The Validity and Reliability of the Functional Impairment Checklist (FIC) in the Evaluation of Functional Consequences of Severe Acute Respiratory Distress Syndrome (SARS) |
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Authors: | Siu Pui Lam Eva Tsui Kin Sang Chan Cindy LK Lam Ho Pui So |
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Institution: | (1) Department of Rehabilitation & Extended Care, TWGHs Wong Tai Sin Hospital, 124 Shatin Pass Road, Kowloon, Wong Tai Sin, Hong Kong;(2) Statistics & Research Unit, Hospital Authority Head Office, Hong Kong;(3) Pulmonary & Palliative Care Unit, Haven of Hope Hospital, Hong Kong;(4) Family Medicine Unit, Department of Medicine, The University of Hong Kong, Hong Kong;(5) Department of Rehabilitation & Extended care, Wong Tai Sin Hospital, Kowloon, Hong Kong |
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Abstract: | Severe acute respiratory distress syndrome (SARS) contributed to significant mortality and morbidity worldwide. We aimed to
establish the validity, reliability and responsiveness of the functional impairment checklist (FIC) as a measurement tool
for physical dysfunction in SARS survivors. One hundred and sixteeen (65 females and 51 males, mean age 45.6) patients who
joined the SARS rehabilitation programme were analysed. The factor analysis yielded two latent factors. The mean FIC-symptom
and FIC-disability score were 24.12 (SD ± 20.2) and 26.11 (SD ± 27.32), respectively. Based on the item-scale correlation
coefficients, the Cronbach’s alpha coefficients reflecting the internal consistency reliability of scale score were 0.75 for
FIC-symptom and 0.86 for FIC-disability. Test–retest reliability in 23 patients showed no statistical significant difference
in the FIC scores between tests with intraclass correlation coefficient (ICC) 0.49–0.57. The FIC scales correlated both with
6 munute walking test (6MWT) distance (−0.26 and −0.38) and handgrip strength (HGS) (−0.20 and −0.27). Moreover, the FIC scales
correlated with St. George’s respiratory questionnaire (SGRQ) (0.19 to 0.52) and short form 36 Hong Kong (SF-36) domains (−0.19
to −0.59). Both FIC scales correlated stronger with physical component summary (PCS) (−0.41 and −0.55) than with mental component
summary (MCS) (−0.30 and −0.23). FIC reduced significantly at 6 months while the SF-36 PCS and MCS did not show any change.
In conclusion, the study results indicate the FIC is reliable, valid and responsive to change in symptom and disability as
a consequence of SARS, suggesting it may provide a means of assessing health related quality of life (HRQOL) outcomes in a
longitudinal follow up. |
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Keywords: | Function impairment checklist HRQOL Physical dysfunction SARS |
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