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  • Title: [Measurement of functional independence: concordance of the assessments SINGER and FIM and consequences for the user].
    Author: Freidel K, Leisse M.
    Journal: Rehabilitation (Stuttg); 2014 Feb; 53(1):43-8. PubMed ID: 24217883.
    Abstract:
    OBJECTIVE: The aim of this study was to evaluate the concordance between the assessments SINGER and FIM, both measurements for detecting functional disabilities in activities of daily living (ADL). METHODS: 301 rehabilitants were assessed with FIM and SINGER in the beginning and at the end of an inpatient rehabilitation program. Correla­tion coefficient, regression analysis, and Kappa statistics were applied to examine the relationship and the concordance between the 2 ADL scales. RESULTS: The assessments were highly correlated (rPearson=0.94). The regression analysis lead to the formula SINGERpred=− 0.004FIM2+1.363FIM – 15.871 with a model fit of R2=0.896. After fixing the limits for a classification due to the functional status, Inter-Rater Reliability (Kappa) was κ=0.69. CONCLUSION: Both measurements can be used for quality assurance, therapy monitoring, and to classify patients considering their functional disability. Criteria are presented to decide which assessment should be selected.
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