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Titre : | Spinal Cord InjuryFunctional Index/Capacity: Responsiveness to Change Over Time (2022) |
Auteurs : | Pamela A. Kisala ; Aaron J. Boulton ; Mary D. Slavin ; Matthew L. Cohen ; Tamra Keeney ; Pengsheng Ni ; Denise G. Tate ; Allen W. Heinemann ; Susan Charlifue ; Denise C. Fyffe ; Elizabeth R. Felix ; Alan M. Jette ; David S. Tulsky |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 103, n° 2, 2022) |
Article en page(s) : | p. 199-206 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.10.005 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Évaluation de résultat (soins) ; Mesures des résultats rapportés par les patients (PROM) ; Psychométrie ; Qualité de vie ; Réadaptation ; Traumatismes de la moelle épinière |
Résumé : |
Objective
To establish responsiveness of 3 Spinal Cord InjuryFunctional Index/Capacity (SCI-FI/C) item banks in the first year after spinal cord injury (SCI). Design Longitudinal patient-reported outcomes assessment replicated through secondary analysis of an independent data set. Setting A total of 8 SCI Model Systems rehabilitation hospitals in the United States. Participants Study 1 participants included 184 adults with recent (≤4 months) traumatic SCI and 221 community-dwelling adults (>1 year post injury) (N=405). Study 2 participants were 418 individuals with recent SCI (≤4 months) (N=418). Interventions In study 1, SCI-FI/C computer adaptive tests were presented in a standardized interview format either in person or by phone call at baseline and 6-month follow-up. Responsiveness was examined by comparing 6-month changes in SCI-FI scores within and across samples (recently injured vs community-dwelling) because only the recent injury sample was expected to exhibit change over time. Effect sizes were also computed. In study 2, the study 1 results were cross-validated in a second sample with recent SCI 1 year after baseline measurement. Study 2 also compared the SCI-FI/C measures responsiveness to that of the Self-reported Functional Measure (SRFM) and stratified results by injury diagnosis and completeness. Main Outcome Measures The SCI-FI Basic Mobility/C, Self-care/C and Fine Motor/C item banks (study 1 and study 2); Self-reported Functional Measure SRFM (study 2 only). Results In study 1, changes in SCI-FI/C scores between baseline and 6-month follow-up were statistically significant (P<.01 for recently injured individuals. sci-fi basic mobility self-care and fine motor item banks demonstrated small to medium effect sizes in the sample. community-dwelling sample all effects were negligible size study results similar as expected responsive change individuals whereas was only with tetraplegia incomplete paraplegia. srfm a responsiveness> Conclusions The SCI-FI Basic Mobility/C and Self-care/C banks demonstrate adequate sensitivity to change at 6 months and 1 year for all individuals with SCI, while the SCI-FI/C Fine Motor item bank is sensitive to change in individuals with tetraplegia or incomplete paraplegia. All SCI-FI/C banks demonstrate stability in a sample not expected to change. Results provide support for the use of these measures for research or clinical use. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399932101515X#! |