Document Detail

Developing a contemporary functional outcome measure for spinal cord injury research.
MedLine Citation:
PMID:  19841635     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: This study used qualitative analysis of focus group discussions.
OBJECTIVE: The primary objective was to select functional activities to include in an item pool, which is the first step in developing a spinal cord injury computer adaptive test (SCI-CAT).
SETTING: This multisite study was conducted at six US National Spinal Cord Injury Model Systems Programs.
METHODS: Focus group discussions, which included persons with tetraplegia and paraplegia and clinicians, were conducted. Transcripts were analyzed using a grounded theory approach. Functional activities were identified, binned, winnowed, written as functional items, and cognitively tested.
RESULTS: Focus group discussion analysis identified 326 functional activity items that fit into categories outlined in the International Classification of Functioning, Disability and Health (ICF) framework: Mobility (193 items), including assessment of functioning in a manual (44 items) and power wheelchair (19 items); self-care (109 items); and communication (19 items). Items related to sexual function were also identified (5 items).
CONCLUSION: The SCI-CAT item pool includes items that assess functional activities important to persons with SCI. Items cover a wide range of functional ability and reflect most ICF categories. The SCI-CAT pool is currently being field tested to develop a calibrated item bank. Further development will yield a CAT of functional activities appropriate for SCI research.
M D Slavin; P A Kisala; A M Jette; D S Tulsky
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, U.S. Gov't, Non-P.H.S.     Date:  2009-10-20
Journal Detail:
Title:  Spinal cord     Volume:  48     ISSN:  1476-5624     ISO Abbreviation:  Spinal Cord     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-04     Completed Date:  2010-05-25     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  262-7     Citation Subset:  IM    
Health and Disability Research Institute, Boston University School of Public Health, Boston, MA 02118, USA.
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MeSH Terms
Activities of Daily Living
Cost of Illness
Disability Evaluation
Middle Aged
Mobility Limitation
Motor Skills
Movement / physiology
Paraplegia / diagnosis,  rehabilitation
Quadriplegia / diagnosis,  rehabilitation
Recovery of Function / physiology*
Reference Standards
Self Care
Sexual Dysfunction, Physiological / epidemiology
Spinal Cord Injuries / complications,  diagnosis*,  rehabilitation*
Treatment Outcome
Walking / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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