Comprehensive Rehabilitation Outcome Measurement Scale (CROMS); Development and Preliminary Validation of An Interdisciplinary Measure for Rehabilitation Outcomes
Abstract Introduction: Comprehensive and interdisciplinary measurement of rehabilitation outcome is an essential part in the assessment and prognosis of a patient. This requires input from various disciplines working with the patient and the rehabilitation team. Moreover, the evaluation measures should consider the cultural compatibility, cost, and comprehensiveness of the contextual factors of the region and as of the country.Methods: The new tool was developed through consensus and followed Delphi process incorporating various rehabilitation professionals. The validity, reliability of the tool was tested on 30 patients and their rehabilitation professionals. The tool was also validated in two native languages and back translated considering the semantics. The construct validity was analyzed using interclass correlation co-efficient (ICC), internal consistency was analyzed using Cronbach’s alpha. Results: The final Comprehensive Rehabilitation Outcome Measurement Scale (CROMS) carries 30 items which can be completed by the person with disability and the professional team. The final tool holds an overall ICC of 0.93 with a Cronbach's Alpha of 0.92 for both patient and therapist reported measures. Conclusion: The 30 item CROMS is a reliable and valid tool that can potentially be used to evaluate functional independence of various patient populations.