Department of Rehabilitation Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Spinal Cord. 2022 Apr;60(4):361-367. doi: 10.1038/s41393-022-00779-w. Epub 2022 Feb 28.
Cross-sectional validation study OBJECTIVES: To cross-culturally translate and evaluate the psychometric properties of the Thai version of the Spinal Cord Independence Measure Self-Report (SCIM-SR-Thai) in Thai people with spinal cord injury (SCI) SETTING: Rehabilitation Ward at Maharaj Nakorn Chiang Mai Hospital METHODS: A cross-cultural forward and backward translation of the English version SCIM-SR into Thai was performed following the standard guideline. Sixty-one participants completed the SCIM-SR-Thai. On the same day, the rehabilitation medicine resident administered the Spinal Cord Independence Measure III (SCIM III) by observation. The Cronbach's alpha, Pearson's correlation coefficients and intraclass correlation coefficients (ICC) were used to assess internal consistency and concurrent validity, respectively. The Bland-Altman analysis and regression analysis evaluated the differences in scores between instruments. To explore the construct validity, confirmatory factor analysis (CFA) was conducted.
The SCIM-SR-Thai provided excellent internal consistency (Cronbach's alpha ≥ 0.96). The Pearson's correlation coefficients and ICC revealed strong correlation with values of 0.93, 0.94, 0.95, and 0.97 in respiration and sphincter management, self-care, mobility, and total score, respectively. The regression analysis demonstrated that onset of injury of less than one year might be a possible predictor of the difference between the scores. CFA showed that the three-factor-model had an acceptable fit to the data but the unidimensional model fit the data better.
The SCIM-SR-Thai had excellent internal consistency and good validity for evaluating functional independence in Thai people with SCI. Persons with recent onset of injury might have limited ability for self-assessment of their functions.
横断面验证研究
跨文化翻译并评估泰国脊髓损伤（SCI）人群脊髓独立测量自我报告（SCIM-SR-Thai）的心理测量特性
玛哈叻蓬清迈医院康复病房
按照标准指南对英文版 SCIM-SR 进行正向和逆向翻译。61 名参与者完成了 SCIM-SR-Thai。同一天，康复医学住院医师通过观察进行脊髓独立测量 III（SCIM III）。Cronbach's alpha、Pearson 相关系数和组内相关系数（ICC）分别用于评估内部一致性和同时效度。Bland-Altman 分析和回归分析评估了仪器之间评分的差异。为了探索构念效度，进行了验证性因子分析（CFA）。
SCIM-SR-Thai 提供了极好的内部一致性（Cronbach's alpha≥0.96）。Pearson 相关系数和 ICC 显示与呼吸和括约肌管理、自理、移动性和总分的 0.93、0.94、0.95 和 0.97 值具有很强的相关性。回归分析表明，损伤发病时间少于 1 年可能是评分差异的一个可能预测因素。CFA 显示三因素模型对数据具有可接受的拟合度，但单维模型对数据的拟合度更好。
SCIM-SR-Thai 在评估泰国 SCI 人群的功能独立性方面具有极好的内部一致性和良好的有效性。发病时间较短的患者可能自我评估功能的能力有限。
