Τρίτη 21 Ιουνίου 2016

Spinal Cord Injury - Quality of Life Grief / Loss

Acronym:
SCI-QOL Grief / Loss
Purpose:

The SCI-QOL Grief / Loss instrument assesses the emotional reactions of grief and feelings of loss in response to sustaining a spinal cord injury (SCI).

Description:

The SCI-QOL Grief / Loss instrument is an item response theory (IRT)-calibrated item bank with 17 items that is available for administration as a computer adaptive test (CAT; range 4-12 items) or 9 item short form (SF).

Area of Assessment: Mental Health, Negative Affect, Quality of Life, Stress and Coping
Body Part: Not Applicable
ICF Domain: Body Function
Domain: Emotion
Assessment Type: Patient Reported Outcomes
Length of Test: 05 Minutes or Less
Time to Administer:
<5 Minutes
Number of Items: There are 17 items in the entire item bank. The short form has 9 items. The CAT can present 4-12 items, depending on the user's time vs. accuracy preferences.
Equipment Required:
The Short Form (SF) version requires only the printed form and a pencil. A CAT administration requires a desktop, laptop, or tablet computer with internet connection and login to AssessmentCenter.net.
 
Access to the short form, and administration of CATs through Assessment Center, is available through SCI-QOL@udel.edu.  
Training Required:
SCI-QOL Grief/Loss article (Kalpakjiam et al., 2015) and, if administering CATs, Assessment Center User Manual.
Type of training required: Reading an Article/Manual
Cost: Free
Actual Cost:
Free
Age Range: Adult: 18-64 years, Elderly adult: 65+
Administration Mode: Computer
Diagnosis: Spinal Cord Injury
Populations Tested:
Spinal Cord Injury
Standard Error of Measurement (SEM):
Depends upon mode of administration:
  • Full Item Bank: Mean SEM= 2.18 (Range= 0.16-0.48)
  • 9-Item Short Form: Mean SEM= 0.27 (Range= 0.20 - 0.51)
  • 9-Item Fixed CAT: Mean SEM= 0.25 (Range= 0.19-0.49)
  • Variable-length CAT (Min 8): Mean SEM= 0.56 (Range= 0.20 - 0.49)
  • Variable Length CAT (Min 4): Mean SEM= 0.30 (0.26-0.49) 
Minimal Detectable Change (MDC):
Calculated Using Mean SEM at 95% Confidence Interval:
  • Full Item Bank: MDC= 6.04
  • 9-Item Fixed CAT: MDC= 0.69
  • Variable Length CAT (Min 4): MDC= 0.83
Minimally Clinically Important Difference (MCID):
Not Established
Cut-Off Scores:
Not Established
Normative Data:
(n= 716; Mean Age= 43, SD= 15.3; Time Post Injury= 7.1, SD= 10; 45% Paraplegia, 55% Tetraplegia)
Test-retest Reliability:
Traumatic SCI(Kalpakjian et al., 2015)
  • Excellent: (Pearson's r= 0.84)
  • Excellent: (ICC= 0.83)
Interrater/Intrarater Reliability:
Not Applicable
Internal Consistency:
Traumatic SCI(Kalpakjian et al., 2015)
  • Full Item Bank - Excellent: (Cronbach's alpha= 0.95)
Criterion Validity (Predictive/Concurrent):
Not Established
Construct Validity (Convergent/Discriminant):
Not Established
Content Validity:
Items were derived from focus groups and interviews with individuals with traumatic SCI (n=65) and clinicians who specialize in SCI care (n=42) (Tulsky et al., 2011).
Face Validity:
Not statistically assessed, but all content was generated in collaboration with patients with SCI and expert clinicians, so face validity is believed to be strong.
Floor/Ceiling Effects:
Traumatic SCI(Kalpakjian et al., 2015)
 
Full Item Bank:
  • Floor Effect: Adequate to Excellent (4.8%)
  • Ceiling Effect: Excellent (0.3%)
9-Item Short Form:
  • Floor Effect: Adequate to Excellent (6.2%)
  • Ceiling Effect: Adequate to Excellent (1.4%)
9-Item Fixed Length CAT:
  • Floor Effect: Adequate to Excellent (5.4)
  • Ceiling Effect: Excellent (0.3%)
Variable-length CAT (Min 8):
  • Floor Effect: Adequate to Excellent (4.9%)
  • Ceiling Effect: Excellent (0.3%)
Variable-length CAT (Min 4):
  • Floor Effect: Adequate to Excellent (4.9%)
  • Ceiling Effect: Excellent (0.3%)
Responsiveness:
Not Established
Considerations:
None
Bibliography:
Kalpakjian, C.Z., Tulsky, D.S., Kisala, P.A., & Bombardier, C.H. (2015). Measuring grief and loss after spinal cord injury. Development, validation, and psychometric characteristics of the SCI-QOL Grief and Loss item bank and short form. Journal of Spinal Cord Medicine, 38(3), 347-355.
 
Tulsky, D.S., Kisala, P.A., Victorson, D. Tate, D., Heinemann, A.W., Amtmann, D., & Cella, D. (2011). Developing a contemporary patient-reported outcomes measure for spinal cord injury. Archives of Physical Medicine and Rehabilitation, 92(10), S44-S51.
Year published: 2015
Instrument in PDF Format: Yes


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