Validation of a SOFMER Activity Scale

Brief Summary: A person's dependency is defined as the total or partial inability to perform without helps the necessary activities of daily life due to activity limitations in the usual environment. The consequence is a restriction of participation. In physical and Rehabilitation Medicine (PRM), dependency impacts the healthcare team activity at several levels: patient's referral and care plan, conditions of home return and resumption of course of life, burden of care assessment and care teams management...

The main goal of this project is the validation of a score assessing physical and cognitive activities of patients in follow-up care and rehabilitation (FRC) departments based on the ICF model (International Classification of Functioning, Disability and Health) : the SOFMER Activity Scale (SAS).

We want to propose a French generic scale allowing quantifying precisely the dependence and burden of care of patients in FRC departments. This scale needs to be valid, easy to apply, easy to learn, reproducible, sensitive to change and common to adult subjects, children and elderly.

Recruitment & Eligibility

Inclusion Criteria

Men and women aged 2 years old
Hospitalized in the participating department for at least 4 days
For the responsiveness study : patients hospitalized in the FRC departments for obesity, spinal cord injuries, post-stroke rehabilitation or cardiorespiratory rehabilitation after cardiac surgery

Exclusion Criteria

Arm && Interventions

Group	Intervention	Description
Patients hospitalized in a FRC department	Assessment of score SAS	-

Primary Outcome Measures

Name	Time	Method
Assessment of the validity of SAS	Day 0	The construct validity will be determined by an exploratory factor analysis and confirmed on an independent sample. Criterion validity will be studied by comparison of scores obtained from SAS to scores obtained from references scale (FIM, WeeFIM, ADL, IADL, BREF, BREV, MMSE and items of WISC IV).
Assessment of the reliability of SAS.	Day 7	For the inter rater reliability study, patients will be rated on the same day by two groups of therapists. For the test-retest reliability study, patients will be rated twice during their hospitalization, within a time frame sufficiently close so that their dependency should not change.

Secondary Outcome Measures

Name	Time	Method
Study of SAS responsiveness	6 months	Sensitivity to change will be studied on patients hospitalized in a FRC departments for obesity, spinal cord injuries, post-stroke rehabilitation or cardiorespiratory rehabilitation after cardiac surgery. The change between scores of SAS at entry and exit (or at maximum 6 months after inclusion) of hospitalization will be studied.
Study of invariance of SAS: invariance of the classification between age and sex classes.	day 0	Invariance of SAS will be determined between three age classes (\<18 years, 18-75 years,\> 75 years) using three confirmatory factor analyzes

Locations (9): Etablissement Hopale-Centre Calvé
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Berck, France
Centre SSR Les Capucins
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Angers, France
Service SSRS Enfants et Adolescents, Fondation Ildys
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Brest, France
Médecine physique et réadaptation - Hôpital Raymond Poincaré - APHP
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Garche, France
Service de Médecine Physique et de Réadaptation - F.Widal - APHP
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Paris, France
Service de Médecine Physique et Réadaptation - Pôle Couple Mère-Enfant - HOPITAL DE BELLEVUE
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Saint-Étienne, France
Service de Médecine physique et Réadaptation - Hôpital Henry Gabrielle
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Lyon, France
Département de Rééducation Neurologique - Hôpital Sud - CHU de Grenoble
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Échirolles, France
Ctre Médico-Chir Réadapt Des Massues
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Lyon, France