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Cross-cultural adaptation and reliability evaluation of Iranian version of Functional Assessment Measure in spinal cord injury patients
Affiliations- Brain and Spinal Injury Research Center (BASIR), Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic Of
- Department of Postgraduate Studies, Faculty of Rehabilitation, Tehran University of Medical Sciences, Int. Campus (TUMS-IC), Tehran, Iran, Islamic Republic Of
- Department of Epidemiology and Biostatistics, Institute of Mother and Child, Warsaw, Poland
- Department of Public Health & Social Medicine, Faculty of Health Sciences with Institute of Maritime and Tropical Medicine, Medical University of Gdansk
- department of neurosurgery
- Faculty of Humanity Sciences, Tarbiat Modares University, Tehran, Iran, Islamic Republic Of
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Abstract
The aim of this study was to translate and validate the Iranian version of the Functional Assessment Measure (FAM) among patients with spinal cord injury (SCI).
Material and methodsTwo hundred patients with SCI participated in this study. A convenience sampling approach was used for selection of the patients. The FAM was translated into Persian language and then independently translated back into English. The reliability of the FAM was assessed by test-retest methods with a 14-day interval for interrater reliability. Intraclass correlation coefficient (ICCs) was calculated and interrater reliability and intrarater reliability were assessed.
ResultsThe mean age of the patients was 35.7 years (SD, 7.2) and 86% of patients were male. The Cronbach alpha coefficient for both raters was above 0.70. Intrarater reliability of the Iranian version of the FAM ranged from good to excellent agreement. The highest level of intrarater reliability was observed for Community mobility (ICC = 0.93). There was good to excellent agreement for interrater reliability of the FAM. The FAM could differentiate between subgroups of patients based on the level of injury but not for the time elapsed from the injury.
ConclusionsBased on the results of this study, the Iranian version of the FAM (FAM-Ir) was highly valid and reliable for evaluation of functional ability in patients with SCI. Therefore, we would suggest that the FAM could also be used as an assessment tool for SCI patients.
Abstract
The aim of this study was to translate and validate the Iranian version of the Functional Assessment Measure (FAM) among patients with spinal cord injury (SCI).
Material and methodsTwo hundred patients with SCI participated in this study. A convenience sampling approach was used for selection of the patients. The FAM was translated into Persian language and then independently translated back into English. The reliability of the FAM was assessed by test-retest methods with a 14-day interval for interrater reliability. Intraclass correlation coefficient (ICCs) was calculated and interrater reliability and intrarater reliability were assessed.
ResultsThe mean age of the patients was 35.7 years (SD, 7.2) and 86% of patients were male. The Cronbach alpha coefficient for both raters was above 0.70. Intrarater reliability of the Iranian version of the FAM ranged from good to excellent agreement. The highest level of intrarater reliability was observed for Community mobility (ICC = 0.93). There was good to excellent agreement for interrater reliability of the FAM. The FAM could differentiate between subgroups of patients based on the level of injury but not for the time elapsed from the injury.
ConclusionsBased on the results of this study, the Iranian version of the FAM (FAM-Ir) was highly valid and reliable for evaluation of functional ability in patients with SCI. Therefore, we would suggest that the FAM could also be used as an assessment tool for SCI patients.
Keywords
spinal cord injury, outcome assessment, rehabilitation, validity, reliability
About this articleTitle
Cross-cultural adaptation and reliability evaluation of Iranian version of Functional Assessment Measure in spinal cord injury patients
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
351-356
Page views
266
Article views/downloads
309
DOI
10.5114/ninp.2012.30268
Bibliographic record
Neurol Neurochir Pol 2012;46(4):351-356.
Keywords
spinal cord injury
outcome assessment
rehabilitation
validity
reliability
Authors
Mohammad Reza Hadian
Mir Saeed Yekaninejad
Forough Salehin
Seyed Hasan Emami Razavi
Abbas Norouzi Javidan
Amir H. Pakpour
Hooshang Saberi
Parivash Safa
