MINDFIM: A measure of disability in high-functioning traumatic brain injury outpatients

Anna Cantagallo, Silvia Carli, Anna Simone, Luigi Tesio

Research output: Contribution to journalArticle


Primary objective: The study aimed at developing a new valid measure of disability in TBI outpatients. Research design and methods: The Rasch model (Winsteps 3.45 software, 2005) was adopted to achieve a linear measure, unidimensional and reliable. The predictive capacity with respect to return to school or job was also tested (logistic regression, STATA 8.0 software, 2004). Experimental interventions: Either tests of Attention, Memory and Verbal Fluency or the FIM were administered to 160 TBI ambulatory outpatients (52 women, age 14-72, 2-117 months after trauma, 111 cases with coma ≥ 1 week). Fifty of them (31%) had returned to school or job. Main outcomes and results: A new scale called MINDFIM could be successfully developed. It includes three cognitive and four FIM motor items (Grooming, Upper Body Dressing, Bathing and Tub/Shower Transfer). The scale raises the ceiling affecting existing instruments. The summated scores are predictive of return to community (74% correct classification). Conclusions: MINDFIM is valid and useful measure of disability in TBI outpatients.

Original languageEnglish
Pages (from-to)913-925
Number of pages13
JournalBrain Injury
Issue number9
Publication statusPublished - Aug 2006


  • Disability assessment
  • Outcome
  • Rasch analysis
  • Traumatic brain injury

ASJC Scopus subject areas

  • Clinical Neurology

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