Comprehensive rehabilitation outcome measurement scale (CROMS): development and preliminary validation of an interdisciplinary measure for rehabilitation outcomes

Comprehensive and interdisciplinary measurement of rehabilitation outcome is an essential part of the assessment and prognosis of a patient. Thus, this requires substantial contributions from the patient, their family and the rehabilitation professional working with them. Moreover, the measurement t...

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Bibliographic Details
Published in:Health and quality of life outcomes 2022-12, Vol.20 (1), p.160-17, Article 160
Main Authors: Rashid, Muhammed, Harish, Sandeep Padantaya, Mathew, Jerin, Kalidas, Akshaiya, Raja, Kavitha
Format: Article
Language:English
Subjects:
Activities of daily living
Care and treatment
Caregivers
Consensus
Correlation coefficient
Correlation coefficients
CROMS
Culture
Disabilities
Evaluation
Evidence-based nursing
Functional measurement scale
Functional Status
Humans
Interdisciplinary aspects
Language
Measures
Nervous system diseases
Patient outcomes
Patients
Principal components analysis
Professionals
Psychologists
Quality of Life
Questionnaires
Rehabilitation
Rehabilitation outcomes
Scale validation
Social workers
Therapists
Treatment Outcome
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Summary:Comprehensive and interdisciplinary measurement of rehabilitation outcome is an essential part of the assessment and prognosis of a patient. Thus, this requires substantial contributions from the patient, their family and the rehabilitation professional working with them. Moreover, the measurement tool should be comprehensive and must consider the cultural compatibility, cost efficiency and contextual factors of the region. The Comprehensive Rehabilitation Outcome Measurement Scale (CROMS) was developed through consensus and followed the Delphi process incorporating inputs from various rehabilitation professionals. The domains and items were finalized using Principal Component Analysis (PCA). The tool was validated in two native languages and back-translated considering the semantic equivalence of the scale. Intra-class correlation coefficient was performed to determine the agreement between the therapist and patient-reported scales. The final CROMS carries 32 comprehensive items that can be completed by the person with disability and the professional team. CROMS compares well to similar items on FIM (l ICC of 0.93) and has good internal consistency with a Cronbach's Alpha of 0.92 for both patient and therapist reported measures. The 32 item CROMS is a tool that can potentially be used to evaluate the functional independence of various patient populations, predominantly patients with neurological disabilities.
ISSN:1477-7525
1477-7525
DOI:10.1186/s12955-022-02048-z