Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity - 29/08/18

Doi : 10.1016/j.rehab.2018.04.006

M.D. Morard ^a,^b, S. Gonzalez-Monge ^a, P. Rippert ^c, S. Roche ^d, J.C. Bernard ^e, D. Lagauche ^f, C. Delvert ^a,^g, J. Luauté ^h, S. Jacquin-Courtois ⁱ, F. Caillet ⁱ, J. Di Marco ⁱ, F. Ghelfi ^j, S. Otmani ^c, P. Calmels ^k, M. Royet ^a, P.A. Joseph ^l,^m, R. Ecochard ^d,ⁿ, G. Rode ^j,^q, C. Vuillerot ^a,^n,^o,^p,^⁎
the SAS study group^¹
See Appendix A.
^a Service de médecine physique et de réadaptation pédiatrique, hospices civils de Lyon, hôpital Femme–Mère–Enfant, L’Escale, 69500 Bron, France
^b Équipe dysfonction vasculaire et hémostase (DVH), Inserm, UMR1059 Sainbiose, université de Lyon, université Jean-Monnet, 42023 Saint-Étienne, France
^c Pôle santé publique, service recherche et épidémiologie clinique, hospices civils de Lyon, 69003 Lyon, France
^d Service de biostatistique, hospices civils de Lyon, 69003 Lyon, France
^e CMCR des Massues – Croix Rouge française, 69005 Lyon, France
^f Clinique IRIS, 69800 Saint Priest, France
^g Union RESAMUT - Pouponnière la Fougeraie, 69370 Saint-Didier-au-Mont-d’Or, France
^h Service de médecine physique et de réadaptation neurologique, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
ⁱ Service de médecine physique et réadaptation, hospices civils de Lyon, hôpital Henry-Gabrielle, 69230 Saint-Genis-Laval, France
^j Hospices civils de Lyon, direction centrale des soins, 69002 Lyon, France
^k Service de médecine physique et de réadaptation, CHU de Saint-Etienne, hôpital Bellevue, 42000 Saint-Etienne, France
^l Service de médecine physique et de réadaptation, CHU de Bordeaux, hôpital Saint-André et Pellegrin, pôle neurosciences cliniques, 33000 Bordeaux, France
^m Unité EA4136 handicap et système nerveux, université de Bordeaux 2, 33000 Bordeaux, France
ⁿ Équipe biostatistique santé, CNRS UMR 5558, laboratoire de biométrie et biologie evolutive, 69310 Pierre-Bénite, France
^o Université Lyon I, 69100 Villeurbanne, France
^p Université de Lyon, 69000 Lyon, France
^q Inserm UMR-S 1028, CNRS UMR 5292, impact, centre de recherche en neurosciences de Lyon, université Lyon 1, 69000 Lyon, France

^⁎Corresponding author. Service central de rééducation, hôpital Femme–Mère–Enfant, L’Escale, 69677 Bron, France.Service central de rééducation, hôpital Femme–Mère–Enfant, L’Escale,Bron69677France

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Highlights

•	This article describes the development of the SOFMER Activity Scale (SAS), a new assessment of physical and cognitive activity.
•	The SAS allowed for describing the cognitive activity of patients in rehabilitation centers.
•	We found a large floor effect for the Activité de la Vie Quotidienne scale.

Le texte complet de cet article est disponible en PDF.

Abstract

Objectives

For hospitalizations in rehabilitation centers (RCs) in France, the quantification of healthcare givers’ activity is based on the dependency of the patients, defined as a total or partial inability to perform activities required for daily living without help. The tools currently used to quantify dependency are not sufficiently precise. Here we describe the construction of a new tool, the SOFMER Activity Score (SAS scoring), which allows for a good description of the level of activity of patients hospitalized in RCs, and a feasibility study of the tool.

Methods

After a study group proposed the first version of the SAS, the validity of its content was studied by the Delphi consensus method: 26 physicians or healthcare professionals known for their expertise in PMR responded to the first round. The feasibility study was prospective and involved multi-site professionals. Data related to the SAS determined by a multidisciplinary team were collected and compared to the Activité de la Vie Quotidienne (AVQ) scale, which is administered to all patients and included in medical and administrative data.

Results

We included 81 patients in the feasibility study. The mean (SD) time to obtain the SAS was 4.5 (3.3) min. For 97.5% of scorings, the participating professionals judged that the SAS was compatible or fairly compatible with clinical practice. The internal structure of the SAS scale seemed better than that of the AVQ scale, for which the present study confirmed a floor effect for all items.

Conclusions

The SAS allows for measuring the level of physical and cognitive activity of a patient hospitalized in an RC. If validation studies for the SAS, exploring its reliability, construct validity or criterion validity, confirm the tool's good metrological qualities, the SAS will allow for a good quantification of the burden of care.

Le texte complet de cet article est disponible en PDF.

Keywords : Activities of daily living, Rehabilitation centers, Feasibility study, Nursing assessment