Validation of the Italian version of the Spinal Cord Independence Measure (SCIM III) Self-Report.
METHODS
Cross-sectional validation study.


OBJECTIVE
To validate the Italian version of the Spinal Cord Independence Measure Self-Report (SCIM SR).


METHODS
Two spinal cord injury (SCI) rehabilitation facilities in Italy.


METHODS
The SCIM III comprises items on 19 daily tasks, grouped into three subscales: 'Self-care,' 'Respiration and sphincter management' and 'Mobility'. The total SCIM score ranges between 0 and 100. The Italian self-reported version (SCIM SR) was translated from the German tool. We studied 116 patients on their first hospitalization for rehabilitation after an SCI. At the time of discharge, patients were evaluated by the rehabilitation team using the SCIM III and self-assessed their independence with regard to activities of daily living using the SCIM SR. Pearson's correlation, Bland-Altman method, and stratified and regression analyses were used to examine the differences between evaluations.


RESULTS
On the basis of Pearson's correlation, there was good agreement between the data from the SCIM III and SCIM SR (r=0.918 for 'Self-care,' 0.806 for 'Respiration and sphincter management,' 0.906 for 'Mobility' and 0.934 for total scores). By Bland-Altman analysis, patients rated their functioning nearly the same as professionals-the mean difference between SCIM III and SCIM SR scores was approximately 0 for all subscales and total scores. The stratified and regression analyses failed to identify any specific factor that was associated with differences between SCIM III and SCIM SR scores.


CONCLUSIONS
These results support the validity of the Italian version of the SCIM SR, which can facilitate longer-term evaluations of the independence of individuals with SCIs.
Montecatone Rehabilitation Institute, Imola, Italy.
J
J
Bonavita
Spinal Unit, IRCCS S. Lucia Foundation, Rome, Italy.|Spinal Rehabilitation (SpiRe) Laboratory, IRCCS S. Lucia Foundation, Rome, Italy.
M
M
Torre
Montecatone Rehabilitation Institute, Imola, Italy.
S
S
China
Department of Rehabilitation Medicine, Università Campus Bio-Medico, Rome, Italy.
F
F
Bressi
Montecatone Rehabilitation Institute, Imola, Italy.
E
E
Bonatti
Montecatone Rehabilitation Institute, Imola, Italy.
R
R
Capirossi
Spinal Unit, IRCCS S. Lucia Foundation, Rome, Italy.
S
S
Tiberti
Montecatone Rehabilitation Institute, Imola, Italy.
S
S
Olivi
Montecatone Rehabilitation Institute, Imola, Italy.
G
G
Musumeci
Montecatone Rehabilitation Institute, Imola, Italy.
E
E
Maietti
Swiss Paraplegic Research, Nottwil, Switzerland.
C
C
Fekete
Montecatone Rehabilitation Institute, Imola, Italy.
I
I
Baroncini
Swiss Paraplegic Research, Nottwil, Switzerland.|Department of Health Sciences and Health Policy, University of Lucerne, Lucerne, Switzerland.
M W G
MW
Brinkhof
Spinal Unit, IRCCS S. Lucia Foundation, Rome, Italy.|Spinal Rehabilitation (SpiRe) Laboratory, IRCCS S. Lucia Foundation, Rome, Italy.
M
M
Molinari
Spinal Unit, IRCCS S. Lucia Foundation, Rome, Italy.|Spinal Rehabilitation (SpiRe) Laboratory, IRCCS S. Lucia Foundation, Rome, Italy.
G
http://orcid.org/0000-0001-5766-6952
G
Scivoletto
D000328:Adult; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006760:Hospitalization; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods*; D012044:Regression Analysis; D015203:Reproducibility of Results; D013119:Spinal Cord Injuries / Q000523:psychology* / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D014175:Translating; D016896:Treatment Outcome