title: Development of the Spanish version of the Spinal Cord Independence Measure version III: cross-cultural adaptation and reliability and validity study.
abstract: OBJECTIVE
  To provide a translation and cross-cultural adaptation of the Spinal Cord Independence Measure (SCIM) version III for Spain and to validate the Spanish version of the SCIM III (eSCIM III).
  
  
  METHODS
  Development of eSCIM III has involved translation, back-translation and assessment of cultural equivalence procedures. eSCIM version III, was administered to 64 patients with spinal cord injury, admitted to our hospital. Investigation of the psychometric characteristics included: (1) study of the inter-rater reliability, (2) internal consistency (Cronbach's α), (3) validation and confirmation of the correlation between eSCIM III and Functional Independence Measure (FIM), and (4) sensitivity to change.
  
  
  RESULTS
  The reliability of eSCIM III showed an intra-class coefficient value >0.97 in the different subscales assessed. Internal consistency of eSCIM III was shown by a Cronbach's α value of 0.93. The validity of eSCIM III was confirmed by the close correlation with FIM (r = 0.94, p < 0.0001). The sensitivity to change of eSCIM III was also confirmed.
  
  
  CONCLUSIONS
  eSCIM III was found to be culturally equivalent to the original version, as reliability and validity of this tool were demonstrated. It can be used in Spain for functional assessment of patients with spinal cord injury.
authors: Spinal Cord Unit, Department of Rehabilitation Medicine, Hospital Universitario Virgen del Rocío , Seville , Spain.
authors: Maria Jose
authors: MJ
authors: Zarco-Periñan
authors: María J
authors: MJ
authors: Barrera-Chacón
authors: Inmaculada
authors: I
authors: García-Obrero
authors: Juan Bosco
authors: JB
authors: Mendez-Ferrer
authors: Luis Eduardo
authors: LE
authors: Alarcon
authors: Carmen
authors: C
authors: Echevarria-Ruiz de Vargas
mesh_terms: D004185:Disability Evaluation; D006801:Humans; D011594:Psychometrics; D015203:Reproducibility of Results; D013030:Spain; D013119:Spinal Cord Injuries / Q000503:physiopathology*; D014177:Translations
keywords: Reliability; Spain; Spanish version of the Spinal Cord Independence Measure version III; spinal cord injury; validity