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  4. Reliability of home-based remote and self-assessment of transfers using the Transfer Assessment Instrument among wheelchair users with spinal cord injury

Reliability of home-based remote and self-assessment of transfers using the Transfer Assessment Instrument among wheelchair users with spinal cord injury

Spinal Cord Series and Cases, 2023 · DOI: https://doi.org/10.1038/s41394-023-00567-5 · Published: January 1, 2023

Spinal Cord InjuryParticipationTelehealth & Digital Health

Simple Explanation

This study evaluates how well the Transfer Assessment Instrument (TAI) can be used remotely and by individuals themselves to assess the quality of transfers among wheelchair users with spinal cord injury (SCI) in their homes. The study found that the TAI is a reliable tool for assessing the setup phases of transfers remotely and through self-assessment in this population. Remote assessments can help continue healthcare for wheelchair users when in-person care is limited due to transportation, rural living, or financial issues.

Study Duration
January to July 2021
Participants
18 wheelchair users with spinal cord injury
Evidence Level
Cross-sectional study

Key Findings

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    Moderate to good interrater and good intrarater reliability were found for the total TAI score.
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    Moderate to good intrarater and interrater reliability were found for all TAI subscores except for interrater reliability of flight/landing which was poor.
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    The live, remote scoring resulted in significantly higher TAI scores compared to asynchronous scoring by different raters.

Research Summary

The study evaluated the reliability of remote and self-assessment of transfer quality using the Transfer Assessment Instrument (TAI) among wheelchair users with spinal cord injury (SCI) in their homes. The results indicated moderate to good interrater and intrarater reliability for the total TAI score, suggesting the TAI is a reliable outcome measure for remote assessment. The findings support the use of telehealth and telerehabilitation to assess transfer quality in home settings, which can improve access to care for individuals with SCI.

Practical Implications

Remote Assessment Feasibility

The TAI can be reliably used remotely to assess transfer quality, increasing access to care.

Home-Based Telerehabilitation

Telerehabilitation can effectively monitor and improve transfer techniques in a patient's home.

Clinical Practice

Clinicians can use the TAI remotely to develop targeted interventions for transfer techniques.

Study Limitations

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