Spinal Cord Injury–Functional Index/Assistive Technology Short Forms

Mary D. Slavin; Pengsheng Ni; David S. Tulsky; Pamela A. Kisala; Allen W. Heinemann; Susan Charlifue; Denise C. Fyffe; Daniel E. Graves; Ralph J. Marino; Leslie R. Morse; David Rosenblum; Denise Tate; Lynn A. Worobey; Mary Beth Dawson; Alan M. Jette

doi:10.1016/j.apmr.2016.03.029

Spinal Cord Injury–Functional Index/Assistive Technology Short Forms

Mary D. Slavin, Pengsheng Ni, David S. Tulsky, Pamela A. Kisala, Allen W. Heinemann, Susan Charlifue, Denise C. Fyffe, Daniel E. Graves, Ralph J. Marino, Leslie R. Morse, David Rosenblum, Denise Tate, Lynn A. Worobey, Mary Beth Dawson, Alan M. Jette

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

Objectives: To evaluate the psychometric properties of the Spinal Cord Injury–Functional Index/Assistive Technology (SCI-FI/AT) short forms (SFs) in the domains of basic mobility, self-care, fine motor function, and ambulation based on internal consistency; correlations between SFs and full item banks, and a 10-item computerized adaptive test (CAT) version; magnitude of ceiling and floor effects; and measurement precision across a broad range of function in a sample of adults with spinal cord injury (SCI). Design: Cross-sectional cohort study. Setting: Nine national Spinal Cord Injury Model Systems programs. Participants: A sample of adults with traumatic SCI (N=460) stratified by level of injury (paraplegia/tetraplegia), completeness of injury, and time since SCI. Interventions: Not applicable. Main Outcome Measures: SCI-FI/AT full item bank, 10-item CAT, and SFs (with separate Self-Care and Fine Motor Function SFs for persons with tetraplegia and paraplegia). Results: The SCI-FI/AT SFs demonstrated very good internal consistency, group-level reliability, and excellent correlations between SFs and scores based on the CAT version and the total item bank. Ceiling and floor effects are acceptable (except for unacceptable ceiling effects for persons with paraplegia on the Self-Care and Fine Motor Function SFs). The test information functions are excellent across a broad range of functioning typical of persons with paraplegia and tetraplegia. Conclusions: Clinicians and researchers should consider using the SCI-FI/AT SFs to assess functioning with the use of assistive technology when CAT applications are not available.

Original language	English (US)
Pages (from-to)	1745-1752.e7
Journal	Archives of Physical Medicine and Rehabilitation
Volume	97
Issue number	10
DOIs	https://doi.org/10.1016/j.apmr.2016.03.029
State	Published - Oct 2016
Externally published	Yes

Keywords

Activities of daily living
Outcome assessment (health care)
Psychometrics
Rehabilitation
Spinal cord injuries

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Slavin, M. D., Ni, P., Tulsky, D. S., Kisala, P. A., Heinemann, A. W., Charlifue, S., Fyffe, D. C., Graves, D. E., Marino, R. J., Morse, L. R., Rosenblum, D., Tate, D., Worobey, L. A., Dawson, M. B., & Jette, A. M. (2016). Spinal Cord Injury–Functional Index/Assistive Technology Short Forms. Archives of Physical Medicine and Rehabilitation, 97(10), 1745-1752.e7. https://doi.org/10.1016/j.apmr.2016.03.029

Slavin, MD, Ni, P, Tulsky, DS, Kisala, PA, Heinemann, AW, Charlifue, S, Fyffe, DC, Graves, DE, Marino, RJ, Morse, LR, Rosenblum, D, Tate, D, Worobey, LA, Dawson, MB & Jette, AM 2016, 'Spinal Cord Injury–Functional Index/Assistive Technology Short Forms', Archives of Physical Medicine and Rehabilitation, vol. 97, no. 10, pp. 1745-1752.e7. https://doi.org/10.1016/j.apmr.2016.03.029

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abstract = "Objectives: To evaluate the psychometric properties of the Spinal Cord Injury–Functional Index/Assistive Technology (SCI-FI/AT) short forms (SFs) in the domains of basic mobility, self-care, fine motor function, and ambulation based on internal consistency; correlations between SFs and full item banks, and a 10-item computerized adaptive test (CAT) version; magnitude of ceiling and floor effects; and measurement precision across a broad range of function in a sample of adults with spinal cord injury (SCI). Design: Cross-sectional cohort study. Setting: Nine national Spinal Cord Injury Model Systems programs. Participants: A sample of adults with traumatic SCI (N=460) stratified by level of injury (paraplegia/tetraplegia), completeness of injury, and time since SCI. Interventions: Not applicable. Main Outcome Measures: SCI-FI/AT full item bank, 10-item CAT, and SFs (with separate Self-Care and Fine Motor Function SFs for persons with tetraplegia and paraplegia). Results: The SCI-FI/AT SFs demonstrated very good internal consistency, group-level reliability, and excellent correlations between SFs and scores based on the CAT version and the total item bank. Ceiling and floor effects are acceptable (except for unacceptable ceiling effects for persons with paraplegia on the Self-Care and Fine Motor Function SFs). The test information functions are excellent across a broad range of functioning typical of persons with paraplegia and tetraplegia. Conclusions: Clinicians and researchers should consider using the SCI-FI/AT SFs to assess functioning with the use of assistive technology when CAT applications are not available.",

keywords = "Activities of daily living, Outcome assessment (health care), Psychometrics, Rehabilitation, Spinal cord injuries",

author = "Slavin, {Mary D.} and Pengsheng Ni and Tulsky, {David S.} and Kisala, {Pamela A.} and Heinemann, {Allen W.} and Susan Charlifue and Fyffe, {Denise C.} and Graves, {Daniel E.} and Marino, {Ralph J.} and Morse, {Leslie R.} and David Rosenblum and Denise Tate and Worobey, {Lynn A.} and Dawson, {Mary Beth} and Jette, {Alan M.}",

year = "2016",

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language = "English (US)",

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AU - Slavin, Mary D.

AU - Ni, Pengsheng

AU - Tulsky, David S.

AU - Kisala, Pamela A.

AU - Heinemann, Allen W.

AU - Charlifue, Susan

AU - Fyffe, Denise C.

AU - Graves, Daniel E.

AU - Marino, Ralph J.

AU - Morse, Leslie R.

AU - Rosenblum, David

AU - Tate, Denise

AU - Worobey, Lynn A.

AU - Dawson, Mary Beth

AU - Jette, Alan M.

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N2 - Objectives: To evaluate the psychometric properties of the Spinal Cord Injury–Functional Index/Assistive Technology (SCI-FI/AT) short forms (SFs) in the domains of basic mobility, self-care, fine motor function, and ambulation based on internal consistency; correlations between SFs and full item banks, and a 10-item computerized adaptive test (CAT) version; magnitude of ceiling and floor effects; and measurement precision across a broad range of function in a sample of adults with spinal cord injury (SCI). Design: Cross-sectional cohort study. Setting: Nine national Spinal Cord Injury Model Systems programs. Participants: A sample of adults with traumatic SCI (N=460) stratified by level of injury (paraplegia/tetraplegia), completeness of injury, and time since SCI. Interventions: Not applicable. Main Outcome Measures: SCI-FI/AT full item bank, 10-item CAT, and SFs (with separate Self-Care and Fine Motor Function SFs for persons with tetraplegia and paraplegia). Results: The SCI-FI/AT SFs demonstrated very good internal consistency, group-level reliability, and excellent correlations between SFs and scores based on the CAT version and the total item bank. Ceiling and floor effects are acceptable (except for unacceptable ceiling effects for persons with paraplegia on the Self-Care and Fine Motor Function SFs). The test information functions are excellent across a broad range of functioning typical of persons with paraplegia and tetraplegia. Conclusions: Clinicians and researchers should consider using the SCI-FI/AT SFs to assess functioning with the use of assistive technology when CAT applications are not available.

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KW - Outcome assessment (health care)

KW - Psychometrics

KW - Rehabilitation

KW - Spinal cord injuries

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Spinal Cord Injury–Functional Index/Assistive Technology Short Forms

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