Development of a Conversion Table Linking Functional Independence Measure Scores to International Classification of Functioning, Disability, and Health Qualifiers: Insights from a Survey of Healthcare Professionals

Author:

Umemori Shu12,Ogawa Mao1ORCID,Yamada Shin3ORCID,Komatsu Masayo4ORCID,Oikawa Emiko5,Okamoto Yasuyo6,Katoh Masaki7,Shirasaka Tomohide8,Abiko Kagari2,Moriizumi Shigehiro9,Matsuo Yuichiro10,Tohyama Harukazu11ORCID,Mukaino Masahiko1

Affiliation:

1. Department of Rehabilitation Medicine, Hokkaido University Hospital, Sapporo 060-8648, Japan

2. Department of Rehabilitation Medicine, Sapporo Azabu Neurosurgical Hospital, Sapporo 065-0022, Japan

3. Department of Rehabilitation Medicine, Kyorin University School of Medicine, Mitaka 181-8611, Japan

4. Division of Environmental Medicine and Population Sciences, Department of Social Medicine, Graduate School of Medicine, Osaka University, Suita 565-0871, Japan

5. General Incorporated Association, Japan ICF Association, Tama 206-0012, Japan

6. Department of Rehabilitation, Hanakawa Hospital, Ishikari 061-3207, Japan

7. Department of Rehabilitation, Fujita Health University Hospital, Toyoake 470-1192, Japan

8. Department of Rehabilitation Medicine, Hokuto Social Medical Corporation Tokachi Rehabilitation Center, Obihiro 080-0833, Japan

9. Department of Rehabilitation Medicine, Moriyama Memorial Hospital, Asahikawa 070-0832, Japan

10. Department of Rehabilitation Medicine, National Hospital Organization Hokkaido Medical Center, Sapporo 063-0005, Japan

11. Faculty of Health Sciences, Hokkaido University, Sapporo 060-0812, Japan

Abstract

In clinical practice, patient assessments rely on established scales. Integrating data from these scales into the International Classification of Functioning, Disability, and Health (ICF) framework has been suggested; however, a standardized approach is lacking. Herein, we tested a new approach to develop a conversion table translating clinical scale scores into ICF qualifiers based on a clinician survey. The survey queried rehabilitation professionals about which functional independence measure (FIM) item scores (1–7) corresponded to the ICF qualifiers (0–4). A total of 458 rehabilitation professionals participated. The survey findings indicated a general consensus on the equivalence of FIM scores with ICF qualifiers. The median value for each item remained consistent across all item groups. Specifically, FIM 1 had a median value of 4; FIM 2 and 3 both had median values of 3; FIM 4 and 5 both had median values of 2; FIM 6 had a median value of 1; and FIM 7 had a median value of 0. Despite limitations due to the irreconcilable differences between the frameworks of existing scales and the ICF, these results underline the ICF’s potential to serve as a central hub for integrating clinical data from various scales.

Funder

Grants for Research on Health and Welfare

APC

Publisher

MDPI AG

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