• Development and Evaluation of...

Treffer: Development and Evaluation of an Item Pool of "Movement-Related Body Functions in the Context of Task Performance".

Title:
Development and Evaluation of an Item Pool of "Movement-Related Body Functions in the Context of Task Performance".
Authors:
Mulcahey MJ; Center for Outcomes and Measurement, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania; Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania; Department of Rehabilitation Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania., Gerhardt NM; Center for Outcomes and Measurement, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania; Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania. Electronic address: Nicole.gerhardt@jefferson.edu., Kim RY; Center for Outcomes and Measurement, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania., Grampurohit N; Center for Outcomes and Measurement, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania; Department of Occupational Therapy, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania., Capron M; Center for Outcomes and Measurement, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania.
Source:
Archives of physical medicine and rehabilitation [Arch Phys Med Rehabil] 2026 Jan; Vol. 107 (1), pp. 77-85. Date of Electronic Publication: 2025 Jul 11.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: W.B. Saunders Country of Publication: United States NLM ID: 2985158R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-821X (Electronic) Linking ISSN: 00039993 NLM ISO Abbreviation: Arch Phys Med Rehabil Subsets: MEDLINE
Imprint Name(s):
Original Publication: Philadelphia, PA : W.B. Saunders
MeSH Terms:
Spinal Cord Injuries*/rehabilitation , Spinal Cord Injuries*/physiopathology , Disability Evaluation* , Task Performance and Analysis* , Outcome Assessment, Health Care*/methods, Humans ; Reproducibility of Results ; Male ; Female ; Adult ; Focus Groups ; Middle Aged ; Movement/physiology ; Observer Variation
Contributed Indexing:
Keywords: Clinical outcome assessment; Performance outcome assessment; Rehabilitation; Spinal cord injury
Entry Date(s):
Date Created: 20250713 Date Completed: 20260102 Latest Revision: 20260105
Update Code:
20260105
DOI:
10.1016/j.apmr.2025.06.009
PMID:
40653183
Database:
MEDLINE

Weitere Informationen

Objective: The study aimed to describe the development and evaluation of an item pool for a new performance-based clinical outcome assessment (COA), the Spinal Cord Injury Movement Index (SCI-MovIn).
Design: Iterative focus groups, one-on-one consultations and field-testing sessions were used to develop the conceptual model for the SCI-MovIn measurement construct, establish an item pool consisting of candidate items with 5 response categories, and create standardized guidelines for set-up, administration, and scoring. Trained therapists administered 61 items to individuals with spinal cord injury (SCI) for inter- and intrarater reliability testing.
Setting: Academic institution in an urban area.
Participants: Professionals with measurement/SCI expertise participated in focus groups. Individuals with SCI engaged in field-testing and reliability testing sessions.
Main Outcome Measure(s): Total percent exact agreement between paired raters was calculated. Cronbach's alpha (α) and intraclass correlation coefficient (ICC) with 95% confidence interval (CI) were used to examine internal consistency. Intra- and interrater reliability were measured using ICCs.
Results: Through iterative focus groups with 18 SCI/measurement professionals and 24 field-testing sessions with 10 individuals with SCI, 226 items were developed, 132 of which were eliminated. The reliability testing sample consisted of 33 adults who sustained SCI an average of 13.2 years before participation. Of the 1215 paired scores from administration of 61 SCI-MovIn items, raters' scores were identical for 833 (68.6%). Internal consistency was high (α=0.948). Reliability of repeated SCI-MovIn scores was high for both intrarater (ICC=0.992; CI=0.983-0.996) and interrater (ICC=0.887; CI=0.873-0.899) reliability.
Conclusion: The next step is a large-scale study to transform the item pool into a calibrated item bank from which tailored short forms can be developed.
(Published by Elsevier Inc.)