An investigation into the validity and reliability of the Chinese version of Spinal Cord Independence Measure III (SCIM III)

Abstract

Objective: To investigate the validity and reliability of a Chinese version of Spinal Cord Independence Measure III (SCIM III) in individuals with spinal cord injury. Design: Study on psychometric properties. Setting: An inpatient rehabilitation facility in China. Subjects: 102 participants with spinal cord injury. Mean (SD) age was 48.8 (15.6) years; tetraplegia/paraplegia ratio was 50/52; median time post injury was 2 months. Intervention: SCIM III was translated into Chinese. Chinese versions of Barthel Index and SCIM III were filled out for each participant by Rater 1. SCIM III was then administered by Rater 2 after 24 hours ( n = 67) and 7 days ( n = 65). Main Measures: Validity, inter-rater/test-retest reliability, and internal consistency of the Chinese version of SCIM III. Results: The total scores between the two raters were similar (mean ± SD: 33.8 ± 25.8 vs 33.8 ± 25.5, P = 0.95). Total agreement between the raters in each item was >80%, with both Pearson and intraclass correlation coefficients >0.97 ( P < 0.01) for each subscale and total score. The Pearson correlation coefficients of the two independent assessments performed by Rater 2 were also >0.97 ( P < 0.01) for each subscale and the total score. Cronbach α was >0.7 for each subscale and the total score for both raters. High consistency was found between Barthel Index and SCIM III total scores (Pearson correlation coefficient = 0.88, P < 0.01). Conclusion: The Chinese version of SCIM III is valid and reliable for the functional assessment of patients with SCI.

Penggunaan Spinal Cord Independence Measure III sebagai Alat Ukur Kemampuan Fungsional Pasien Spinal Cord Injury di Indonesia

“…Hal ini menunjukkan bahwa meskipun hasilnya tidak sama persis, namun kuesioner SCIM merupakan kuesioner yang objektif dan handal sehingga dapat digunakan sebagai alat ukur kemampuan fungsional pasien SCI. Hal ini sesuai dengan hasil penelitian sebelumnya yang menggambarkan bahwa SCIM versi III dapat digunakan di berbagai bahasa serta dapat mengukur kemampuan fungsional pasien lebih terperinci dan objektif (Kumar et al, 2020;Wilartratsami et al, 2020;Xing et al, 2020).…”