Development of Performance-based Outcome Assessment for Acute Spinal Cord Injury

• Published in: Archives of physical medicine and rehabilitation Vol. 104; no. 3; p. e23
• Main Authors: Kim, Rachel, Gerhardt, Nicole, Mulcahey, MJ
• Format: Journal Article
• Language: English
• Published: Elsevier Inc 01-03-2023
• Subjects: Acute Care; Acute SCI; Measurement; Movement; Spinal Cord Injury; Measurement; Acute Care; Acute SCI; Movement; Spinal Cord Injury
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1016/j.apmr.2022.12.063

To describe the development and refinement of candidate items, item intents and administration guidelines for a newly developed item pool that evaluates movement-in-the-context-of-function acutely after spinal cord injury (SCI).
Descriptive qualitative methods: narrative review, expert panel, and field-testing. A narrative review was used for construct development. Expert panel and field-testing sessions were used for item development and refinement.
Research lab.
An expert panel (X=5) of an EMT, neurosurgeon, physical medicine and rehabilitation doctor, and 2 intensive care unit nurses was consulted to refine item intents and administration guidelines. Beta-testing sessions with persons with SCI (X=4) informed item refinement and elimination.
Not applicable.
Not applicable. This study is part of the development of a performance-based outcome assessment called the Spinal Cord Injury-Movement Index (SCI-MI).
33 candidate items, amendable to administration acutely after SCI, were developed for against gravity (X=13), gravity minimized (X=2), and gravity eliminated (X=18) positions. Additional field-testing sessions and expert panels will be used to refine standardized administration guidelines and develop scoring guidelines.
The study findings informed the development of SCI-MI candidate items for administration in acute care settings.
The authors have no conflicts of interests.
This study is funded by the Craig H. Neilsen Foundation (PI: Mulcahey).