School of Nursing, Sun Yat-sen University, Guangzhou, China.
Department of Spinal Cord Injury Rehabilitation, Sichuan Provincial Rehabilitation Hospital, Chengdu, China.
Spinal Cord. 2021 Oct;59(10):1045-1052. doi: 10.1038/s41393-020-00601-5. Epub 2021 Jan 14.
A cross-sectional psychometric study.
To translate, culturally adapt and validate the Chinese version of the Spinal Cord Independence Measure III-Self Report (SCIM-SR).
Four rehabilitation centers in Guangzhou, Chengdu, and Shiyan, China.
Translation and cultural adaptation of the Chinese version of the SCIM-SR was conducted according to Brislin guidelines. A total of 147 spinal cord injury patients self-rated their functional independence using translated instrument. The psychometric properties of content validity, criterion-related validity, internal consistency reliability, and test-retest reliability were examined.
The content validity index of the new scale was 0.99. The intraclass correlation coefficient between the total SCIM-SR and SCIM III scores was 0.935, and the coefficients for its three subscales were 0.899, 0.760, and 0.942. Bland-Altman analysis showed that the mean difference between the total SCIM-SR and SCIM III scores was 2.35 (95% confidence interval -0.58 to 5.28), and differences for the three subscales were 0.75 (-0.51-2.01), 1.30 (-0.63-3.23), and 0.30 (-0.80-1.40). The Cronbach's α coefficients for the total scale, the self-care subscale, and the mobility subscale were 0.908, 0.913, and 0.895, respectively. The α for the respiration and sphincter management subscale was 0.581. Test-retest reliability after 2 weeks yielded a Spearman coefficient for the total scale of and subscale values all above 0.73.
Our results indicate acceptable validity and reliability of the Chinese version of SCIM-SR. It may facilitate long-term evaluations of independence in Chinese spinal cord injury patients in the community and at home.
一项横断面心理测量研究。
翻译、文化调适并验证简体中文版脊髓独立测量量表第三版自我报告（SCIM-SR）。
中国广州、成都和十堰的 4 家康复中心。
根据 Brislin 指南进行简体中文版 SCIM-SR 的翻译和文化调适。共有 147 名脊髓损伤患者使用翻译后的工具对自身功能独立性进行自评。考察内容效度、效标关联效度、内部一致性信度和重测信度的心理测量学特性。
新量表的内容效度指数为 0.99。SCIM-SR 总分与 SCIM III 评分之间的组内相关系数为 0.935，其三个亚量表的系数分别为 0.899、0.760 和 0.942。Bland-Altman 分析显示，SCIM-SR 总分与 SCIM III 评分的平均差值为 2.35（95%置信区间 -0.58 至 5.28），三个亚量表的差值分别为 0.75（-0.51 至 2.01）、1.30（-0.63 至 3.23）和 0.30（-0.80 至 1.40）。总量表、自理亚量表和移动亚量表的 Cronbach's α 系数分别为 0.908、0.913 和 0.895，呼吸和括约肌管理亚量表的 Cronbach's α 系数为 0.581。两周后的重测信度得到总量表和各亚量表的 Spearman 系数均大于 0.73。
简体中文版 SCIM-SR 具有可接受的效度和信度。它可能有助于对中国社区和家庭中的脊髓损伤患者独立性进行长期评估。
