Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey
The Functional Independence Measure for Children (WeeFIM) instrument has recently been adapted and validated for non‐disabled children in Turkey. The aim of this study was to validate the instrument in children with cerebral palsy (CP). One hundred and thirty‐four children with CP were assessed usin...
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| Veröffentlicht in: | Developmental medicine and child neurology 2009-09, Vol.51 (9), p.732-738 |
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| creator | TUR, BIRKAN SONEL KÜÇÜKDEVECI, AYŞE A KUTLAY, ŞEHIM YAVUZER, GÜNEŞ ELHAN, ATILLA H TENNANT, ALAN |
| description | The Functional Independence Measure for Children (WeeFIM) instrument has recently been adapted and validated for non‐disabled children in Turkey. The aim of this study was to validate the instrument in children with cerebral palsy (CP). One hundred and thirty‐four children with CP were assessed using the WeeFIM. Reliability was tested by internal consistency, intraclass and interrater correlation coefficients (ICCs), internal construct validity by Rasch analysis, and external construct validity by correlation with the Denver II Development Test (Denver II). Mean age of the participants (70 females, 64 males) was 4y 6mo (SD 3y 8mo, range 6mo–16y). CP type was: diplegia in 37.3%, hemiplegia in 20.2%, quadriplegia in 8.2%, ‘baby at risk’ (i.e. infants who show neuromotor delay but cannot be classified in a CP type) in 29.9%, and other in 4.5%. Reliability of the WeeFIM was excellent with high Cronbach’s alpha and ICC values ranging between 0.91 and 0.98 for the motor and cognitive scales. After collapsing response categories, both motor and cognitive scales met Rasch model expectations. Unidimensionality of the motor scale was confirmed after adjustment for local dependency of items. There was no substantive differential item functioning and strict unidimensionality for both scales was shown by analysis of the residuals. External construct validity was supported by expected high correlations with developmental ages determined by the social, fine motor function, language, and gross motor function domains of the Denver II. We conclude that the WeeFIM is a reliable and valid instrument for evaluating the functional status of Turkish children with CP. |
| doi_str_mv | 10.1111/j.1469-8749.2008.03255.x |
| format | Article |
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The aim of this study was to validate the instrument in children with cerebral palsy (CP). One hundred and thirty‐four children with CP were assessed using the WeeFIM. Reliability was tested by internal consistency, intraclass and interrater correlation coefficients (ICCs), internal construct validity by Rasch analysis, and external construct validity by correlation with the Denver II Development Test (Denver II). Mean age of the participants (70 females, 64 males) was 4y 6mo (SD 3y 8mo, range 6mo–16y). CP type was: diplegia in 37.3%, hemiplegia in 20.2%, quadriplegia in 8.2%, ‘baby at risk’ (i.e. infants who show neuromotor delay but cannot be classified in a CP type) in 29.9%, and other in 4.5%. Reliability of the WeeFIM was excellent with high Cronbach’s alpha and ICC values ranging between 0.91 and 0.98 for the motor and cognitive scales. After collapsing response categories, both motor and cognitive scales met Rasch model expectations. Unidimensionality of the motor scale was confirmed after adjustment for local dependency of items. There was no substantive differential item functioning and strict unidimensionality for both scales was shown by analysis of the residuals. External construct validity was supported by expected high correlations with developmental ages determined by the social, fine motor function, language, and gross motor function domains of the Denver II. We conclude that the WeeFIM is a reliable and valid instrument for evaluating the functional status of Turkish children with CP.</description><identifier>ISSN: 0012-1622</identifier><identifier>EISSN: 1469-8749</identifier><identifier>DOI: 10.1111/j.1469-8749.2008.03255.x</identifier><identifier>PMID: 19207295</identifier><identifier>CODEN: DMCNAW</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Age Factors ; Assistive Technology ; Caregivers ; Cerebral Palsy ; Cerebral Palsy - physiopathology ; Cerebral Palsy - psychology ; Child ; Child Development ; Child Health ; Child, Preschool ; Childhood Needs ; Cognition ; Cohort Studies ; College Faculty ; Congenital Impairments ; Construct Validity ; Correlation ; Developmental Disabilities ; Disability Evaluation ; Examiners ; Female ; Functional Behavioral Assessment ; Health Status Indicators ; Humans ; Infant ; Interpersonal Relationship ; Interrater Reliability ; Language Aptitude ; Male ; Motor Activity ; Observation ; Perceptual Motor Coordination ; Psychometrics ; Rating Scales ; Reproducibility of Results ; Social Cognition ; Test Bias ; Turkey ; Validity</subject><ispartof>Developmental medicine and child neurology, 2009-09, Vol.51 (9), p.732-738</ispartof><rights>The Authors. Journal compilation © Mac Keith Press 2009</rights><rights>Copyright Mac Keith Press Sep 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4455-ec634eee51144b139cd38363dcab73f80b81166c971e84f917f82104e769d4ba3</citedby><cites>FETCH-LOGICAL-c4455-ec634eee51144b139cd38363dcab73f80b81166c971e84f917f82104e769d4ba3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1469-8749.2008.03255.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1469-8749.2008.03255.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,1430,27911,27912,45561,45562,46396,46820</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19207295$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TUR, BIRKAN SONEL</creatorcontrib><creatorcontrib>KÜÇÜKDEVECI, AYŞE A</creatorcontrib><creatorcontrib>KUTLAY, ŞEHIM</creatorcontrib><creatorcontrib>YAVUZER, GÜNEŞ</creatorcontrib><creatorcontrib>ELHAN, ATILLA H</creatorcontrib><creatorcontrib>TENNANT, ALAN</creatorcontrib><title>Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey</title><title>Developmental medicine and child neurology</title><addtitle>Dev Med Child Neurol</addtitle><description>The Functional Independence Measure for Children (WeeFIM) instrument has recently been adapted and validated for non‐disabled children in Turkey. The aim of this study was to validate the instrument in children with cerebral palsy (CP). One hundred and thirty‐four children with CP were assessed using the WeeFIM. Reliability was tested by internal consistency, intraclass and interrater correlation coefficients (ICCs), internal construct validity by Rasch analysis, and external construct validity by correlation with the Denver II Development Test (Denver II). Mean age of the participants (70 females, 64 males) was 4y 6mo (SD 3y 8mo, range 6mo–16y). CP type was: diplegia in 37.3%, hemiplegia in 20.2%, quadriplegia in 8.2%, ‘baby at risk’ (i.e. infants who show neuromotor delay but cannot be classified in a CP type) in 29.9%, and other in 4.5%. Reliability of the WeeFIM was excellent with high Cronbach’s alpha and ICC values ranging between 0.91 and 0.98 for the motor and cognitive scales. After collapsing response categories, both motor and cognitive scales met Rasch model expectations. Unidimensionality of the motor scale was confirmed after adjustment for local dependency of items. There was no substantive differential item functioning and strict unidimensionality for both scales was shown by analysis of the residuals. External construct validity was supported by expected high correlations with developmental ages determined by the social, fine motor function, language, and gross motor function domains of the Denver II. We conclude that the WeeFIM is a reliable and valid instrument for evaluating the functional status of Turkish children with CP.</description><subject>Age Factors</subject><subject>Assistive Technology</subject><subject>Caregivers</subject><subject>Cerebral Palsy</subject><subject>Cerebral Palsy - physiopathology</subject><subject>Cerebral Palsy - psychology</subject><subject>Child</subject><subject>Child Development</subject><subject>Child Health</subject><subject>Child, Preschool</subject><subject>Childhood Needs</subject><subject>Cognition</subject><subject>Cohort Studies</subject><subject>College Faculty</subject><subject>Congenital Impairments</subject><subject>Construct Validity</subject><subject>Correlation</subject><subject>Developmental Disabilities</subject><subject>Disability Evaluation</subject><subject>Examiners</subject><subject>Female</subject><subject>Functional Behavioral Assessment</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Infant</subject><subject>Interpersonal Relationship</subject><subject>Interrater Reliability</subject><subject>Language Aptitude</subject><subject>Male</subject><subject>Motor Activity</subject><subject>Observation</subject><subject>Perceptual Motor Coordination</subject><subject>Psychometrics</subject><subject>Rating Scales</subject><subject>Reproducibility of Results</subject><subject>Social Cognition</subject><subject>Test Bias</subject><subject>Turkey</subject><subject>Validity</subject><issn>0012-1622</issn><issn>1469-8749</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkE1r3DAQhkVpaLab_oUieujNjkaS9XEplE3TLOTrkJCjsOUx6413vZVsNv73tbNLCj1lLho0z7wMDyEUWApjna9TkMomRkubcsZMygTPsvTlA5m9DT6SGWPAE1Ccn5LPMa4ZY0Jl8hM5BcuZ5jabkbv7OPhVu8Eu1J7uQrvD0NUYaVvRboX0CfFyeUPrLfWruikDbum-7lbUY8Ai5A3d5U0cpvlDH55xOCMn1fiDX47vnDxe_npYXCXXd7-Xi5_XiZcyyxL0SkhEzACkLEBYXwojlCh9XmhRGVYYAKW81YBGVhZ0ZTgwiVrZUha5mJPvh9zx5D89xs5t6uixafIttn10SisALeQIfvsPXLd92I63ObCZYlYbPkLmAPnQxhiwcrtQb_IwOGBuMu7WbhLrJrFuMu5ejbuXcfXrMb8vNlj-WzwqHoEfB2BfNzi8O9hd3Cxup1b8BR38jj0</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>TUR, BIRKAN SONEL</creator><creator>KÜÇÜKDEVECI, AYŞE A</creator><creator>KUTLAY, ŞEHIM</creator><creator>YAVUZER, GÜNEŞ</creator><creator>ELHAN, ATILLA H</creator><creator>TENNANT, ALAN</creator><general>Blackwell Publishing Ltd</general><general>Mac Keith Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>200909</creationdate><title>Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey</title><author>TUR, BIRKAN SONEL ; KÜÇÜKDEVECI, AYŞE A ; KUTLAY, ŞEHIM ; YAVUZER, GÜNEŞ ; ELHAN, ATILLA H ; TENNANT, ALAN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4455-ec634eee51144b139cd38363dcab73f80b81166c971e84f917f82104e769d4ba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Age Factors</topic><topic>Assistive Technology</topic><topic>Caregivers</topic><topic>Cerebral Palsy</topic><topic>Cerebral Palsy - physiopathology</topic><topic>Cerebral Palsy - psychology</topic><topic>Child</topic><topic>Child Development</topic><topic>Child Health</topic><topic>Child, Preschool</topic><topic>Childhood Needs</topic><topic>Cognition</topic><topic>Cohort Studies</topic><topic>College Faculty</topic><topic>Congenital Impairments</topic><topic>Construct Validity</topic><topic>Correlation</topic><topic>Developmental Disabilities</topic><topic>Disability Evaluation</topic><topic>Examiners</topic><topic>Female</topic><topic>Functional Behavioral Assessment</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Infant</topic><topic>Interpersonal Relationship</topic><topic>Interrater Reliability</topic><topic>Language Aptitude</topic><topic>Male</topic><topic>Motor Activity</topic><topic>Observation</topic><topic>Perceptual Motor Coordination</topic><topic>Psychometrics</topic><topic>Rating Scales</topic><topic>Reproducibility of Results</topic><topic>Social Cognition</topic><topic>Test Bias</topic><topic>Turkey</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TUR, BIRKAN SONEL</creatorcontrib><creatorcontrib>KÜÇÜKDEVECI, AYŞE A</creatorcontrib><creatorcontrib>KUTLAY, ŞEHIM</creatorcontrib><creatorcontrib>YAVUZER, GÜNEŞ</creatorcontrib><creatorcontrib>ELHAN, ATILLA H</creatorcontrib><creatorcontrib>TENNANT, ALAN</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Developmental medicine and child neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TUR, BIRKAN SONEL</au><au>KÜÇÜKDEVECI, AYŞE A</au><au>KUTLAY, ŞEHIM</au><au>YAVUZER, GÜNEŞ</au><au>ELHAN, ATILLA H</au><au>TENNANT, ALAN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey</atitle><jtitle>Developmental medicine and child neurology</jtitle><addtitle>Dev Med Child Neurol</addtitle><date>2009-09</date><risdate>2009</risdate><volume>51</volume><issue>9</issue><spage>732</spage><epage>738</epage><pages>732-738</pages><issn>0012-1622</issn><eissn>1469-8749</eissn><coden>DMCNAW</coden><abstract>The Functional Independence Measure for Children (WeeFIM) instrument has recently been adapted and validated for non‐disabled children in Turkey. The aim of this study was to validate the instrument in children with cerebral palsy (CP). One hundred and thirty‐four children with CP were assessed using the WeeFIM. Reliability was tested by internal consistency, intraclass and interrater correlation coefficients (ICCs), internal construct validity by Rasch analysis, and external construct validity by correlation with the Denver II Development Test (Denver II). Mean age of the participants (70 females, 64 males) was 4y 6mo (SD 3y 8mo, range 6mo–16y). CP type was: diplegia in 37.3%, hemiplegia in 20.2%, quadriplegia in 8.2%, ‘baby at risk’ (i.e. infants who show neuromotor delay but cannot be classified in a CP type) in 29.9%, and other in 4.5%. Reliability of the WeeFIM was excellent with high Cronbach’s alpha and ICC values ranging between 0.91 and 0.98 for the motor and cognitive scales. After collapsing response categories, both motor and cognitive scales met Rasch model expectations. Unidimensionality of the motor scale was confirmed after adjustment for local dependency of items. There was no substantive differential item functioning and strict unidimensionality for both scales was shown by analysis of the residuals. External construct validity was supported by expected high correlations with developmental ages determined by the social, fine motor function, language, and gross motor function domains of the Denver II. We conclude that the WeeFIM is a reliable and valid instrument for evaluating the functional status of Turkish children with CP.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19207295</pmid><doi>10.1111/j.1469-8749.2008.03255.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Age Factors Assistive Technology Caregivers Cerebral Palsy Cerebral Palsy - physiopathology Cerebral Palsy - psychology Child Child Development Child Health Child, Preschool Childhood Needs Cognition Cohort Studies College Faculty Congenital Impairments Construct Validity Correlation Developmental Disabilities Disability Evaluation Examiners Female Functional Behavioral Assessment Health Status Indicators Humans Infant Interpersonal Relationship Interrater Reliability Language Aptitude Male Motor Activity Observation Perceptual Motor Coordination Psychometrics Rating Scales Reproducibility of Results Social Cognition Test Bias Turkey Validity |
| title | Psychometric properties of the WeeFIM in children with cerebral palsy in Turkey |
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