Development and Evaluation of an Item Pool of "Movement-Related Body Functions in the Context of Task Performance".

The study aimed to describe the development and evaluation of an item pool for a new performance-based clinical outcome assessment (COA), the Spinal Cord Injury Movement Index (SCI-MovIn). Iterative focus groups, one-on-one consultations and field-testing sessions were used to develop the conceptual...

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Publicado en:Archives of Physical Medicine & Rehabilitation Vol. 107; no. 1; pp. 77 - 86
Autores principales: Mulcahey, M.J., Gerhardt, Nicole M., Kim, Rachel Y., Grampurohit, Namrata, Capron, Maclain
Formato: research Journal Article
Publicado: W B Saunders Jan2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2026
      vid: 107
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      pid: 1351
      pub: W B Saunders
      place: Philadelphia, Pennsylvania
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        190442125
        190442125
        190442125
        10.1016/j.apmr.2025.06.009
        190442125
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        atl: Development and Evaluation of an Item Pool of "Movement-Related Body Functions in the Context of Task Performance".
      aug:
        au:
          Mulcahey, M.J.
          Gerhardt, Nicole M.
          Kim, Rachel Y.
          Grampurohit, Namrata
          Capron, Maclain
        affil: Center for Outcomes and Measurement, Jefferson College of Rehabilitation Sciences, Thomas Jefferson University, Philadelphia, Pennsylvania
      sug:
        subj:
          Clinical Assessment Tools
          Instrument Construction
          Instrument Validation
          Item Analysis
          Task Performance and Analysis
          Movement Evaluation
          Functional Assessment
          Spinal Cord Injuries Rehabilitation
          Treatment Outcomes
          Recovery Evaluation
          Human
          Validation Studies
          Field Studies
          Focus Groups
          Models, Theoretical
          Spinal Cord Injuries Physiopathology
          Interrater Reliability
          Intrarater Reliability
          Urban Areas
          Academic Medical Centers
          Coefficient alpha
          Intraclass Correlation Coefficient
          Internal Consistency
          Spinal Cord Injuries Prognosis
          Confidence Intervals
          Descriptive Statistics
          Reliability
      ab: The study aimed to describe the development and evaluation of an item pool for a new performance-based clinical outcome assessment (COA), the Spinal Cord Injury Movement Index (SCI-MovIn). Iterative focus groups, one-on-one consultations and field-testing sessions were used to develop the conceptual model for the SCI-MovIn measurement construct, establish an item pool consisting of candidate items with 5 response categories, and create standardized guidelines for set-up, administration, and scoring. Trained therapists administered 61 items to individuals with spinal cord injury (SCI) for inter- and intrarater reliability testing. Academic institution in an urban area. Professionals with measurement/SCI expertise participated in focus groups. Individuals with SCI engaged in field-testing and reliability testing sessions. Total percent exact agreement between paired raters was calculated. Cronbach's alpha (α) and intraclass correlation coefficient (ICC) with 95% confidence interval (CI) were used to examine internal consistency. Intra- and interrater reliability were measured using ICCs. Through iterative focus groups with 18 SCI/measurement professionals and 24 field-testing sessions with 10 individuals with SCI, 226 items were developed, 132 of which were eliminated. The reliability testing sample consisted of 33 adults who sustained SCI an average of 13.2 years before participation. Of the 1215 paired scores from administration of 61 SCI-MovIn items, raters' scores were identical for 833 (68.6%). Internal consistency was high (α=0.948). Reliability of repeated SCI-MovIn scores was high for both intrarater (ICC=0.992; CI=0.983-0.996) and interrater (ICC=0.887; CI=0.873-0.899) reliability. The next step is a large-scale study to transform the item pool into a calibrated item bank from which tailored short forms can be developed.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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