Elizabeth Marfeo1, Pengsheng Ni2, Chun Wang3, David Weiss4, Andrea L Cheville5. 1. Department of Occupational Therapy, Tufts University, Medford, MA. Electronic address: elizabeth.marfeo@tufts.edu. 2. Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, MA. 3. College of Education, University of Washington, Seattle, WA. 4. Department of Psychology, University of Minnesota; Minneapolis, MN. 5. Department of Physical Medicine and Rehabilitation Mayo Clinic, Rochester, MN.
Abstract
OBJECTIVE: To develop a system to guide interpretation of scores generated from the newly developed item response theory (IRT)-based Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT), which assesses 3 important domains of function: Mobility, Daily Activities, and Applied Cognition. DESIGN: Cross-sectional data was used to inform a modified Delphi approach to establish FAMCAT cutpoints delineating various functional ability levels. SETTING: Large midwestern academic teaching hospital. PARTICIPANTS: Patients hospitalized to an inpatient medical service (N=2049). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: FAMCAT Basic Mobility, Daily Activity, and Applied Cognition scores. RESULTS: IRT-based score estimation data was successfully integrated with expert clinical feedback using a modified Delphi process to arrive at consensus yielding 4 functional level strata (ranging from bed-based mobility to independent mobility) for both the FAMCAT Mobility and Daily Activity scales; 1 cutpoint was supported to delineate 2 functional strata for Applied Cognition. CONCLUSIONS: Meaningful cutpoints were established for each FAMCAT domain using a data-informed, modified Delphi process for achieving consensus. The resulting FAMCAT interpretation guide may be used to develop an ability-matched mobility preservation program and identify patients who may require a higher level of supervision based on the resulting FAMCAT scores.
OBJECTIVE: To develop a system to guide interpretation of scores generated from the newly developed item response theory (IRT)-based Functional Assessment in Acute Care Multidimensional Computerized Adaptive Test (FAMCAT), which assesses 3 important domains of function: Mobility, Daily Activities, and Applied Cognition. DESIGN: Cross-sectional data was used to inform a modified Delphi approach to establish FAMCAT cutpoints delineating various functional ability levels. SETTING: Large midwestern academic teaching hospital. PARTICIPANTS: Patients hospitalized to an inpatient medical service (N=2049). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: FAMCAT Basic Mobility, Daily Activity, and Applied Cognition scores. RESULTS: IRT-based score estimation data was successfully integrated with expert clinical feedback using a modified Delphi process to arrive at consensus yielding 4 functional level strata (ranging from bed-based mobility to independent mobility) for both the FAMCAT Mobility and Daily Activity scales; 1 cutpoint was supported to delineate 2 functional strata for Applied Cognition. CONCLUSIONS: Meaningful cutpoints were established for each FAMCAT domain using a data-informed, modified Delphi process for achieving consensus. The resulting FAMCAT interpretation guide may be used to develop an ability-matched mobility preservation program and identify patients who may require a higher level of supervision based on the resulting FAMCAT scores.
Authors: Stephen M Haley; Wendy J Coster; Patricia L Andres; Larry H Ludlow; Pengsheg Ni; Tamara L Y Bond; Samuel J Sinclair; Alan M Jette Journal: Med Care Date: 2004-01 Impact factor: 2.983
Authors: Peter E Morris; Leah Griffin; Michael Berry; Clif Thompson; R Duncan Hite; Chris Winkelman; Ramona O Hopkins; Amelia Ross; Luz Dixon; Susan Leach; Edward Haponik Journal: Am J Med Sci Date: 2011-05 Impact factor: 2.378
Authors: Anne L Escaron; Rosy Chang Weir; Petra Stanton; Sitaram Vangala; Tristan R Grogan; Robin M Clarke Journal: Health Promot Pract Date: 2015-11-03
Authors: Chun Wang; David J Weiss; Shiyang Su; King Yiu Suen; Jeffrey Basford; Andrea L Cheville Journal: Arch Phys Med Rehabil Date: 2022-01-25 Impact factor: 4.060
Authors: Elizabeth Marfeo; Pengsheng Ni; Chun Wang; David Weiss; Andrea L Cheville Journal: Arch Phys Med Rehabil Date: 2021-12-26 Impact factor: 4.060