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  4. Translation and validation of the Chinese self-report version of Spinal Cord Independence Measure (SCIM-SR): Rasch psychometric analysis and online application

Translation and validation of the Chinese self-report version of Spinal Cord Independence Measure (SCIM-SR): Rasch psychometric analysis and online application

Computational and Structural Biotechnology Journal, 2024 · DOI: https://doi.org/10.1016/j.csbj.2024.03.029 · Published: April 6, 2024

Spinal Cord InjuryRehabilitationResearch Methodology & Design

Simple Explanation

This study translated the Spinal Cord Independence Measure-Self Report (SCIM-SR) into Chinese and tested its validity among patients with spinal cord injuries (SCI). The SCIM-SR is a tool used to assess a patient's ability to perform daily activities. Researchers used a standard translation process and analyzed the Chinese SCIM-SR using Rasch analysis, a statistical method to check if the tool accurately measures what it's supposed to measure. The study found that the Chinese SCIM-SR is a valid tool for assessing functional status in individuals with SCI, providing a self-reported perspective.

Study Duration
April 2017 and July 2019
Participants
205 SCI patients
Evidence Level
Not specified

Key Findings

  • 1
    The subscales Selfcare and Mobility showed good fit to the Rasch model, indicating that they accurately measure independence in these areas.
  • 2
    The subscale Respiration and Sphincter Management did not fit the Rasch model well, even after modifications, suggesting potential issues with its structure.
  • 3
    The Chinese SCIM-SR's validity was not affected by factors such as gender, age, time post-injury, or etiology, demonstrating its consistent performance across different patient groups.

Research Summary

The study aimed to translate and validate the Chinese version of the Spinal Cord Independence Measure Self-Report (SCIM-SR) for use in individuals with spinal cord injury (SCI). Rasch analysis was used to assess the validity of the translated SCIM-SR, revealing good fit for the Selfcare and Mobility subscales but issues with the Respiration and Sphincter Management subscale. The Chinese SCIM-SR is a valid tool for self-reporting functional status among individuals with SCI, unaffected by factors like age, gender, or time since injury.

Practical Implications

Clinical Assessment

The Chinese SCIM-SR can be used to assess functional status among Chinese-speaking individuals with SCI.

Research Tool

Researchers can use the Chinese SCIM-SR to collect data on self-reported functional status in SCI studies.

Online Accessibility

The availability of an online version facilitates convenient data collection and analysis.

Study Limitations

  • 1
    The study was conducted in an inpatient setting, limiting the assessment of responsiveness to functional improvements during rehabilitation.
  • 2
    The study did not include outpatient and community-based SCI populations, potentially affecting the generalizability of the findings.
  • 3
    The study did not assess the responsiveness of the Chinese SCIM-SR.

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