Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Shriners Hospitals for Children, Chicago, Illinois.
Top Spinal Cord Inj Rehabil. 2022 Winter;28(1):21-33. doi: 10.46292/sci19-00001. Epub 2021 Oct 25.
To establish the utility and feasibility of the International Spinal Cord Injury/Dysfunction (SCI/D) Bowel Function Basic Data Set Version 2.0 in pediatric SCI populations.
This was a noninterventional, repeated measure design conducted in Pennsylvania, Maryland, Illinois, Kentucky, and South Carolina. The International Spinal Cord Injury/Dysfunction (SCI/D) Bowel Function Basic Data Set Version 2.0 was administered repeatedly, twice at the point of care and once over the phone. Time to complete the data set was recorded. Inter- and intrarater reliability was examined by intraclass correlation coefficients (ICC) with 95% confidence intervals (CI), and agreement between the bowel function basic data set variables and medical records was calculated using percentages. Intrarater reliability involved the same person administering the data once at the point of care and once over the phone.
Forty-one children/youth ages 1 to 20 years participated in this study. Average time to complete the data set was 5.17 minutes. Interrater reliability was good to excellent (ICC ≥ 0.75) for most variables. Five variables had moderate interrater reliability (ICC = 0.05-0.74) and three had poor interrater reliability (ICC < 0.05). With the exception of one variable that had poor intrarater reliability (constipating agent, ICC = 0.00) and one that approached moderate reliability (digital evacuation, ICC = 0.74), intrarater reliability was good to strong for every bowel variable (ICC = 0.88-1.00). Only 12 (32%) medical records had explicit documentation of one or more of the variables on the Basic Bowel Function Basic Data Set V2.0.
The results support future research with a larger and more diverse sample of children with SCI to build upon the psychometric work described herein.
在小儿脊髓损伤（SCI）人群中，建立国际脊髓损伤/功能（SCI/D）肠功能基本数据集版本 2.0 的实用性和可行性。
这是一项在宾夕法尼亚州、马里兰州、伊利诺伊州、肯塔基州和南卡罗来纳州进行的非干预性、重复测量设计。国际脊髓损伤/功能（SCI/D）肠功能基本数据集版本 2.0 重复使用，在护理点进行两次，通过电话进行一次。记录完成数据集所需的时间。使用 95%置信区间（CI）的组内相关系数（ICC）检查组内和组间可靠性，并使用百分比计算肠功能基本数据集变量与病历之间的一致性。组内可靠性涉及同一人在护理点和通过电话进行一次数据管理。
41 名年龄在 1 至 20 岁的儿童/青少年参与了这项研究。完成数据集的平均时间为 5.17 分钟。大多数变量的组间可靠性良好至优秀（ICC≥0.75）。5 个变量的组间可靠性为中等（ICC=0.05-0.74），3 个变量的组间可靠性较差（ICC<0.05）。除了一个变量的组内可靠性较差（便秘剂，ICC=0.00）和一个接近中等可靠性的变量（数字排空，ICC=0.74）外，每个肠变量的组内可靠性均良好至很强（ICC=0.88-1.00）。只有 12 份（32%）病历有明确记录基本肠功能基本数据集版本 2.0 上的一个或多个变量。
这些结果支持未来对更多和更多样化的 SCI 儿童进行更大规模的研究，以建立在此处描述的心理测量工作基础上。
