title: Validity and reliability of the Japanese version of the FIM + FAM in patients with cerebrovascular accident.
abstract: OBJECTIVE
  The study aim was to investigate the validity and reliability of the Functional Independence Measure and Functional Assessment Measure (FIM + FAM), which is unfamiliar in Japan, by using its Japanese version (FIM + FAM-j) in patients with cerebrovascular accident (CVA).
  
  
  METHODS
  Forty-two CVA patients participated. Criterion validity was examined by correlating the full scale and subscales of FIM + FAM-j with several well-established measurements using Spearman's correlation coefficient. Reliability was evaluated by internal consistency (tested by Cronbach's alpha coefficient) and intra-rater reliability (tested by Kendall's tau correlation coefficient).
  
  
  RESULTS
  Good-to-excellent criterion validity was found between the full scale and motor subscales of the FIM + FAM-j and the Barthel Index, National Institutes of Health Stroke Scale, modified Rankin Scale, and lower extremity Brunnstrom Recovery Stage. High internal consistency was observed within the full-scale FIM + FAM-j and the motor and cognitive subscales (Cronbach's alphas were 0.968, 0.954, and 0.948, respectively). Additionally, good intra-rater reliability was observed within the full scale and motor subscales, and excellent reliability for the cognitive subscales (taus were 0.83, 0.80, and 0.98, respectively).
  
  
  CONCLUSIONS
  This study showed that the FIM + FAM-j demonstrated acceptable levels of validity and reliability when used for CVA as a measure of disability.
authors.affiliation: a Institute of Biomedical & Health Sciences, Hiroshima University , Hiroshima , Japan .
authors.forename: Emi
authors.initials: E
authors.lastname: Miki
authors.affiliation: a Institute of Biomedical & Health Sciences, Hiroshima University , Hiroshima , Japan .
authors.forename: Shingo
authors.initials: S
authors.lastname: Yamane
authors.affiliation: b Brain Attack Center, Oota Memorial Hospital , Fukuyama , Japan , and.
authors.forename: Mai
authors.initials: M
authors.lastname: Yamaoka
authors.affiliation: b Brain Attack Center, Oota Memorial Hospital , Fukuyama , Japan , and.
authors.forename: Hiroe
authors.initials: H
authors.lastname: Fujii
authors.affiliation: b Brain Attack Center, Oota Memorial Hospital , Fukuyama , Japan , and.
authors.forename: Hiroka
authors.initials: H
authors.lastname: Ueno
authors.affiliation: b Brain Attack Center, Oota Memorial Hospital , Fukuyama , Japan , and.
authors.forename: Toshie
authors.initials: T
authors.lastname: Kawahara
authors.affiliation: c Nishi-Hiroshima Rehabilitation Hospital , Saeki-Ku , Hiroshima , Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Tanaka
authors.affiliation: c Nishi-Hiroshima Rehabilitation Hospital , Saeki-Ku , Hiroshima , Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Tamashiro
authors.affiliation: c Nishi-Hiroshima Rehabilitation Hospital , Saeki-Ku , Hiroshima , Japan.
authors.forename: Eiji
authors.initials: E
authors.lastname: Inoue
authors.affiliation: c Nishi-Hiroshima Rehabilitation Hospital , Saeki-Ku , Hiroshima , Japan.
authors.forename: Takatsugu
authors.initials: T
authors.lastname: Okamoto
authors.affiliation: b Brain Attack Center, Oota Memorial Hospital , Fukuyama , Japan , and.
authors.forename: Masaru
authors.initials: M
authors.lastname: Kuriyama
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D003071:Cognition; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D011597:Psychomotor Performance; D015203:Reproducibility of Results; D020521:Stroke / Q000150:complications* / Q000523:psychology*; D000071939:Stroke Rehabilitation; D014177:Translations
keywords: Criterion validity; internal consistency; intra-rater reliability