Spinal Cord Injury-Functional Index/Capacity: Responsiveness to Change Over Time.
Spinal Cord Injury-Functional Index/Capacity: Responsiveness to Change Over Time.
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DOI：
10.1016/j.apmr.2021.10.005
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发表时间：
2022-03
影响因子：
4.3
通讯作者：
Tulsky DS
中科院分区：
文献类型：
--
作者：
Kisala PA;Boulton AJ;Slavin MD;Cohen ML;Keeney T;Ni P;Tate D;Heinemann AW;Charlifue S;Fyffe DC;Felix ER;Jette AM;Tulsky DS
建立脊髓损伤后第一年3个脊髓损伤-功能指数/能力(SCI-FI/C)题库的反应性。通过对独立数据集的二次分析重复进行纵向患者报告的结果评估。美国8家SCI模型系统康复医院。研究1的参与者包括184名最近(≤4个月)患有创伤性脊髓损伤的成年人和221名居住在社区的成年人(伤后1年)。研究2的参与者为418名近期脊髓损伤患者(≤为4个月)。在研究1中，科幻/C计算机适应性测试以标准化的访谈形式在基线和6个月的随访中面对面或通过电话呈现。响应性是通过比较样本内和样本之间的科幻分数6个月的变化(最近受伤的和社区居住的)来检验的，因为只有最近受伤的样本预计会随着时间的推移而发生变化。还计算了效果大小。在研究2中，研究1的结果在基线测量一年后的第二个近期脊髓损伤样本中交叉验证。研究2还比较了科幻/C量表与自我报告功能量表(SRFM)的反应性，以及按损伤诊断和完整性进行分层的结果。科幻基本行动能力/C、自我护理/C和精细运动/C题库(研究1和研究2)；自我报告功能测量(SRFM；仅研究2)。在研究1中，对于新近受伤的个体，在基线和6个月随访期间，科幻/C评分的变化具有统计学意义(p<；.01)。科幻基本机动性/C、自助/C和精细电机/C题库在最近受伤的样本中展示了中小型ES。在社区居住的样本中，所有的科幻/C效应都可以忽略不计(即Es<；0.08)。研究2的结果与研究1相似。正如预期的那样，科幻小说中的基本行动能力/C和自我护理/C对研究2中所有个体的变化都有反应，而科幻小说中的精细运动/C只对四肢瘫痪和不完全性截瘫的个体有反应。SRFM显示了中等大小的ES反应(ES=0.65)。对于所有SCI患者，科幻类基本活动/C和自理/C题库对6个月和1年后的变化表现出足够的敏感性，而科幻/C精细运动题库对四肢瘫痪或不完全性截瘫患者的变化敏感。所有科幻/C银行在样本中都表现出了稳定性，预计不会改变。研究结果为将这些措施用于研究或临床使用提供了支持。
To establish responsiveness of 3 Spinal Cord Injury – Functional Index/Capacity (SCI-FI/C) item banks in the first year following SCI. Longitudinal patient-reported outcomes assessment replicated through secondary analysis of an independent data set. 8 SCI Model Systems rehabilitation hospitals in the US. Study 1 participants included 184 adults with recent (≤4 months) traumatic SCI and 221 community-dwelling adults (>1 year post injury). Study 2 participants were 418 individuals with recent SCI (≤4 months). In Study 1, SCI-FI/C computer adaptive tests were presented in a standardized interview format either in person or by phone call at baseline and 6-month follow-up. Responsiveness was examined by comparing 6-month changes in SCI-FI scores within and across samples (recently-injured vs. community-dwelling), as only the recent injury sample was expected to exhibit change over time. Effect sizes were also computed. In Study 2, the Study 1 results were cross-validated in a second recent SCI sample 1 year after baseline measurement. Study 2 also compared the SCI-FI/C measures’ responsiveness to that of the Self Report Functional Measure (SRFM) and stratified results by injury diagnosis and completeness. The SCI-FI Basic Mobility/C, Self-Care/C and Fine Motor/C item banks (Study 1 and Study 2); Self Report Functional Measure (SRFM; Study 2 only). In Study 1, changes in SCI-FI/C scores between baseline and 6-month follow-up were statistically significant (p<.01) for recently injured individuals. SCI-FI Basic Mobility/C, Self-Care/C, and Fine Motor/C item banks demonstrated small-to-medium-sized ES in the recently injured sample. In the community-dwelling sample, all SCI-FI/C effects were negligible (i.e., ES < 0.08). Study 2 results were similar to Study 1. As expected, SCI-FI Basic Mobility/C and Self-Care/C were responsive to change for all individuals in Study 2, whereas the SCI-FI Fine Motor/C was responsive only for individuals with tetraplegia and incomplete paraplegia. The SRFM demonstrated a medium-sized ES for responsiveness (ES = 0.65). The SCI-FI Basic Mobility/C and Self-Care/C banks demonstrate adequate sensitivity to change at 6 months and 1 year for all individuals with SCI, while the SCI-FI/C Fine Motor item bank is sensitive to change in individuals with tetraplegia or incomplete paraplegia. All SCI-FI/C banks demonstrate stability in a sample not expected to change. Results provide support for the use of these measures for research or clinical use.
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影响因子：
2.2
作者：
Steeves, J. D.;Kramer, J. K.;Curt, A.
通讯作者：
Curt, A.
DOI：
10.1016/j.apmr.2018.02.014
发表时间：
2018-09-01
影响因子：
4.3
作者：
Keeney, Tamra;Slavin, Mary;Jette, Alan M.
通讯作者：
Jette, Alan M.
DOI：
10.1016/j.apmr.2004.03.015
发表时间：
2004-11-01
影响因子：
4.3
作者：
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通讯作者：
Tulsky, D
影响因子：
1.7
作者：
Lee, Brian A.;Leiby, Benjamin E.;Marino, Ralph J.
通讯作者：
Marino, Ralph J.
影响因子：
3.5
作者：
Terwee, CB;Dekker, FW;Bossuyt, PMM
通讯作者：
Bossuyt, PMM