Edorium Journal of

Disability and Rehabilitation

 
Appendix: The Maleka Stroke Community Reintegration Measure (M-Scrim)
 
The development of a community reintegration outcome measure to assess people with stroke living in low socioeconomic areas
Maleka Douglas Morake1, Stewart Aimee Vivienne2, Hale Leigh Ann3,
1PhD PT, Associate Professor, HOD Physiotherapy Department Sefako Makgatho Health Sciences University, Molotegi Street, Ga-Rankuwa Gauteng.
2PhD PT, Associate Professor, Physiotherapy Department, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannes burg, Gauteng Province, South Africa.
3PhD PT, Professor and Dean, School of Physiotherapy, University of Otago, Dunedin, New Zealand.

Article ID: 100026D05MM2017
doi:10.5348/D05-2017-26-OA-2

Address correspondence to:
Stewart Aimee Vivienne
Stewart Aimee Vivienne PhD PT, Associate Professor, Physiotherapy Department
School of Therapeutic Sciences University of the Witwatersrand,
Johannes burg, Gauteng Province,
South Africa

Access full text article on other devices

  Access PDF of article on other devices

[HTML Abstract]   [PDF Full Text] [Print This Article]
[Similar article in Pumed] [Similar article in Google Scholar]


How to cite this article:
Morake MD, Stewart AV, Hale LA. The development of a community reintegration outcome measure to assess people with stroke living in low socioeconomic areas. Edorium J Disabil Rehabil 2017;3:11–24.


Instructions to the Assessor

Explain the purpose of administering the M-SCRIM to the patient and the caregiver: to assess community reintegration following stroke in order to plan on improving or maintaining it.

Start with demographic information and state whether this is baseline or follow up assessment.

Administer the M-SCRIM by reading out the items and responses, in case of a patient not able to communicate the caregiver must be interviewed.

The M-SCRIM mostly uses 4 point Likert scale as follows:

No (0)     Able with major help (1)     Able with minor help (2)     Able with no help (3)    

Major help refers to manpower (caregiver) and mobility aid

Minor help refers to just a mobility aid.

At the end of the interview, add points for each domain and calculate the total score for the patient.

The Rural MSCRIM: Out of 95 points, multiply by 100% to get the patient score.

The Urban MSCRIM: Out of 112 points, multiply by 100% to get the patient score.

Interpret and provide feedback for the patient by placing the patient’s score on the scale below.

Cut off points:

  • 80% and above means full reintegration
  • 7960% moderate reintegration
  • 59–41% minimal reintegration
  • 40–0% no reintegration

Discuss the way forward regarding the patient’s rehabilitation goals to improve community reintegration with the patient and caregiver. Setting of rehabilitation goals should be guided by the domain(s) and item(s) that the patient obtained the lowest scores.


Instructions to the Patients

The therapist will read the items concerning your community reintegration following stroke to you (patient and/or caregiver), please respond appropriately.
At end of the interview the therapist will give, you feedback regarding your community reintegration and discuss the way forward regarding your rehabilitation.


The Maleka Stroke Community Reintegration Measure (M-Scrim)

Patient Information

Patient’s name and surname: __________
Age: __________
Race: __________
Sex/gender: __________
Years of formal education obtained: __________
Current employment status: __________
Current/previous occupation: __________
Marital status: __________
Date of stroke: __________
Side of weakness (hemiplegic side): __________
Who was interviewed/assessed (patient and/or caregiver): __________
Location of the interview/assessment: __________
Patient’s physical address including contact details: __________
Setting: rural or urban: __________
How long had the patient been living in the community before and after stroke? Name of the interviewer: __________
Date of the interview/assessment: __________
Baseline assessment score: __________
Follow up assessment scores: __________


The M-SCRIM (The rural setting version)

Cursor on image to zoom/Click text to open image
Domain 1: Home and family responsibilities



Cursor on image to zoom/Click text to open image
Domain 2: Community and social responsibilities


Cursor on image to zoom/Click text to open image
Domain 3: Independence (Mobility)



Cursor on image to zoom/Click text to open image
Domain 4: ADL and selfcare


Cursor on image to zoom/Click text to open image
Domain 5: Relationship


Cursor on image to zoom/Click text to open image
Domain 6: Work and education





  Home line About the Journal line Aim and Scope line Open Access line Archives
Apply as Editor line Apply as Reviewer line Submit Reviews - Editors line Submit Reviews - Reviewers
Instructions for Authors line Templates to Use line Copyright Form line Author Checklist
Online Submission line Email Submission line Submit Revision line Submit All Forms line Submit Page Proofs
Terms of Service line Privacy policy line Disclaimer line FAQ line Contact: Journal line Contact: Edorium Journals line Site Map
 
  Copyright © 2017. Edorium. All rights reserved.