{"title":"Validity and reliability of the Turkish version of the Spinal Cord Independence Measure (SCIM III) self-report.","authors":"Yelda Soluk Özdemir, Cansın Medin Ceylan, Nurdan Paker, Veysel Korkut, Burak Kütük, Kadriye Öneş, Derya Buğdaycı, Fatma N Kesiktaş","doi":"10.1038/s41393-025-01069-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Study design: </strong>A cross-sectional validation study.</p><p><strong>Objectives: </strong>The aim of the study was to create a Turkish version of the Spinal Cord Independence Measure Self-Report (SCIM-SR) scale and verify its validity and reliability.</p><p><strong>Setting: </strong>Rehabilitation Department at Istanbul Physical Medicine and Rehabilitation and Training Research Hospital.</p><p><strong>Methods: </strong>The Turkish version of SCIM-SR was translated from English using forward and backward translation in accordance with standard guidelines and 90 participants completed the SCIM-SR Turkish form. At the same time, a Spinal Cord Independence Measure III (SCIM III) was administered to the participants by a health professional through observation. Cronbach's alpha, Pearson and Spearman correlation coefficients were used to evaluate the internal consistency and concurrent validity.</p><p><strong>Results: </strong>The Cronbach's α coefficients for the total scale was 0.883. For the subscales, it was 0.929 for self-care, 0.571 for respiration and sphincter management and 0.885 for mobility. Test-retest reliability after two weeks yielded Spearman coefficients above 0.92 for the total scale and all subscales. When analyzing the correlation between SCIM-SR and SCIM III, the intraclass correlation average and its lower and upper bound values were as follows: 0.984 (0.976-0.990) for self-care; 0.970 (0.955-0.980) for respiration and sphincter management; 0.968 (0.951-0.979) for mobility and 0.980 (0.969-0.987) for the total. There was good agreement between SCIM-SR and SCIM III when evaluating the total score in Bland-Altman graphs. The Bland-Altman analysis revealed no significant proportional bias (0.76; 95% CI [-21.34, 22.87]), but a significant fixed bias was observed.</p><p><strong>Conclusions: </strong>The Turkish version of SCIM-SR demonstrated excellent internal consistency and good validity in Turkish individuals with spinal cord injury.</p>","PeriodicalId":21976,"journal":{"name":"Spinal cord","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spinal cord","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1038/s41393-025-01069-x","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Study design: A cross-sectional validation study.
Objectives: The aim of the study was to create a Turkish version of the Spinal Cord Independence Measure Self-Report (SCIM-SR) scale and verify its validity and reliability.
Setting: Rehabilitation Department at Istanbul Physical Medicine and Rehabilitation and Training Research Hospital.
Methods: The Turkish version of SCIM-SR was translated from English using forward and backward translation in accordance with standard guidelines and 90 participants completed the SCIM-SR Turkish form. At the same time, a Spinal Cord Independence Measure III (SCIM III) was administered to the participants by a health professional through observation. Cronbach's alpha, Pearson and Spearman correlation coefficients were used to evaluate the internal consistency and concurrent validity.
Results: The Cronbach's α coefficients for the total scale was 0.883. For the subscales, it was 0.929 for self-care, 0.571 for respiration and sphincter management and 0.885 for mobility. Test-retest reliability after two weeks yielded Spearman coefficients above 0.92 for the total scale and all subscales. When analyzing the correlation between SCIM-SR and SCIM III, the intraclass correlation average and its lower and upper bound values were as follows: 0.984 (0.976-0.990) for self-care; 0.970 (0.955-0.980) for respiration and sphincter management; 0.968 (0.951-0.979) for mobility and 0.980 (0.969-0.987) for the total. There was good agreement between SCIM-SR and SCIM III when evaluating the total score in Bland-Altman graphs. The Bland-Altman analysis revealed no significant proportional bias (0.76; 95% CI [-21.34, 22.87]), but a significant fixed bias was observed.
Conclusions: The Turkish version of SCIM-SR demonstrated excellent internal consistency and good validity in Turkish individuals with spinal cord injury.
期刊介绍：
Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews.
Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.
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