Article

Cross-sectional validation study.Objectives:To develop and validate
a self-report version of the Spinal Cord Independence Measure (SCIM
III).Setting:Two SCI rehabilitation facilities in Switzerland.Methods:SCIM III
comprises 19 questions on daily tasks with a total score between 0 and 100 and
subscales for 'self-care', 'respiration & sphincter management' and 'mobility'. A
self-report version (SCIM-SR) was developed by expert discussions and pretests in
individuals with spinal cord injury (SCI) using a German translation. A
convenience sample of 99 inpatients with SCI was recruited. SCIM-SR data were
analyzed together with SCIM III data obtained from attending health
professionals.Results:High correlations between SCIM III and SCIM-SR were
observed. Pearson's r for the total score was 0.87 (95% confidence interval (CI)
0.82-0.91), for the subscales self-care 0.87 (0.81-0.91); respiration & sphincter
management 0.81 (0.73-0.87); and mobility 0.87 (0.82-0.91). Intraclass
correlations were: total score 0.90 (95% CI 0.85-0.93); self-care 0.86
(0.79-0.90); respiration & sphincter management 0.80 (0.71-0.86); and mobility
0.83 (0.76-0.89). Bland-Altman plots showed that patients rated their functioning
higher than professionals, in particular for mobility. The mean difference
between SCIM-SR and SCIM III for the total score was 5.14 (point estimate 95% CI
2.95-7.34), self-care 0.89 (0.19-1.59), respiration & sphincter management 1.05
(0.18-2.28 ) and mobility 3.49 (2.44-4.54). Particularly patients readmitted
because of pressure sores rated their independence higher than attending
professionals.Conclusion:Our results support the criterion validity of SCIM-SR.
The self-report version may facilitate long-term evaluations of independence in
persons with SCI in their home situation.

Langue : ANGLAIS