Adaptation and validation of the Japanese version of the Spinal Cord Independence Measure (SCIM III) self-report
Adaptation and validation of the Japanese version of the Spinal Cord Independence Measure (SCIM III) self-report
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DOI：
10.1038/s41393-021-00633-5
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发表时间：
2021-04-30
期刊：
影响因子：
2.2
通讯作者：
Liu, Meigen
中科院分区：
文献类型：
--
作者：
Takeuchi, Sho;Uemura, Osamu;Liu, Meigen
研究设计：心理测量学研究、横断面验证性研究。目的改编和验证日本版脊髓独立性测量自评量表(SCIM-SR)。在日本建立一家脊髓损伤(SCI)康复机构。方法根据国际指南对问卷进行翻译和验证，使其适用于日本人群。随后，我们对100例脊髓损伤住院患者进行了分析。我们使用日本的SCIM-SR评估他们的独立性，并将数据与训练有素的病房护士使用SCIM III评估的数据进行比较。结果Spearman等级相关系数总分为0.95，生活自理为0.89，呼吸与括约肌管理为0.83，活动度为0.89。Bland-Altman分析显示无显著比例偏倚(-0.02；95%CI[-0.07，0.06])，但显著固定偏倚(2；95%CI[0.5，3.5])。我们没有发现任何影响SCIM III和SCIM-SR分数差异的具体因素。结论本研究验证了SCIM-SR日文版作为SCI患者独立性评价工具的有效性，可以替代SCIM III，有助于加深对SCI患者日常生活活动能力的了解。
Study design Psychometric study, cross-sectional validation study. Objectives To adapt and validate the Japanese version of the Spinal Cord Independence Measure self-report (SCIM-SR). Setting A spinal cord injury (SCI) rehabilitation facility in Japan. Methods We adapted the SCIM-SR for the Japanese population by translating and validating the questionnaire in accordance with the international guidelines. Following this, we analyzed 100 inpatients with SCI. We evaluated their independence using the Japanese SCIM-SR, and compared the data with those assessed using the SCIM III by trained ward nurses. Results Spearman's rank correlation coefficients were 0.95 for the total score, 0.89 for self-care, 0.83 for respiration and sphincter management, and 0.89 for mobility subscores. The Bland-Altman analysis revealed no significant proportional bias (-0.02; 95% CI [-0.07, 0.06]), but a significant fixed bias (2; 95% CI [0.5, 3.5]). We did not identify any specific factor that affected the differences between SCIM III and SCIM-SR scores. Conclusions Our study validated the Japanese version of SCIM-SR as a tool for the evaluation of the independence of persons with SCI, which could substitute SCIM III and help facilitate a deeper understanding of activities of daily living among patients with SCI.