期刊
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
卷 103, 期 2, 页码 224-236出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2020.08.026
关键词
Activities of daily living; Mobility limitation; Patient reported outcome measures; Rehabilitation; Spinal cord injuries
资金
- Rick Hansen Institute [G2015-26]
This study aims to develop clinically relevant interpretive standards for the Spinal Cord Injury-Functional Index/Capacity (SCI-FI/C) Basic Mobility and Self-Care item bank scores. The results provide straightforward interpretive guidelines for SCI researchers and clinicians using the SCI-FI/C Basic Mobility and Self-Care instruments.
Objectives: To develop clinically relevant interpretive standards for the Spinal Cord Injury-Functional Index/Capacity (SCI-FI/C) Basic Mobility and Self-Care item bank scores. Design: Modified bookmarking standard-setting methodology, including 2 stakeholder consensus meetings with individuals with spinal cord injury (SCI) and SCI clinicians, respectively, and a final, combined (consumers and clinicians) convergence meeting. Setting: Two SCI Model System centers in the United States. Participants: Fourteen adults who work with individuals with traumatic SCI and 14 clinicians who work with individuals with SCI. Main Outcome Measures: Placement of bookmarks between vignettes based on SCI-FI Basic Mobility and Self-Care T scores. Bookmarks were placed between vignettes representing No Problems, Mild Problems, Moderate Problems, and Severe Problems for each item bank. Results: Each consensus group resulted in a single set of scoring cut points for the SCI-FI/C Basic Mobility and Self-Care item banks. The cut points were similar but not identical between the consumer and clinician groups, necessitating a final convergence meeting. For SCI-FI/C Basic Mobility, the convergence group agreed on cut scores of 61.25 (no problems/mild problems), 51.25 (mild problems/moderate problems), and 41.25 (moderate problems/severe problems). For SCI-FI/C Self-Care, the convergence group agreed on cut scores of 56.25 (no/mild), 51.25 (mild/moderate), and 38.75 (moderate/severe). Conclusions: The results of this study provide straightforward interpretive guidelines for SCI researchers and clinicians using the SCI-FI/C Basic Mobility and Self-Care instruments. These results are appropriate for the full bank, computer adaptive test, and short-form versions of the SCI-FI/C Basic Mobility and Self-Care item banks. (C) 2020 by the American Congress of Rehabilitation Medicine
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