, Gunnar Grimby, Haim Ring, Luigi Tesio, Gemma Lawton, Anita Slade, Massimo Penta, Maria Tripolski, Fin Biering-Sørensen, Jane Carter, Crt Marincek, Suzanne Phillips, Anna Simone, Alan Tennant

Research output: Contribution to journal › Article › peer-review

56 Citations (Scopus)

Abstract

OBJECTIVE: To analyse cross-cultural validity of the Functional Independence Measure (FIM) in patients with stroke using the Rasch model.

SETTINGS: Thirty-one rehabilitation facilities within 6 different countries in Europe.

PARTICIPANTS: A total of 2546 in-patients at admission, median age 63 years.

METHODS: Data from the FIM were evaluated with the Rasch model, using the Rasch analysis package RUMM2020. A detailed analysis of scoring functions of the 7 categories of the FIM items was undertaken prior to testing fit to the model. Categories were re-scored where necessary. Analysis of Differential Item Functioning was undertaken in pooled data for each of the FIM motor and social-cognitive scales, respectively.

RESULTS: Disordered thresholds were found on most items when using 7 categories. Fit to the Rasch model varied between countries. Differential Item Functioning was found by country for most items. Adequate fit to the Rasch model was achieved when items were treated as unique for each country and after a few country-specific items were removed.

CONCLUSION: Clinical collected data from FIM for patients with stroke cannot be pooled in its raw form, or compared across countries. Comparisons can be made after adjusting for country-specific Differential Item Functioning, though the adjustments for Differential Item Functioning and rating scales may not generalize to other samples.

Original language	English
Pages (from-to)	23-31
Number of pages	9
Journal	Journal of Rehabilitation Medicine
Volume	37
Issue number	1
DOIs	https://doi.org/10.1080/16501970410032696
Publication status	Published - Jan 2005

Keywords

Activities of Daily Living
Aged
Cognition
Cross-Cultural Comparison
Cultural Characteristics
Europe
Female
Humans
Male
Middle Aged
Stroke

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10.1080/16501970410032696

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Lundgren-Nilsson, A., Grimby, G., Ring, H., Tesio, L., Lawton, G., Slade, A., Penta, M., Tripolski, M., Biering-Sørensen, F., Carter, J., Marincek, C., Phillips, S., Simone, A., & Tennant, A. (2005). Cross-cultural validity of functional independence measure items in stroke: a study using Rasch analysis. Journal of Rehabilitation Medicine, 37(1), 23-31. https://doi.org/10.1080/16501970410032696

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title = "Cross-cultural validity of functional independence measure items in stroke: a study using Rasch analysis",

abstract = "OBJECTIVE: To analyse cross-cultural validity of the Functional Independence Measure (FIM) in patients with stroke using the Rasch model.SETTINGS: Thirty-one rehabilitation facilities within 6 different countries in Europe.PARTICIPANTS: A total of 2546 in-patients at admission, median age 63 years.METHODS: Data from the FIM were evaluated with the Rasch model, using the Rasch analysis package RUMM2020. A detailed analysis of scoring functions of the 7 categories of the FIM items was undertaken prior to testing fit to the model. Categories were re-scored where necessary. Analysis of Differential Item Functioning was undertaken in pooled data for each of the FIM motor and social-cognitive scales, respectively.RESULTS: Disordered thresholds were found on most items when using 7 categories. Fit to the Rasch model varied between countries. Differential Item Functioning was found by country for most items. Adequate fit to the Rasch model was achieved when items were treated as unique for each country and after a few country-specific items were removed.CONCLUSION: Clinical collected data from FIM for patients with stroke cannot be pooled in its raw form, or compared across countries. Comparisons can be made after adjusting for country-specific Differential Item Functioning, though the adjustments for Differential Item Functioning and rating scales may not generalize to other samples.",

keywords = "Activities of Daily Living, Aged, Cognition, Cross-Cultural Comparison, Cultural Characteristics, Europe, Female, Humans, Male, Middle Aged, Stroke",

author = "Asa Lundgren-Nilsson and Gunnar Grimby and Haim Ring and Luigi Tesio and Gemma Lawton and Anita Slade and Massimo Penta and Maria Tripolski and Fin Biering-S{\o}rensen and Jane Carter and Crt Marincek and Suzanne Phillips and Anna Simone and Alan Tennant",

year = "2005",

month = jan,

doi = "10.1080/16501970410032696",

language = "English",

volume = "37",

pages = "23--31",

journal = "Journal of Rehabilitation Medicine",

issn = "1650-1977",

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Lundgren-Nilsson, A, Grimby, G, Ring, H, Tesio, L, Lawton, G, Slade, A, Penta, M, Tripolski, M, Biering-Sørensen, F, Carter, J, Marincek, C, Phillips, S, Simone, A & Tennant, A 2005, 'Cross-cultural validity of functional independence measure items in stroke: a study using Rasch analysis', Journal of Rehabilitation Medicine, vol. 37, no. 1, pp. 23-31. https://doi.org/10.1080/16501970410032696

TY - JOUR

T1 - Cross-cultural validity of functional independence measure items in stroke

T2 - a study using Rasch analysis

AU - Lundgren-Nilsson, Asa

AU - Grimby, Gunnar

AU - Ring, Haim

AU - Tesio, Luigi

AU - Lawton, Gemma

AU - Slade, Anita

AU - Penta, Massimo

AU - Tripolski, Maria

AU - Biering-Sørensen, Fin

AU - Carter, Jane

AU - Marincek, Crt

AU - Phillips, Suzanne

AU - Simone, Anna

AU - Tennant, Alan

PY - 2005/1

Y1 - 2005/1

N2 - OBJECTIVE: To analyse cross-cultural validity of the Functional Independence Measure (FIM) in patients with stroke using the Rasch model.SETTINGS: Thirty-one rehabilitation facilities within 6 different countries in Europe.PARTICIPANTS: A total of 2546 in-patients at admission, median age 63 years.METHODS: Data from the FIM were evaluated with the Rasch model, using the Rasch analysis package RUMM2020. A detailed analysis of scoring functions of the 7 categories of the FIM items was undertaken prior to testing fit to the model. Categories were re-scored where necessary. Analysis of Differential Item Functioning was undertaken in pooled data for each of the FIM motor and social-cognitive scales, respectively.RESULTS: Disordered thresholds were found on most items when using 7 categories. Fit to the Rasch model varied between countries. Differential Item Functioning was found by country for most items. Adequate fit to the Rasch model was achieved when items were treated as unique for each country and after a few country-specific items were removed.CONCLUSION: Clinical collected data from FIM for patients with stroke cannot be pooled in its raw form, or compared across countries. Comparisons can be made after adjusting for country-specific Differential Item Functioning, though the adjustments for Differential Item Functioning and rating scales may not generalize to other samples.

AB - OBJECTIVE: To analyse cross-cultural validity of the Functional Independence Measure (FIM) in patients with stroke using the Rasch model.SETTINGS: Thirty-one rehabilitation facilities within 6 different countries in Europe.PARTICIPANTS: A total of 2546 in-patients at admission, median age 63 years.METHODS: Data from the FIM were evaluated with the Rasch model, using the Rasch analysis package RUMM2020. A detailed analysis of scoring functions of the 7 categories of the FIM items was undertaken prior to testing fit to the model. Categories were re-scored where necessary. Analysis of Differential Item Functioning was undertaken in pooled data for each of the FIM motor and social-cognitive scales, respectively.RESULTS: Disordered thresholds were found on most items when using 7 categories. Fit to the Rasch model varied between countries. Differential Item Functioning was found by country for most items. Adequate fit to the Rasch model was achieved when items were treated as unique for each country and after a few country-specific items were removed.CONCLUSION: Clinical collected data from FIM for patients with stroke cannot be pooled in its raw form, or compared across countries. Comparisons can be made after adjusting for country-specific Differential Item Functioning, though the adjustments for Differential Item Functioning and rating scales may not generalize to other samples.

KW - Activities of Daily Living

KW - Aged

KW - Cognition

KW - Cross-Cultural Comparison

KW - Cultural Characteristics

KW - Europe

KW - Female

KW - Humans

KW - Male

KW - Middle Aged

KW - Stroke

U2 - 10.1080/16501970410032696

DO - 10.1080/16501970410032696

M3 - Article

C2 - 15788329

SN - 1650-1977

VL - 37

SP - 23

EP - 31

JO - Journal of Rehabilitation Medicine

JF - Journal of Rehabilitation Medicine

IS - 1

ER -

Cross-cultural validity of functional independence measure items in stroke: a study using Rasch analysis

Abstract

Keywords

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