Reliability of the International Spinal Cord Injury Musculoskeletal Basic Data Set

C B Baunsgaard; H S Chhabra; L A Harvey; G Savic; S A Sisto; F Qureshi; G Sachdev; M Saif; R Sharawat; J Yeomans; F Biering-Sørensen

doi:10.1038/sc.2016.42

Reliability of the International Spinal Cord Injury Musculoskeletal Basic Data Set

C B Baunsgaard, H S Chhabra, L A Harvey, G Savic, S A Sisto, F Qureshi, G Sachdev, M Saif, R Sharawat, J Yeomans, F Biering-Sørensen

Department of Clinical Medicine

3 Citations (Scopus)

Abstract

STUDY DESIGN: Psychometric study.

OBJECTIVES: To determine the intra- and inter-rater reliability and content validity of the International Spinal Cord Injury (SCI) Musculoskeletal Basic Data Set (ISCIMSBDS).

SETTING: Four centers with one in each of the countries in Australia, England, India and the United States of America.

METHODS: A total of 117 participants with a C2 to S1 neurological level and American Spinal Injury Association Impairment Scale A to D injury were recruited. The median (interquartile range) time since injury was 9 years (2-29). Fifty-seven participants were assessed by the same assessor, and 60 participants were assessed by two different assessors on two different occasions to determine the intra- and inter-rater reliability, respectively. Kappa statistics or crude agreement was used to measure reliability. Content validity was assessed through focus group interviews of people with SCI and health-care professionals.

RESULTS: The intra-rater reliability ranged from κ=0.62 to 1.00 and crude agreement from 75% to 100% for each of the variables on the ISCIMSBDS. The inter-rater reliability ranged from κ=-0.25 to 1.00, with a diverse crude agreement ranging from 0% to 100%. The inter-rater reliability was unsatisfactory for the following variables: 'Date of fracture', 'Fragility fractures', 'Scoliosis, method of assessment', 'Other musculoskeletal problems' and 'Do any of the above musculoskeletal challenges interfere with your activities of daily living (transfers, walking, dressing, showers, etc.)?'. Results from validity discussions implied no major suggestions for changes.

CONCLUSION: Overall, the ISCIMSBDS is reliable and valid, although 5 of the 12 variables may benefit from further refinement.

Original language	English
Journal	Spinal Cord
Volume	54
Issue number	12
Pages (from-to)	1105-1113
Number of pages	9
ISSN	1362-4393
DOIs	https://doi.org/10.1038/sc.2016.42
Publication status	Published - 1 Dec 2016

Keywords

Adult
Antisocial Personality Disorder
Australia
Bone Diseases
Datasets as Topic
England
Female
Fractures, Bone
Humans
India
Male
Middle Aged
Muscular Diseases
Reproducibility of Results
Severity of Illness Index
Spinal Cord Injuries
Time Factors
United States
Evaluation Studies
Journal Article
Multicenter Study

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title = "Reliability of the International Spinal Cord Injury Musculoskeletal Basic Data Set",

abstract = "STUDY DESIGN: Psychometric study.OBJECTIVES: To determine the intra- and inter-rater reliability and content validity of the International Spinal Cord Injury (SCI) Musculoskeletal Basic Data Set (ISCIMSBDS).SETTING: Four centers with one in each of the countries in Australia, England, India and the United States of America.METHODS: A total of 117 participants with a C2 to S1 neurological level and American Spinal Injury Association Impairment Scale A to D injury were recruited. The median (interquartile range) time since injury was 9 years (2-29). Fifty-seven participants were assessed by the same assessor, and 60 participants were assessed by two different assessors on two different occasions to determine the intra- and inter-rater reliability, respectively. Kappa statistics or crude agreement was used to measure reliability. Content validity was assessed through focus group interviews of people with SCI and health-care professionals.RESULTS: The intra-rater reliability ranged from κ=0.62 to 1.00 and crude agreement from 75% to 100% for each of the variables on the ISCIMSBDS. The inter-rater reliability ranged from κ=-0.25 to 1.00, with a diverse crude agreement ranging from 0% to 100%. The inter-rater reliability was unsatisfactory for the following variables: 'Date of fracture', 'Fragility fractures', 'Scoliosis, method of assessment', 'Other musculoskeletal problems' and 'Do any of the above musculoskeletal challenges interfere with your activities of daily living (transfers, walking, dressing, showers, etc.)?'. Results from validity discussions implied no major suggestions for changes.CONCLUSION: Overall, the ISCIMSBDS is reliable and valid, although 5 of the 12 variables may benefit from further refinement.",

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author = "Baunsgaard, {C B} and Chhabra, {H S} and Harvey, {L A} and G Savic and Sisto, {S A} and F Qureshi and G Sachdev and M Saif and R Sharawat and J Yeomans and F Biering-S{\o}rensen",

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AU - Baunsgaard, C B

AU - Chhabra, H S

AU - Harvey, L A

AU - Savic, G

AU - Sisto, S A

AU - Qureshi, F

AU - Sachdev, G

AU - Saif, M

AU - Sharawat, R

AU - Yeomans, J

AU - Biering-Sørensen, F

PY - 2016/12/1

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N2 - STUDY DESIGN: Psychometric study.OBJECTIVES: To determine the intra- and inter-rater reliability and content validity of the International Spinal Cord Injury (SCI) Musculoskeletal Basic Data Set (ISCIMSBDS).SETTING: Four centers with one in each of the countries in Australia, England, India and the United States of America.METHODS: A total of 117 participants with a C2 to S1 neurological level and American Spinal Injury Association Impairment Scale A to D injury were recruited. The median (interquartile range) time since injury was 9 years (2-29). Fifty-seven participants were assessed by the same assessor, and 60 participants were assessed by two different assessors on two different occasions to determine the intra- and inter-rater reliability, respectively. Kappa statistics or crude agreement was used to measure reliability. Content validity was assessed through focus group interviews of people with SCI and health-care professionals.RESULTS: The intra-rater reliability ranged from κ=0.62 to 1.00 and crude agreement from 75% to 100% for each of the variables on the ISCIMSBDS. The inter-rater reliability ranged from κ=-0.25 to 1.00, with a diverse crude agreement ranging from 0% to 100%. The inter-rater reliability was unsatisfactory for the following variables: 'Date of fracture', 'Fragility fractures', 'Scoliosis, method of assessment', 'Other musculoskeletal problems' and 'Do any of the above musculoskeletal challenges interfere with your activities of daily living (transfers, walking, dressing, showers, etc.)?'. Results from validity discussions implied no major suggestions for changes.CONCLUSION: Overall, the ISCIMSBDS is reliable and valid, although 5 of the 12 variables may benefit from further refinement.

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KW - Fractures, Bone

KW - Humans

KW - India

KW - Male

KW - Middle Aged

KW - Muscular Diseases

KW - Reproducibility of Results

KW - Severity of Illness Index

KW - Spinal Cord Injuries

KW - Time Factors

KW - United States

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DO - 10.1038/sc.2016.42

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JO - Spinal Cord

JF - Spinal Cord

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ER -

Reliability of the International Spinal Cord Injury Musculoskeletal Basic Data Set

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Keywords

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