The Validity and Reliability of the Functional Impairment Checklist (FIC) in the Evaluation of Functional Consequences of Severe Acute Respiratory Distress Syndrome (SARS)
Identifieur interne : 000736 ( Istex/Corpus ); précédent : 000735; suivant : 000737The Validity and Reliability of the Functional Impairment Checklist (FIC) in the Evaluation of Functional Consequences of Severe Acute Respiratory Distress Syndrome (SARS)
Auteurs : Siu Pui Lam ; Eva Tsui ; Kin Sang Chan ; Cindy Lk Lam ; Ho Pui SoSource :
- Quality of Life Research [ 0962-9343 ] ; 2006-03-01.
English descriptors
Abstract
Abstract: Severe acute respiratory distress syndrome (SARS) contributed to significant mortality and morbidity worldwide. We aimed to establish the validity, reliability and responsiveness of the functional impairment checklist (FIC) as a measurement tool for physical dysfunction in SARS survivors. One hundred and sixteeen (65 females and 51 males, mean age 45.6) patients who joined the SARS rehabilitation programme were analysed. The factor analysis yielded two latent factors. The mean FIC-symptom and FIC-disability score were 24.12 (SD ± 20.2) and 26.11 (SD ± 27.32), respectively. Based on the item-scale correlation coefficients, the Cronbach’s alpha coefficients reflecting the internal consistency reliability of scale score were 0.75 for FIC-symptom and 0.86 for FIC-disability. Test–retest reliability in 23 patients showed no statistical significant difference in the FIC scores between tests with intraclass correlation coefficient (ICC) 0.49–0.57. The FIC scales correlated both with 6 munute walking test (6MWT) distance (−0.26 and −0.38) and handgrip strength (HGS) (−0.20 and −0.27). Moreover, the FIC scales correlated with St. George’s respiratory questionnaire (SGRQ) (0.19 to 0.52) and short form 36 Hong Kong (SF-36) domains (−0.19 to −0.59). Both FIC scales correlated stronger with physical component summary (PCS) (−0.41 and −0.55) than with mental component summary (MCS) (−0.30 and −0.23). FIC reduced significantly at 6 months while the SF-36 PCS and MCS did not show any change. In conclusion, the study results indicate the FIC is reliable, valid and responsive to change in symptom and disability as a consequence of SARS, suggesting it may provide a means of assessing health related quality of life (HRQOL) outcomes in a longitudinal follow up.
Url:
DOI: 10.1007/s11136-005-1463-5
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<front><div type="abstract" xml:lang="en">Abstract: Severe acute respiratory distress syndrome (SARS) contributed to significant mortality and morbidity worldwide. We aimed to establish the validity, reliability and responsiveness of the functional impairment checklist (FIC) as a measurement tool for physical dysfunction in SARS survivors. One hundred and sixteeen (65 females and 51 males, mean age 45.6) patients who joined the SARS rehabilitation programme were analysed. The factor analysis yielded two latent factors. The mean FIC-symptom and FIC-disability score were 24.12 (SD ± 20.2) and 26.11 (SD ± 27.32), respectively. Based on the item-scale correlation coefficients, the Cronbach’s alpha coefficients reflecting the internal consistency reliability of scale score were 0.75 for FIC-symptom and 0.86 for FIC-disability. Test–retest reliability in 23 patients showed no statistical significant difference in the FIC scores between tests with intraclass correlation coefficient (ICC) 0.49–0.57. The FIC scales correlated both with 6 munute walking test (6MWT) distance (−0.26 and −0.38) and handgrip strength (HGS) (−0.20 and −0.27). Moreover, the FIC scales correlated with St. George’s respiratory questionnaire (SGRQ) (0.19 to 0.52) and short form 36 Hong Kong (SF-36) domains (−0.19 to −0.59). Both FIC scales correlated stronger with physical component summary (PCS) (−0.41 and −0.55) than with mental component summary (MCS) (−0.30 and −0.23). FIC reduced significantly at 6 months while the SF-36 PCS and MCS did not show any change. In conclusion, the study results indicate the FIC is reliable, valid and responsive to change in symptom and disability as a consequence of SARS, suggesting it may provide a means of assessing health related quality of life (HRQOL) outcomes in a longitudinal follow up.</div>
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<JournalElectronicISSN>1573-2649</JournalElectronicISSN>
<JournalSPIN>QURE</JournalSPIN>
<JournalTitle>Quality of Life Research</JournalTitle>
<JournalSubTitle>An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - Official Journal of the International Society of Quality of Life Res</JournalSubTitle>
<JournalAbbreviatedTitle>Qual Life Res</JournalAbbreviatedTitle>
<JournalSubjectGroup><JournalSubject Type="Primary">Medicine & Public Health</JournalSubject>
<JournalSubject Type="Secondary">Public Health/Gesundheitswesen</JournalSubject>
<JournalSubject Type="Secondary">Quality of Life Research</JournalSubject>
<JournalSubject Type="Secondary">Sociology</JournalSubject>
</JournalSubjectGroup>
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<Volume><VolumeInfo TocLevels="0" VolumeType="Regular"><VolumeIDStart>15</VolumeIDStart>
<VolumeIDEnd>15</VolumeIDEnd>
<VolumeIssueCount>10</VolumeIssueCount>
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<IssueHistory><CoverDate><Year>2006</Year>
<Month>03</Month>
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<CopyrightYear>2006</CopyrightYear>
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<Article ID="DO00021463"><ArticleInfo ArticleType="OriginalPaper" ContainsESM="No" Language="En" NumberingStyle="Unnumbered" TocLevels="0"><ArticleID>1463</ArticleID>
<ArticleDOI>10.1007/s11136-005-1463-5</ArticleDOI>
<ArticleSequenceNumber>3</ArticleSequenceNumber>
<ArticleTitle Language="En">The Validity and Reliability of the Functional Impairment Checklist (FIC) in the Evaluation of Functional Consequences of Severe Acute Respiratory Distress Syndrome (SARS)</ArticleTitle>
<ArticleCategory>Instrument Development and Evaluation</ArticleCategory>
<ArticleFirstPage>217</ArticleFirstPage>
<ArticleLastPage>231</ArticleLastPage>
<ArticleHistory><RegistrationDate><Year>2005</Year>
<Month>07</Month>
<Day>29</Day>
</RegistrationDate>
<Accepted><Year>2005</Year>
<Month>07</Month>
<Day>28</Day>
</Accepted>
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<CopyrightYear>2006</CopyrightYear>
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<ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1 Aff5" CorrespondingAffiliationID="Aff5"><AuthorName DisplayOrder="Western"><GivenName>Siu</GivenName>
<GivenName>Pui</GivenName>
<FamilyName>Lam</FamilyName>
</AuthorName>
<Contact><Email>lamsp@ha.org.hk</Email>
</Contact>
</Author>
<Author AffiliationIDS="Aff2"><AuthorName DisplayOrder="Western"><GivenName>Eva</GivenName>
<FamilyName>Tsui</FamilyName>
</AuthorName>
</Author>
<Author AffiliationIDS="Aff3"><AuthorName DisplayOrder="Western"><GivenName>Kin</GivenName>
<GivenName>Sang</GivenName>
<FamilyName>Chan</FamilyName>
</AuthorName>
</Author>
<Author AffiliationIDS="Aff4"><AuthorName DisplayOrder="Western"><GivenName>Cindy</GivenName>
<GivenName>LK</GivenName>
<FamilyName>Lam</FamilyName>
</AuthorName>
</Author>
<Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Ho</GivenName>
<GivenName>Pui</GivenName>
<FamilyName>So</FamilyName>
</AuthorName>
</Author>
<Affiliation ID="Aff1"><OrgDivision>Department of Rehabilitation & Extended Care</OrgDivision>
<OrgName>TWGHs Wong Tai Sin Hospital</OrgName>
<OrgAddress><Street>124 Shatin Pass Road</Street>
<City>Kowloon</City>
<State>Wong Tai Sin</State>
<Country Code="HK">Hong Kong</Country>
</OrgAddress>
</Affiliation>
<Affiliation ID="Aff2"><OrgDivision>Statistics & Research Unit</OrgDivision>
<OrgName>Hospital Authority Head Office</OrgName>
<OrgAddress><Country Code="HK">Hong Kong</Country>
</OrgAddress>
</Affiliation>
<Affiliation ID="Aff3"><OrgDivision>Pulmonary & Palliative Care Unit</OrgDivision>
<OrgName>Haven of Hope Hospital</OrgName>
<OrgAddress><Country Code="HK">Hong Kong</Country>
</OrgAddress>
</Affiliation>
<Affiliation ID="Aff4"><OrgDivision>Family Medicine Unit, Department of Medicine</OrgDivision>
<OrgName>The University of Hong Kong</OrgName>
<OrgAddress><Country Code="HK">Hong Kong</Country>
</OrgAddress>
</Affiliation>
<Affiliation ID="Aff5"><OrgDivision>Department of Rehabilitation & Extended care</OrgDivision>
<OrgName>Wong Tai Sin Hospital</OrgName>
<OrgAddress><City>Kowloon</City>
<Country Code="HK">Hong Kong</Country>
</OrgAddress>
</Affiliation>
</AuthorGroup>
<Abstract ID="Abs1" Language="En"><Heading>Abstract</Heading>
<Para>Severe acute respiratory distress syndrome (SARS) contributed to significant mortality and morbidity worldwide. We aimed to establish the validity, reliability and responsiveness of the functional impairment checklist (FIC) as a measurement tool for physical dysfunction in SARS survivors. One hundred and sixteeen (65 females and 51 males, mean age 45.6) patients who joined the SARS rehabilitation programme were analysed. The factor analysis yielded two latent factors. The mean FIC-symptom and FIC-disability score were 24.12 (SD ± 20.2) and 26.11 (SD ± 27.32), respectively. Based on the item-scale correlation coefficients, the Cronbach’s alpha coefficients reflecting the internal consistency reliability of scale score were 0.75 for FIC-symptom and 0.86 for FIC-disability. Test–retest reliability in 23 patients showed no statistical significant difference in the FIC scores between tests with intraclass correlation coefficient (ICC) 0.49–0.57. The FIC scales correlated both with 6 munute walking test (6MWT) distance (−0.26 and −0.38) and handgrip strength (HGS) (−0.20 and −0.27). Moreover, the FIC scales correlated with St. George’s respiratory questionnaire (SGRQ) (0.19 to 0.52) and short form 36 Hong Kong (SF-36) domains (−0.19 to −0.59). Both FIC scales correlated stronger with physical component summary (PCS) (−0.41 and −0.55) than with mental component summary (MCS) (−0.30 and −0.23). FIC reduced significantly at 6 months while the SF-36 PCS and MCS did not show any change. In conclusion, the study results indicate the FIC is reliable, valid and responsive to change in symptom and disability as a consequence of SARS, suggesting it may provide a means of assessing health related quality of life (HRQOL) outcomes in a longitudinal follow up.</Para>
</Abstract>
<KeywordGroup Language="En"><Heading>Keywords</Heading>
<Keyword>Function impairment checklist</Keyword>
<Keyword>HRQOL</Keyword>
<Keyword>Physical dysfunction</Keyword>
<Keyword>SARS</Keyword>
</KeywordGroup>
<AbbreviationGroup><Heading>Abbreviations</Heading>
<DefinitionList><DefinitionListEntry><Term>FIC</Term>
<Description><Para>function impairment checklist</Para>
</Description>
</DefinitionListEntry>
<DefinitionListEntry><Term>HRQOL</Term>
<Description><Para>health related quality of life</Para>
</Description>
</DefinitionListEntry>
<DefinitionListEntry><Term>ICC</Term>
<Description><Para>intraclass correlation coefficients</Para>
</Description>
</DefinitionListEntry>
<DefinitionListEntry><Term>MCS</Term>
<Description><Para>SF-36 mental component summary</Para>
</Description>
</DefinitionListEntry>
<DefinitionListEntry><Term>6MWT</Term>
<Description><Para>6 minute walking test</Para>
</Description>
</DefinitionListEntry>
<DefinitionListEntry><Term>PCS</Term>
<Description><Para>SF-36 physical component summary</Para>
</Description>
</DefinitionListEntry>
<DefinitionListEntry><Term>SARS</Term>
<Description><Para>severe acute respiratory syndrome</Para>
</Description>
</DefinitionListEntry>
<DefinitionListEntry><Term>SF-36</Term>
<Description><Para>short form 36 Hong Kong</Para>
</Description>
</DefinitionListEntry>
<DefinitionListEntry><Term>SGRQ</Term>
<Description><Para>St. George’s respiratory questionnaire</Para>
</Description>
</DefinitionListEntry>
</DefinitionList>
</AbbreviationGroup>
</ArticleHeader>
<NoBody></NoBody>
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</Volume>
</Journal>
</Publisher>
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<abstract lang="en">Abstract: Severe acute respiratory distress syndrome (SARS) contributed to significant mortality and morbidity worldwide. We aimed to establish the validity, reliability and responsiveness of the functional impairment checklist (FIC) as a measurement tool for physical dysfunction in SARS survivors. One hundred and sixteeen (65 females and 51 males, mean age 45.6) patients who joined the SARS rehabilitation programme were analysed. The factor analysis yielded two latent factors. The mean FIC-symptom and FIC-disability score were 24.12 (SD ± 20.2) and 26.11 (SD ± 27.32), respectively. Based on the item-scale correlation coefficients, the Cronbach’s alpha coefficients reflecting the internal consistency reliability of scale score were 0.75 for FIC-symptom and 0.86 for FIC-disability. Test–retest reliability in 23 patients showed no statistical significant difference in the FIC scores between tests with intraclass correlation coefficient (ICC) 0.49–0.57. The FIC scales correlated both with 6 munute walking test (6MWT) distance (−0.26 and −0.38) and handgrip strength (HGS) (−0.20 and −0.27). Moreover, the FIC scales correlated with St. George’s respiratory questionnaire (SGRQ) (0.19 to 0.52) and short form 36 Hong Kong (SF-36) domains (−0.19 to −0.59). Both FIC scales correlated stronger with physical component summary (PCS) (−0.41 and −0.55) than with mental component summary (MCS) (−0.30 and −0.23). FIC reduced significantly at 6 months while the SF-36 PCS and MCS did not show any change. In conclusion, the study results indicate the FIC is reliable, valid and responsive to change in symptom and disability as a consequence of SARS, suggesting it may provide a means of assessing health related quality of life (HRQOL) outcomes in a longitudinal follow up.</abstract>
<note>Instrument Development and Evaluation</note>
<subject lang="en"><genre>Keywords</genre>
<topic>Function impairment checklist</topic>
<topic>HRQOL</topic>
<topic>Physical dysfunction</topic>
<topic>SARS</topic>
</subject>
<subject><genre>Abbreviations</genre>
<topic>FIC : function impairment checklist</topic>
<topic>HRQOL : health related quality of life</topic>
<topic>ICC : intraclass correlation coefficients</topic>
<topic>MCS : SF-36 mental component summary</topic>
<topic>6MWT : 6 minute walking test</topic>
<topic>PCS : SF-36 physical component summary</topic>
<topic>SARS : severe acute respiratory syndrome</topic>
<topic>SF-36 : short form 36 Hong Kong</topic>
<topic>SGRQ : St. George’s respiratory questionnaire</topic>
</subject>
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