Intra- and Interrater Reliability of Remote Assessment of Transfers by Wheelchair Users Using the Transfer Assessment Instrument (Version 4.0)

Worobey, Lynn A.; Hibbs, Rachel; Rigot, Stephanie K.; Boninger, Michael L.; Huzinec, Randall; Sung, Jong Hun; Rice, Laura A.

doi:10.1016/j.apmr.2020.12.032

Cited by 9 publications

(14 citation statements)

References 39 publications

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“… 26 An assessment of transfer quality was performed using the Transfer Assessment Instrument (TAI). 27 , 28 The procedures for the remote TAI assessment are also fully described elsewhere. 27 , 28 A paper goniometer sent to the participants was used during the TAI evaluation.…”

Section: Methodsmentioning

confidence: 99%

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Risk Factors Associated With Falls and Fall-Related Injuries Among Wheelchair Users With Spinal Cord Injury

Abou

Rice

2022

Archives of Rehabilitation Research and Clinical Translation

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Section: Methodsmentioning

confidence: 99%

“… 27 , 28 The procedures for the remote TAI assessment are also fully described elsewhere. 27 , 28 A paper goniometer sent to the participants was used during the TAI evaluation. Finally, participants completed a self-assessment of their transfer assessment using the self-TAI.…”

Section: Methodsmentioning

confidence: 99%

Risk Factors Associated With Falls and Fall-Related Injuries Among Wheelchair Users With Spinal Cord Injury

Abou

Rice

2022

Archives of Rehabilitation Research and Clinical Translation

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“…In 2020, a self-assessment, questionnaire version of the TAI (TAI-Q) was developed to increase the accessibility of the outcome measure in non-clinical settings and provide an opportunity for wheelchair users to rate the quality of their own transfers [ 12 ]. In addition, the measurement properties of the TAI were examined to determine whether a clinician could use the TAI remotely to assess transfer quality [ 13 ]. Results indicate that the TAI demonstrated good to excellent reliability when used to assess transfer quality in a laboratory setting by remote investigators [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, the measurement properties of the TAI were examined to determine whether a clinician could use the TAI remotely to assess transfer quality [ 13 ]. Results indicate that the TAI demonstrated good to excellent reliability when used to assess transfer quality in a laboratory setting by remote investigators [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Reliability of home-based remote and self-assessment of transfers using the Transfer Assessment Instrument among wheelchair users with spinal cord injury

Abou

Worobey

Rigot

et al. 2023

Spinal Cord Ser Cases

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Study design Cross-sectional study. Objective To evaluate the reliability of home-based remote and self-assessment of transfer quality using the Transfer Assessment Instrument (TAI) among wheelchair users with spinal cord injury (SCI). Setting Participant’s home environment. Methods Eighteen wheelchair users with SCI transferred from their wheelchair to a surface of their choice (bed, sofa, or bench) in their homes. During a live video conference, the transfer was recorded and evaluated live using the TAI (rater 1). Participants completed a self-assessment of their transfer using the TAI- questionnaire (TAI-Q). Two additional raters (raters 2 & 3) completed asynchronous assessments by watching recorded videos. Interrater reliability was assessed using Intraclass Coefficient Correlations (ICC) to compare rater 1 with the average of raters 2 & 3 and TAI-Q. Intrarater reliability was assessed by rater 1 completing another TAI by watching the recorded videos after a 4-week delay. Assessments were compared using paired sample t-tests and level of agreement between TAI scores was evaluated using Bland–Altman plots. Results Moderate to good interrater and good intrarater reliability were found for the total TAI score with ICCs: 0.57–0.90 and 0.90, respectively. Moderate to good intrarater and interrater reliability were found for all TAI subscores (ICC: 0.60–0.94) except for interrater reliability of flight/landing which was poor (ICC: 0.20). Bland–Altman plots indicate no systematic bias related to the measurement of error. Conclusions The TAI is a reliable outcome measure for assessing the wheelchair and body setup phases of home-based transfers remotely and through self-assessment among individuals with SCI.

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