Applying a Bookmarking Approach to Setting Clinically Relevant Interpretive Standards for the Spinal Cord Injury–Functional Index/Capacity Basic Mobility and Self-Care Item Bank Scores
| Autor: | David S. Tulsky, Allen W. Heinemann, David Victorson, Trevor A. Dyson-Hudson, Andrew Shermeyer, Ratna Nandakumar, Pamela A. Kisala, Denise Fyffe |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
030506 rehabilitation Patient-Reported Outcomes Measurement Information System medicine.medical_specialty Activities of daily living Psychometrics medicine.medical_treatment Item bank Physical Therapy Sports Therapy and Rehabilitation Disability Evaluation 03 medical and health sciences 0302 clinical medicine Activities of Daily Living Item response theory medicine Humans Spinal cord injury Spinal Cord Injuries Rehabilitation medicine.disease United States Self Care Physical therapy Patient-reported outcome Computerized adaptive testing 0305 other medical science Psychology 030217 neurology & neurosurgery |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 103:224-236 |
| ISSN: | 0003-9993 |
| Popis: | Objectives To develop clinically relevant interpretive standards for the Spinal Cord Injury – Functional Index/Capacity (SCI-FI/C) Basic Mobility and Self-Care item bank scores. Design Modified “bookmarking” standard-setting methodology, including 2 stakeholder consensus meetings with individuals with spinal cord injury (SCI) and SCI clinicians, respectively, and a final, combined (consumers and clinicians) “convergence” meeting. Setting Two SCI Model System centers in the United States. Participants Fourteen adults who work with individuals with traumatic SCI and 14 clinicians who work with individuals with SCI. Main Outcome Measures Placement of bookmarks between vignettes based on SCI-FI Basic Mobility and Self-Care T scores. Bookmarks were placed between vignettes representing “No Problems,” “Mild Problems,” “Moderate Problems,” and “Severe Problems” for each item bank. Results Each consensus group resulted in a single set of scoring cut points for the SCI-FI/C Basic Mobility and Self-Care item banks. The cut points were similar but not identical between the consumer and clinician groups, necessitating a final convergence meeting. For SCI-FI/C Basic Mobility, the convergence group agreed on cut scores of 61.25 (no problems/mild problems), 51.25 (mild problems/moderate problems), and 41.25 (moderate problems/severe problems). For SCI-FI/C Self-Care, the convergence group agreed on cut scores of 56.25 (no/mild), 51.25 (mild/moderate), and 38.75 (moderate/severe). Conclusions The results of this study provide straightforward interpretive guidelines for SCI researchers and clinicians using the SCI-FI/C Basic Mobility and Self-Care instruments. These results are appropriate for the full bank, computer adaptive test, and short-form versions of the SCI-FI/C Basic Mobility and Self-Care item banks. |
| Databáze: | OpenAIRE |
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