Reliability and Validity Analysis of the Transfer Assessment Instrument

McClure, Laura A.; Boninger, Michael L.; Ozawa, Haishin; Koontz, Alicia M

doi:10.1016/j.apmr.2010.07.231

Cited by 35 publications

(29 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The items on the TAI were based on clinical practice guidelines [11], current knowledge in the literature [18], and best clinical practices related to transfers. The TAI has acceptable to high inter- and intrarater reliability (intraclass correlation coefficient (ICC) values ranging from 0.72 to 0.88) and good face, content, and construct validity [29–31]. However, no study has associated a clinical assessment of transfer skills to biomechanical changes.…”

Section: Introductionmentioning

confidence: 99%

The Relationship between Independent Transfer Skills and Upper Limb Kinetics in Wheelchair Users

Tsai

Hogaboom

Boninger

et al. 2014

BioMed Research International

Self Cite

View full text Add to dashboard Cite

Transfers are one of the most physically demanding wheelchair activities. The purpose of this study was to determine if using proper transfer skills as measured by the Transfer Assessment Instrument (TAI) is associated with reduced loading on the upper extremities. Twenty-three wheelchair users performed transfers to a level-height bench while a series of forces plates, load cells, and a motion capture system recorded the biomechanics of their natural transferring techniques. Their transfer skills were simultaneously evaluated by two study clinicians using the TAI. Logistic regression and multiple linear regression models were used to determine the relationships between TAI scores and the kinetic variables on both arms across all joints. The results showed that the TAI measured transfer skills were closely associated with the magnitude and timing of joint moments (P < .02, model R2 values ranged from 0.27 to 0.79). Proper completion of the skills which targeted the trailing arm was associated with lower average resultant moments and rates of rise of resultant moments at the trailing shoulder and/or elbow. Some skills involving the leading side had the effect of increasing the magnitude or rate loading on the leading side. Knowledge of the kinetic outcomes associated with each skill may help users to achieve the best load-relieving effects for their upper extremities.

show abstract

Section: Introductionmentioning

confidence: 99%

The Relationship between Independent Transfer Skills and Upper Limb Kinetics in Wheelchair Users

Tsai

Hogaboom

Boninger

et al. 2014

BioMed Research International

Self Cite

View full text Add to dashboard Cite

show abstract

“…The TAI takes less than 10 min to complete and requires no specialized equipment or testing tools [21]. The scale has been rigorously tested for validity and reliability [21,27,29].…”

Section: Testing Protocolmentioning

confidence: 99%

“…A formal investigation into the transfer skill deficit rates of nonparticipating Veterans and civilian patients is needed to extend our understanding of the effects of healthcare environments on transfer skill acquisition. Additionally, the TAI is a relatively new outcome measure, although most of the items have acceptable to high levels of reliability [27] and the validity of TAI has been extensively tested [21,29].…”

Section: Limitationsmentioning

confidence: 99%

“…The amount and quality of education and training on transfer skills that a person receives varies widely [21][22]. About 42 percent of wheelchair users claimed to have learned essential mobility skills from a professional, while the remaining users either never learned them (3%), learned them on their own after their initial rehabilitation stay (42%), or learned them from a peer (13%) [1].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Transfer component skill deficit rates among Veterans who use wheelchairs

et al. 2016

Self Cite

View full text Add to dashboard Cite

Abstract-The purpose of this study was to quantify the deficit rates for transfer component skills in a Veteran cohort and explore the relationship between deficit rates and subject characteristics. Seventy-four men and 18 women performed up to four transfers independently from their wheelchair to a mat table while a therapist evaluated their transfer techniques using the Transfer Assessment Instrument. The highest deficit rates concerned the improper use of handgrips (63%). Other common problems included not setting the wheelchair up at the proper angle (50%) and not removing the armrest (58%). Veterans over 60 yr old and Veterans with moderate shoulder pain were more likely to set up their wheelchairs inappropriately than younger Veterans (p = 0.003) and Veterans with mild shoulder pain (p = 0.004). Women were less likely to remove their armrests than men (p = 0.03). Subjects with disabilities other than spinal cord injury were less inclined to set themselves up for a safe and easy transfer than the subjects with spinal cord injury (p  0.001). The results provide insight into the disparities present in transfer skills among Veterans and will inform the development of future transfer training programs both within and outside of the Department of Veterans Affairs.

show abstract

“…A final score is given ranging from 0 = very poor transfer quality to 10 = excellent transfer quality. The TAI has been found to be valid and reliable in fulltime wheelchair users, including individuals with MS. 15 Seated postural control was evaluated using a Bertec force plate (model FP4060-05; Bertec Inc, Columbus, OH). Per the protocol established by Shin and Sosnoff, 16 seated postural control was assessed by having participants sit with their arms resting in their lap with both their feet and back unsupported for 30 seconds.…”

Section: Outcome Assessmentsmentioning

confidence: 99%