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  4. Measuring psychological trauma after spinal cord injury: Development and psychometric characteristics of the SCI-QOL Psychological Trauma item bank and short form

Measuring psychological trauma after spinal cord injury: Development and psychometric characteristics of the SCI-QOL Psychological Trauma item bank and short form

The Journal of Spinal Cord Medicine, 2015 · DOI: 10.1179/2045772315Y.0000000022 · Published: May 1, 2015

Spinal Cord InjuryParticipationMental Health

Simple Explanation

This research focuses on developing a tool to measure psychological trauma in individuals with spinal cord injuries (SCI). Given the traumatic nature of SCI, individuals are at high risk for post-traumatic stress disorder (PTSD). The study describes the creation and testing of the SCI-QOL Psychological Trauma item bank and short form, which aims to detect and track psychological trauma in patients with SCI. The goal is to provide a reliable and sensitive instrument that can be used to assess and monitor PTSD symptoms in this population, addressing a gap in existing measurement tools.

Study Duration
Not specified
Participants
716 individuals with SCI
Evidence Level
Not specified

Key Findings

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    The 31 items fit a unidimensional model (CFI=0.952; RMSEA=0.061) and demonstrated good precision (theta range between 0.6 and 2.5).
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    Nine items demonstrated negligible DIF with little impact on score estimates.
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    The final calibrated item bank contains 19 items and is available as a short form and a computer adaptive test (CAT) version.

Research Summary

This study details the development and validation of the SCI-QOL Psychological Trauma item bank and short form to measure psychological trauma in individuals with spinal cord injuries (SCI). The researchers used a mixed-methods design, including focus groups, cognitive interviews, and item response theory (IRT) based analytic approaches, to create and test the item bank. The final 19-item bank demonstrated good psychometric properties, including unidimensionality and precision, and is available as a short form and CAT version for clinical and research use.

Practical Implications

Improved PTSD Assessment

The SCI-QOL Psychological Trauma item bank offers a psychometrically sound tool specifically designed for individuals with SCI, improving the accuracy and relevance of PTSD assessment in this population.

Clinical Utility

The availability of a short form and CAT version facilitates efficient and flexible administration in clinical settings, enabling better monitoring and treatment of psychological trauma following SCI.

Research Advancement

The new tool should help fill the gap in measurement of this important psychosocial outcome in SCI research.

Study Limitations

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