Journal of Rehabilitation Research & Development (JRRD)

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Volume 48 Number 2, 2011
   Pages 115 — 124

Abstract —  Telerehabilitation assessment using the Functioning Everyday with a Wheelchair-Capacity instrument

Richard M. Schein, PhD;1* Mark R. Schmeler, PhD, OTR/L, ATP;1 Margo B. Holm, PhD, OTR/L;2 Michael Pramuka, PhD;1 Andi Saptono, MS;3 David M. Brienza, PhD1

Departments of 1Rehabilitation Sciences and Technology, 2Occupational Therapy, and 3Health Information Management, University of Pittsburgh, Pittsburgh, PA

Abstract — This study explored the interrater reliability between a generalist practitioner administering the Functioning Everyday with a Wheelchair-Capacity (FEW-C) in person (IP) and a remote expert practitioner observing via telerehabilitation (TR) from more than 100 miles away. Each of the 46 participants was simultaneously rated by both the IP and TR practitioner, who were masked to each other's results. The IP-TR raters demonstrated excellent interrater reliability, with an intraclass correlation coefficient of 0.91 for the total FEW-C and 0.96, 0.88, and 0.90 for the constructs of independence, safety, and quality, respectively. Internal consistency (Cronbach alpha) was 0.94 for the total FEW-C tool and 0.91, 0.83, and 0.82 for independence, safety, and quality, respectively, indicating good internal consistency without redundancy. Using TR and the FEW-C, an expert practitioner more than 100 miles away was able to accurately assess the functional mobility needs of clients being assessed for new wheeled mobility devices.

Key words: FEW-C, Functioning Everyday with a Wheelchair-Capacity, mobility limitation, physical function, rehabilitation, reliability, remote assessment, telehealth, telerehabilitation, videoconferencing, wheelchairs.

View HTML  ¦  View PDF  ¦  Contents Vol. 48, No. 2
This article and any supplementary material should be cited as follows:
Schein RM, Schmeler MR, Holm MB, Pramuka M, Saptono A, Brienza DM. Telerehabilitation assessment using the Functioning Everyday with a Wheelchair-Capacity instrument.
J Rehabil Res Dev. 2011;48(2):115-24.

Last Reviewed or Updated  Friday, February 11, 2011 9:40 AM

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