Paul W Twose1, Matt P Wise2, Stephanie Enright3. 1. a Department of Physiotherapy and. 2. b Department of Critical Care , Cardiff and Vale University Health Board, University Hospital of Wales , Cardiff , UK , and. 3. c School of Physiotherapy, Cardiff University , Heath Park Campus , Cardiff , UK.
Abstract
INTRODUCTION: In 2009, the National Institute for Health and Clinical Excellence (NICE) developed guidelines, which recognized that rehabilitation plays a vital role in recovery from illness and in returning patients to their previous activity levels. NICE recommended the use of valid and reliable "outcome measures" as an evaluation tool. AIM: To develop and evaluate the validity and reliability of a new Critical Care Functional Rehabilitation Outcome Measure (CcFROM). METHOD: The CcFROM was developed by physiotherapists working within the authors' institution and was based on an evaluation of current measures. Face and content validity were investigated using a questionnaire posted to 21 physiotherapists. Same-day and between-day intra-rater reliability and inter-rater reliability were investigated by three physiotherapists viewing 20 physiotherapy rehabilitation sessions and completing the CcFROM. Data were analysed for relative and absolute reliability. RESULTS: The questionnaire demonstrated very high face validity and moderate content validity. 43% of the physiotherapists also suggested including an upper limb activity. Clinically acceptable same-day and between-day intra-rater reliability was demonstrated with ICCs of 0.985 (CI, 0.968-0.993) and 0.985 (CI, 0.871-0.972), respectively. Inter-rater reliability was recorded with an ICC of 0.906 (CI: 0.816-0.959). CONCLUSION: This study has shown that the CcFROM is a valid and reliable outcome measure for use in Critical Care.
INTRODUCTION: In 2009, the National Institute for Health and Clinical Excellence (NICE) developed guidelines, which recognized that rehabilitation plays a vital role in recovery from illness and in returning patients to their previous activity levels. NICE recommended the use of valid and reliable "outcome measures" as an evaluation tool. AIM: To develop and evaluate the validity and reliability of a new Critical Care Functional Rehabilitation Outcome Measure (CcFROM). METHOD: The CcFROM was developed by physiotherapists working within the authors' institution and was based on an evaluation of current measures. Face and content validity were investigated using a questionnaire posted to 21 physiotherapists. Same-day and between-day intra-rater reliability and inter-rater reliability were investigated by three physiotherapists viewing 20 physiotherapy rehabilitation sessions and completing the CcFROM. Data were analysed for relative and absolute reliability. RESULTS: The questionnaire demonstrated very high face validity and moderate content validity. 43% of the physiotherapists also suggested including an upper limb activity. Clinically acceptable same-day and between-day intra-rater reliability was demonstrated with ICCs of 0.985 (CI, 0.968-0.993) and 0.985 (CI, 0.871-0.972), respectively. Inter-rater reliability was recorded with an ICC of 0.906 (CI: 0.816-0.959). CONCLUSION: This study has shown that the CcFROM is a valid and reliable outcome measure for use in Critical Care.
Authors: Luiz Alberto Forgiarini Júnior; Brenda Lilja da Fontoura; Desirée Ribeiro Kobylinski; Soraia Genebra Ibrahim Forgiarini; Vinicius Maldaner Journal: Rev Bras Ter Intensiva Date: 2022 Apr-Jun