SC Physical & Rehabilitative Medicine, AOU Maggiore della Carita, Department of Clinical and Experimental Medicine, University of Eastern Piedmont A. Avogadro, Novara, Italy.
Disabil Rehabil. 2010;32(14):1194-203. doi: 10.3109/09638280903437246.
To provide a translation and cultural adaptation of the Spinal Cord Independence Measure version III scale for Italy (i-SCIM3) and to validate this version of the scale.
i-SCIM3 was developed involving a forward-backward translation and administered to patients with spinal cord lesions (SCL) admitted to two centers. Two raters for each center evaluated patients at admission and discharge. Psychometric testing included reliability by internal consistency (Cronbach's alpha) and test-retest reliability. The validity of i-SCIM3 was assessed by comparing it with the Italian version of Functional Independence Measure (FIM).
One hundred three adult patients with SCL (84 males) with a mean age of 50.33+/-15.35 years were recruited. Seventy-four patients were paraplegic and 29 patients were tetraplegic. The median time elapsed between the two evaluations was 77.5 days (interquartile range, 53-144 days). Internal consistency, inter-rater reliability, and test-retest reliability were satisfactory overall, showing values higher than 0.90. The validity of i-SCIM3 was confirmed by the close correlation with FIM results both at admission and discharge (r=0.91, p<0.01). The sensitivity to change of i-SCIM3 was similar to that of FIM.
i-SCIM3 was found to be a consistent, reliable, and valid scale for use in the clinical setting. It is the first validated scale in Italian for patients with SCL.
提供脊髓独立性测量量表第 3 版（i-SCIM3）的意大利语翻译和文化调适，并验证该量表的版本。
i-SCIM3 的开发涉及正向和反向翻译，并在两个中心收治的脊髓损伤（SCL）患者中进行。每个中心的两名评估员在入院和出院时评估患者。心理计量学测试包括内部一致性（Cronbach's alpha）和重测信度的可靠性。通过与意大利语功能独立性测量量表（FIM）进行比较来评估 i-SCIM3 的有效性。
共纳入 103 名成年 SCL 患者（84 名男性），平均年龄为 50.33+/-15.35 岁。74 名患者为截瘫，29 名患者为四肢瘫痪。两次评估之间的中位数时间间隔为 77.5 天（四分位距，53-144 天）。总体而言，内部一致性、评估者间信度和重测信度均令人满意，显示值高于 0.90。i-SCIM3 的有效性通过与入院和出院时 FIM 结果的密切相关性得到证实（r=0.91，p<0.01）。i-SCIM3 的变化敏感性与 FIM 相似。
i-SCIM3 是一种一致、可靠和有效的临床使用量表。它是第一个针对意大利 SCL 患者验证的量表。
