Construction and feasibility study of the SOFMER Activity Score (SAS), a new assessment of physical and cognitive activity - 17/05/18

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,^o, C. Vuillerot ^a,^n,^⁎
the SAS study group
^a Hospices Civils de Lyon, Hôpital Femme-Mère-Enfant, L’Escale, Service de Médecine Physique et de Réadaptation Pédiatrique, F-69500 Bron, France
^b INSERM, UMR1059 SAINBIOSE, Université de Lyon, Équipe Dysfonction Vasculaire et Hémostase (DVH), Université Jean Monnet, Saint-Étienne, F-42023, France
^c Hospices Civils de Lyon, Pôle de Santé Publique, Lyon, F-69003, France
^d Hospices Civils de Lyon, Service de Biostatistique, Lyon, F-69003, France
^e CMCR des Massues – Croix Rouge française, Lyon, F-69005, France
^f Clinique IRIS, Saint Priest, F-69800, France
^g Union RESAMUT - Pouponnière la fougeraie, Saint-Didier-au-Mont-d’Or, F-69370, France
^h Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Service de médecine physique et de réadaptation neurologique, Saint-Genis-Laval, F-69230, France
ⁱ Hospices Civils de Lyon, Hôpital Henry-Gabrielle, Service de médecine physique et réadaptation, Saint-Genis-Laval, F-69230, France
^j Hospices Civils de Lyon, Direction Centrale des Soins, F-69002, France
^k CHU de Saint Etienne, Hôpital Bellevue, Service de Médecine Physique et de Réadaptation, F-42000, France
^l CHU de Bordeaux, Hôpital Saint-André et Pellegrin, Pôle Neurosciences cliniques, Service de Médecine physique et de réadaptation, F-33000 Bordeaux, France
^m Université de Bordeaux 2, Unité EA4136 Handicap et système nerveux, F-33000 Bordeaux, France
ⁿ CNRS UMR 5558, Laboratoire de Biométrie et Biologie Evolutive, Equipe Bio statistique Santé, F-69310 Pierre-Bénite, France. Université Lyon I, F-69100 Villeurbanne, France. Université de Lyon, F-69000 Lyon, France
^o Inserm UMR-S 1028, CNRS UMR 5292, impAct, centre de recherche en neurosciences de Lyon, Université Lyon 1, F-69000 Lyon, France

^⁎Corresponding author. L’Escale, Service central de rééducation, Hôpital Femme Mère Enfant, F-69677, Bron, France, Tel.: +33 (0)4 72129450, fax: +33 (0)4 27856790L’Escale, Service central de rééducation, Hôpital Femme Mère Enfant, F-69677BronFrance

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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.

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Keywords : Activities of Daily Living, Rehabilitation Centers, Feasibility Study, Nursing Assessment