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Validité de la Mesure de l'Indépendance Fonctionnelle (MIF) pour les personnes âgées suivies en réadapation

Published online by Cambridge University Press:  29 November 2010

Louise Demers  and
Francine Giroux
Louise Demers
Affiliation:
Institut universitaire de gériatrie de Montréal
Francine Giroux
Affiliation:
Institut universitaire de gériatrie de Montréal
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Abstract

The Functional Independence Measure (FIM) was developed to assess the burden of care of persons receiving rehabilitation services in regard to self-care activities and social and cognitive skills. Until now, no study has evaluated the validity of the FIM with the elderly without distinction of diagnosis. The purpose of this study was to examine the MIF's factorial structure using a principal components analysis. As a secondary goal, the predictive validity and the internal consistency of the instrument were also examined. Data collected from 120 subjects generated a solution consisting of three factors accounting for 67.6 per cent of the total variance. The first factor (46.6%) represents the handicap concept, the second factor (14.7%) measures disability and the third factor (6.3%) represents disability with a major component of physical involvement of lower extremities. The results of this analysis confirm the multidimensional structure of the FIM and reveal the possibility of a third factor for the elderly. With this population, internal consistency of the instrument, obtained from admission and discharge data, is estimated at 0.92 and 0.96 with Cronbach's alpha. Total FIM score at discharge as well as items related to the handicap factor as measured on admission allow us to correctly predict place of discharge in a proportion of 72.9 per cent of the cases. These results indicate that the FIM bears an interesting potential for measuring rehabilitation outcomes for the elderly.

Résumé

La Mesure de l'Indépendance Fonctionnelle (MIF) a été conçue dans le but de rendre compte de la lourdeur de soins en regard des activités de soins personnels et des capacités cognitives et sociales des personnes suivies en réadaptation. Jusqu'à présent, aucune étude ne s'est attardée à évaluer sa validité auprès de personnes âgées sans distinction de diagnostics. L'objectif principal de cette étude consiste à décrire la structure factorielle de la MIF au moyen d'une analyse par composantes principales. Comme objectifs secondaires, la validité prédictive et la consistance interne de l'instrument sont explorées. Les données recueillies auprès de 120 sujets génèrent une solution comprenant trois facteurs expliquant 67,6 pour cent de la variance totale. Le premier facteur (46,6%) représente le concept de handicap, le deuxième facteur (14,7%) mesure l'incapacité et le troisième facteur (6,3%) représente l'incapacité avec une composante physique majeure des membres inférieurs. Les résultats de cette analyse confirment la structure multidimensionnelle de la MIF et révèlent la possibilité d'un troisième facteur pour les personnes âgées. Avec cette population, la consistance interne de l'instrument, avec les données à l'admission et au congé, est estimée à 0,92 et à 0,96 avec les coefficients alpha de Cronbach. Le score total de la MIF au congé de même que les items reliés au facteur handicap tels que mesurés à l'admission permettent de prédire correctement la destination au congé dans une proportion de 72,9 pour cent des cas. Ces résultats indiquent que la MIF est dotée d'un potentiel intéressant pour mesurer les effets de la réadaptation des personnes âgées.

Keywords

ValidityPrincipal Components AnalysisFunctional Independence MeasureElderlyRehabilitationOutcome MeasureValiditéanalyse par composantes principalesmesure d'indépendance fonctionnellepersonnes âgéesréadaptationmesure des résultats
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 16 , Issue 4 , Hiver/Winter 1997 , pp. 626 - 646
Copyright
Copyright © Canadian Association on Gerontology 1997

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