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

Autor: Abou L; Department of Physical Medicine & Rehabilitation, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA., Worobey LA; Departments of Physical Medicine and Rehabilitation, Bioengineering, and Physical Therapy, University of Pittsburgh, Pittsburgh, PA, USA., Rigot SK; Max Näder Center for Rehabilitation Technologies and Outcomes Research and Center for Bionic Medicine, Shirley Ryan AbilityLab, Chicago, IL, USA.; Northwestern University, Department of Physical Medicine and Rehabilitation, Chicago, IL, USA., Stanley E; Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA, USA., Rice LA; Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA. ricela@illinois.edu.; Center for Health, Aging and Disability, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA. ricela@illinois.edu.
Jazyk: angličtina
Zdroj: Spinal cord series and cases [Spinal Cord Ser Cases] 2023 Mar 30; Vol. 9 (1), pp. 10. Date of Electronic Publication: 2023 Mar 30.
DOI: 10.1038/s41394-023-00567-5
Abstrakt: Study Design: Cross-sectional study.
Objective: To evaluate the reliability of home-based remote and self-assessment of transfer quality using the Transfer Assessment Instrument (TAI) among wheelchair users with spinal cord injury (SCI).
Setting: Participant's home environment.
Methods: Eighteen wheelchair users with SCI transferred from their wheelchair to a surface of their choice (bed, sofa, or bench) in their homes. During a live video conference, the transfer was recorded and evaluated live using the TAI (rater 1). Participants completed a self-assessment of their transfer using the TAI- questionnaire (TAI-Q). Two additional raters (raters 2 & 3) completed asynchronous assessments by watching recorded videos. Interrater reliability was assessed using Intraclass Coefficient Correlations (ICC) to compare rater 1 with the average of raters 2 & 3 and TAI-Q. Intrarater reliability was assessed by rater 1 completing another TAI by watching the recorded videos after a 4-week delay. Assessments were compared using paired sample t-tests and level of agreement between TAI scores was evaluated using Bland-Altman plots.
Results: Moderate to good interrater and good intrarater reliability were found for the total TAI score with ICCs: 0.57-0.90 and 0.90, respectively. Moderate to good intrarater and interrater reliability were found for all TAI subscores (ICC: 0.60-0.94) except for interrater reliability of flight/landing which was poor (ICC: 0.20). Bland-Altman plots indicate no systematic bias related to the measurement of error.
Conclusions: The TAI is a reliable outcome measure for assessing the wheelchair and body setup phases of home-based transfers remotely and through self-assessment among individuals with SCI.
(© 2023. The Author(s), under exclusive licence to International Spinal Cord Society.)
Databáze: MEDLINE
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