Objectives

To develop clinically relevant interpretive standards for the Spinal Cord Injury–Functional Index/Capacity (SCI-FI/C) Basic Mobility and Self-Care item bank scores.

Design

Modified “bookmarking” standard-setting methodology, including 2 stakeholder consensus meetings with individuals with spinal cord injury (SCI) and SCI clinicians, respectively, and a final, combined (consumers and clinicians) “convergence” meeting.

Setting

Two SCI Model System centers in the United States.

Participants

Fourteen adults who work with individuals with traumatic SCI and 14 clinicians who work with individuals with SCI.

Main Outcome Measures

Placement of bookmarks between vignettes based on SCI-FI Basic Mobility and Self-Care T scores. Bookmarks were placed between vignettes representing “No Problems,” “Mild Problems,” “Moderate Problems,” and “Severe Problems” for each item bank.

Results

Each consensus group resulted in a single set of scoring cut points for the SCI-FI/C Basic Mobility and Self-Care item banks. The cut points were similar but not identical between the consumer and clinician groups, necessitating a final convergence meeting. For SCI-FI/C Basic Mobility, the convergence group agreed on cut scores of 61.25 (no problems/mild problems), 51.25 (mild problems/moderate problems), and 41.25 (moderate problems/severe problems). For SCI-FI/C Self-Care, the convergence group agreed on cut scores of 56.25 (no/mild), 51.25 (mild/moderate), and 38.75 (moderate/severe).

Conclusions

The results of this study provide straightforward interpretive guidelines for SCI researchers and clinicians using the SCI-FI/C Basic Mobility and Self-Care instruments. These results are appropriate for the full bank, computer adaptive test, and short-form versions of the SCI-FI/C Basic Mobility and Self-Care item banks.

中文翻译：

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应用书签方法为脊髓损伤设定临床相关的解释标准——功能指数/能力基本活动能力和自我护理项目库分数

目标

为脊髓损伤功能指数/容量 (SCI-FI/C) 基本活动能力和自我护理项目库评分制定临床相关的解释标准。

设计

修改了“书签”标准制定方法，包括分别与脊髓损伤 (SCI) 患者和 SCI 临床医生举行的 2 次利益相关者共识会议，以及最终的联合（消费者和临床医生）“趋同”会议。

环境

美国两个 SCI 模型系统中心。

参与者

14 名与创伤性 SCI 患者一起工作的成年人和 14 名与 SCI 患者一起工作的临床医生。

主要观察指标

根据 SCI-FI Basic Mobility 和 Self-Care T 分数在小插图之间放置书签。书签被放置在代表每个项目库的“没有问题”、“轻度问题”、“中度问题”和“严重问题”的小插图之间。

结果

每个共识组都为 SCI-FI/C 基本移动和自我护理项目库制定了一组评分切点。消费者组和临床医生组之间的分界点相似但不相同，因此需要召开最终的收敛会议。对于 SCI-FI/C Basic Mobility，收敛组同意的分数为 61.25（无问题/轻度问题）、51.25（轻度问题/中度问题）和 41.25（中度问题/严重问题）。对于 SCI-FI/C Self-Care，收敛组同意 56.25（无/轻度）、51.25（轻度/中度）和 38.75（中度/重度）的分数。

结论

这项研究的结果为使用 SCI-FI/C 基本移动和自我护理仪器的 SCI 研究人员和临床医生提供了直接的解释指南。这些结果适用于 SCI-FI/C Basic Mobility 和 Self-Care 项目库的完整库、计算机自适应测试和简短版本。