title: Feasibility, reliability, and agreement of the WeeFIM instrument in Dutch children with burns.
abstract: BACKGROUND
  Burns occur frequently in young children. To date, insufficient data are available to fully describe the functional consequences of burns. In different patient populations and countries, the WeeFIM instrument ("WeeFIM") often is used to measure functional independence in children.
  
  
  OBJECTIVE
  The purpose of this study was to examine the psychometric properties of the WeeFIM instrument for use in Dutch burn centers.
  
  
  METHODS
  This was an observational study.
  
  
  METHODS
  The WeeFIM instrument was translated into Dutch. All clinicians who rated the children with the instrument passed the WeeFIM credentialing examination. They scored consecutive children (n=134) aged 6 months to 16 years admitted to Dutch burn centers with acute burns during a 1-year period at 2 to 3 weeks, 3 months, and 6 months postburn. To examine reliability, 2 raters scored a child at the same time (n=52, 9 raters) or the same rater scored a child twice within 1 week (n=7, 3 raters).
  
  
  RESULTS
  After a few weeks, the WeeFIM assessment could be administered in less than 15 minutes. Clinicians thought it was difficult to rate a child aged between 2 and 4 years as well as the cognitive items. Nevertheless, reliability was good (all intraclass correlation coefficients [1,1] were above .80). The standard error of measurement was 3.7.
  
  
  CONCLUSIONS
  Intrarater reliability was based on only 7 test-retest measurements. Within our clinical setting, it turned out to be difficult to schedule the same rater and patient twice in one week for repeated assessments. Assessments for interrater reliability, on the other hand, worked out well.
  
  
  CONCLUSIONS
  The WeeFIM instrument is a feasible and reliable instrument for use in children with burns. For evaluation of a child's individual progress, at least 11 points' improvement should be observed to state that a child has significantly improved.
authors.affiliation: Association of Dutch Burn Centres, Burn Center, Martini Hospital, Groningen, the Netherlands. a.niemeijer@mzh.nl
authors.forename: Anuschka S
authors.initials: AS
authors.lastname: Niemeijer
authors.forename: Heleen A
authors.initials: HA
authors.lastname: Reinders-Messelink
authors.forename: Laurien M
authors.initials: LM
authors.lastname: Disseldorp
authors.forename: Marianne K
authors.initials: MK
authors.lastname: Nieuwenhuis
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D002056:Burns / Q000503:physiopathology* / Q000534:rehabilitation*; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D019988:Children with Disabilities / Q000534:rehabilitation*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007223:Infant; D015601:Injury Severity Score; D008297:Male; D009426:Netherlands; D011237:Predictive Value of Tests; D011594:Psychometrics; D011788:Quality of Life; D015203:Reproducibility of Results