The Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) : an assessment of validity using Rasch analysis

STUDY DESIGN: Secondary analysis of retrospective data.

OBJECTIVE: The aim of this study was to further validate the Spinal Cord Injury Pressure Ulcer Scale (SCIPUS) using Rasch analysis.

SETTING: Two rehabilitation centers in Canada.

METHOD: Data were collected as part of the Spinal Cord Injury Knowledge Mobilization Network (SCI KMN) initiative. The SCIPUS was completed within 72 h of inpatient admission. Persons admitted for initial rehabilitation in two inpatient spinal cord rehabilitation programs were included in the project.

RESULTS: Data from 886 participants were analyzed, approximately 60% of whom were males. Rasch analyses demonstrated that the SCIPUS, in its current format did not meet criteria required for true measurement. A transformed version of the SCIPUS obtained by deletion of misfitting items and modification of the response scales improved fit to the model and showed preliminary evidence of unidimensionality. The person separation index, however indicated that the scale requires further adjustments of its scoring options.

CONCLUSIONS: In its original form, the SCIPUS does not meet the requirements of the Rasch model and its total score should be used cautiously. However, following some adjustments to the items such as addressing DIF between sites to insure a standardized assessment across sites and adding response options to some of the items, interval-scale measurement should be possible.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:57

Enthalten in:

Spinal cord - 57(2019), 10 vom: 03. Okt., Seite 874-880

Sprache:

Englisch

Beteiligte Personen:

Higgins, Johanne [VerfasserIn]
Laramée, Marie-Thérèse [VerfasserIn]
Harrison, Kate Rousseau [VerfasserIn]
Delparte, Jude J [VerfasserIn]
Scovil, Carol Y [VerfasserIn]
Flett, Heather M [VerfasserIn]
Burns, Anthony S [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Validation Study

Anmerkungen:

Date Completed 27.04.2020

Date Revised 09.01.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1038/s41393-019-0287-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM296733067