Kaiser Anita, Idd Hanan, Chan Katherine, Djuric Alexander, Marshall Sandi, Cairns-Mills Heather, Leo Jennifer, Musselman Kristin E
Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
KITE Research institute, Toronto Rehabilitation Institute-University Health Network, Toronto, Ontario, Canada.
PLoS One. 2024 Dec 30;19(12):e0315404. doi: 10.1371/journal.pone.0315404. eCollection 2024.
Activity-based therapy (ABT) has shown promise as a viable therapeutic intervention to promote neurorecovery in people with spinal cord injury/disease (SCI/D). Tools that track the details of ABT sessions may facilitate the collection of data needed to inform best practice guidelines for ABT.
The purpose of this study was to evaluate the content validity of a prototype ABT tracking tool.
Nine clinicians and five individuals with SCI/D from three community-based ABT clinics in Canada used the prototype tracking tool over three ABT sessions and then participated in individual cognitive debriefing interviews. The interview guide was developed based on recommendations by Brod and colleagues for establishing content validity (i.e., appropriate, comprehensive, comprehensibility). Interviews were transcribed verbatim and analysed using deductive followed by inductive content analysis.
Overall, the ABT tracking tool was found to have good content validity. Identified categories included: (1) Content validity of the ABT tracking tool. Participants found the tool to be comprehensive and appropriate for all levels and severities of injury. Recommendations to improve the tool included adding a comment section and additional parameters to each activity. (2) Facilitators of tool use, dissemination and implementation. Using the tool during rest breaks or after the session were suggested to maximize therapy time. Providing the tool as an app and offering education and training on use of the tool were highly recommended. Advertising through community clinics and social media may facilitate dissemination of the tool. (3) Barriers of tool use, dissemination and implementation. The paper format of the tool, added workload, learning curve and challenge to adopt a new documentation system were considered barriers to tool use.
The prototype ABT tracking tool was validated for content using cognitive debriefing interviews. Recommendations will be used to improve the tool and assist in dissemination and implementation efforts.
基于活动的疗法（ABT）已显示出有望成为一种可行的治疗干预措施，以促进脊髓损伤/疾病（SCI/D）患者的神经恢复。追踪ABT治疗课程细节的工具可能有助于收集数据，为ABT的最佳实践指南提供依据。
本研究的目的是评估一种ABT追踪工具原型的内容效度。
来自加拿大三个社区ABT诊所的九名临床医生和五名SCI/D患者在三个ABT治疗课程中使用了该追踪工具原型，然后参加了个人认知反馈访谈。访谈指南是根据布罗德及其同事关于建立内容效度（即适当、全面、易懂）的建议制定的。访谈逐字记录，并先采用演绎法，后采用归纳法进行内容分析。
总体而言，发现ABT追踪工具具有良好的内容效度。确定的类别包括：（1）ABT追踪工具的内容效度。参与者发现该工具全面且适用于所有损伤水平和严重程度。改进该工具的建议包括添加评论部分和为每个活动添加其他参数。（2）工具使用、传播和实施的促进因素。建议在休息时间或治疗课程结束后使用该工具，以最大限度地利用治疗时间。强烈建议将该工具作为应用程序提供，并提供关于工具使用的教育和培训。通过社区诊所和社交媒体进行宣传可能有助于该工具的传播。（3）工具使用、传播和实施的障碍。该工具的纸质形式、增加的工作量、学习曲线以及采用新文档系统的挑战被认为是工具使用的障碍。
通过认知反馈访谈验证了ABT追踪工具原型的内容效度。建议将用于改进该工具，并协助传播和实施工作。
