Dataset Information

Reliability and concurrent validity of the Spinal Cord Independence Measure III among rehabilitation professionals.

ABSTRACT:

Study design

A cross-sectional design.

Objectives

To investigate rater reliability of the Spinal Cord Independence Measure or SCIM III among rehabilitation professionals, along with the concurrent validity of the tool as compared to standard measures covering wheelchair users (WU) and ambulatory (AM) individuals with spinal cord injury (SCI).

Setting

A tertiary rehabilitation center and communities.

Methods

Eighty-two participants with SCI (39 WU and 43 AM individuals) were assessed using SCIM III items. The data of first 30 participants were video recorded for rater reliability assessments by seven rehabilitation professionals, including nurses, occupational therapists, and physical therapists (one novice and one experienced rater for each professional). All participants were also assessed using standard measures to verify concurrent validity of SCIM III by an experienced rater.

Results

The SCIM III showed excellent intra-rater and inter-rater reliability among rehabilitation professionals when analyzed for overall items (intraclass correlation coefficient (ICC) >0.90) and separately for each subscale (kappa values >0.80). The total SCIM III of WU and the mobility scores of AM participants showed significant correlation with standard measures for muscle strength, limit of stability, balance control, functional endurance, and walking ability (r_s = 0.343-0.779; p < 0.05).

Conclusions

The present findings extend clinical benefit and confirm the use of SCIM III interchangeably among rehabilitation professionals after they have been adequately trained. The findings are important for community-based rehabilitation and home healthcare services, especially during the coronavirus (COVID-19) pandemic, when hospital beds and in-patient services are limited for individuals with SCI.

SUBMITTER: Khamnon N

PROVIDER: S-EPMC9043886 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

Reliability and concurrent validity of the Spinal Cord Independence Measure III among rehabilitation professionals.

Khamnon Narongsak N Amatachaya Sugalya S Wattanapan Pattra P Musika Nisara N Jitmongkolsri Panumas P Kongngoen Napaporn N Haisirikul Manatsavee M Jaikarsen Kittiyaporn K Thaweewannakij Thiwabhorn T Namwong Wilairat W

Spinal cord 20220427 10

<h4>Study design</h4>A cross-sectional design.<h4>Objectives</h4>To investigate rater reliability of the Spinal Cord Independence Measure or SCIM III among rehabilitation professionals, along with the concurrent validity of the tool as compared to standard measures covering wheelchair users (WU) and ambulatory (AM) individuals with spinal cord injury (SCI).<h4>Setting</h4>A tertiary rehabilitation center and communities.<h4>Methods</h4>Eighty-two participants with SCI (39 WU and 43 AM individual ...[more]

PMID: 35477744

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Project description:Background:Measuring rehabilitation outcomes in patients with spinal cord injury (PWSCI) requires measurement tools that are valid and reliable and have been psychometrically tested in the population with spinal cord injury (SCI). The Readiness for Hospital Discharge Scale (RHDS) has been found to be reliable and valid in adult surgical patients, post-partum mothers, parents of hospitalised children and geriatrics. However, the psychometric properties have not yet been tested in the population with SCI, furthermore, in a South African context. Objectives:The purpose of this study was to psychometrically test the internal consistency and construct validity of the RHDS as a measure of discharge readiness in PWSCI prior to discharge from rehabilitation units in the Tshwane metropolitan area, South Africa. Method:A cross-sectional study that included 50 PWSCI who were in their last week of rehabilitation was conducted. The RHDS item and scale statistics were calculated by using descriptive statistics and the scale reliability was measured for internal consistency by using Cronbach's alpha coefficients. To determine construct validity, convergent and divergent validities were measured by using the RHDS items' correlation coefficient dimensions. All data were tested at the 0.05 level of significance by using Statistics and Data (STATA) statistical software, version 14. Results:Cronbach's alpha of the RHDS was 0.904, indicating an excellent reliability coefficient. Convergent validity scores showed 81% correlation coefficients, although divergent validity scores showed 62% correlation coefficients. Conclusion:The RHDS is a valid and reliable measure of readiness for discharge in a South African sample of PWSCI and can be used in SCI rehabilitation. Clinical implications:Over and above using the RHDS to determine if PWSCI are ready for discharge in the clinical setting, the RHDS may also assist health care practitioners to assess the patient's progress towards readiness and strategies for addressing shortcomings to meet short and long-term goals of the rehabilitation process.

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Dataset Information

Reliability and concurrent validity of the Spinal Cord Independence Measure III among rehabilitation professionals.

Study design

Objectives

Setting

Methods

Results

Conclusions

Publications

Reliability and concurrent validity of the Spinal Cord Independence Measure III among rehabilitation professionals.

Similar Datasets

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