SARAH Network of Rehabilitation Hospitals, Belo Horizonte, Minas Gerais, Brazil.
Postgraduate Program in Reabilitation and Functional Performance (PPGReab), Federal University of the Jequitinhonha and Mucuri Valleys, Diamantina, Minas Gerais, Brazil.
J Spinal Cord Med. 2024 Sep;47(5):661-668. doi: 10.1080/10790268.2023.2183327. Epub 2023 Mar 13.
To investigate the reliability and the construct validity of the Participation Scale (P-scale) in adults with Spinal Cord Injury (SCI).
A cross-sectional study.
: SARAH Network of Rehabilitation Hospitals, Brazil.
: One hundred individuals with SCI.
: Not applicable.
: Sociodemographic and clinical characteristics were investigated. To assess reliability the P-scale was applied twice with a one-week interval. To assess construct validity the Functional Independence Measure, the Beck Depression Inventory, and the Accessibility Perception Questionnaire were administered.
The mean age of the participants was 38.9 ± 12.80 years. The majority were male (70%) and had traumatic injuries (74%). The P-scale showed significant correlations with the Functional Independence Measure motor domain ( = -0.280) and cognitive domain ( = -0.520); with the Beck Depression Inventory score (= 0.610); with the Accessibility Perception Questionnaire displacement domain (= -0.620) and psycho-affective domain (= 0.530). Mean scores obtained on the P-scale differed significantly between the groups with and without depressive symptoms ( = 0.001), neuropathic pain ( = 0.033), and functional dependence ( = 0.001). There was no difference between the paraplegic and quadriplegic groups. The P-scale had adequate internal consistency (Cronbach's alpha = 0.873), excellent test-retest reliability (ICC= 0.992; 95% CI = 0.987-0.994), and in the Bland-Altman plot analysis, only six values fell outside the limits of agreement.
Our results support the use of the P-scale to assess the participation of individuals with SCI in research and clinical practice.
调查脊髓损伤（SCI）成年人参与量表（P 量表）的信度和结构效度。
横断面研究。
巴西 SARAH 康复医院网络。
100 名 SCI 成年人。
不适用。
参与者的平均年龄为 38.9±12.80 岁。大多数为男性（70%）和创伤性损伤（74%）。P 量表与功能独立性测量运动域（r=-0.280）和认知域（r=-0.520）、贝克抑郁量表评分（r=0.610）、可达性感知问卷位移域（r=-0.620）和心理-情感域（r=0.530）均有显著相关性。P 量表的平均得分在有和无抑郁症状（r=0.001）、神经病理性疼痛（r=0.033）和功能依赖（r=0.001）的组间差异有统计学意义。截瘫和四肢瘫组之间无差异。P 量表具有良好的内部一致性（克朗巴赫α=0.873）、极好的重测信度（ICC=0.992；95%置信区间=0.987-0.994），且在 Bland-Altman 图分析中，只有 6 个值超出了一致性界限。
我们的结果支持使用 P 量表评估 SCI 个体在研究和临床实践中的参与情况。
