Concurrent Validity and Reliability of the Transfer Assessment Instrument Questionnaire as a Self-Assessment Measure

Archives of Rehabilitation Research and Clinical Translation

卷:2

Kaitlin DiGiovine¹  Michael L. Boninger, MD²  Stephanie K. Rigot, DPT³  Randall Huzinec, PT⁴  Jong H. Sung, PhD, ATC⁵  Lynn A. Worobey, PhD, DPT, ATP⁶  Laura A. Rice, PhD, MPT, ATP⁶ 

[1] Corresponding author Lynn A. Worobey, PhD, DPT, ATP, Department of Physical Medicine and Rehabilitation, University of Pittsburgh, 3520 Fifth Avenue, Suite 300, Pittsburgh, PA 15213.;

[2] Department of Bioengineering, University of Pittsburgh, Pittsburgh, PA;

[3] Department of Physical Medicine and Rehabilitation, University of Pittsburgh, Pittsburgh, PA;

[4] Department of Physical Therapy, University of Pittsburgh, Pittsburgh, PA;

[5] University of Pittsburgh Medical Center Centers for Rehab Services, Pittsburgh, PA;

[6] Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare system, Pittsburgh, PA;

关键词: Patient reported outcome measures;    Rehabilitation;    Wheelchairs;   

DOI  :  

来源: DOAJ

【 摘 要 】

Objectives: To evaluate the psychometric properties of the Transfer Assessment Instrument Questionnaire (TAI-Q), a self-assessment measure to evaluate transfer quality compared with clinician-reported measures. Design: Participants self-assessed transfers from their wheelchair to a mat table using the TAI-Q. For session 1, participants self-assessed their transfer both before and after reviewing a video of themselves completing the transfer (session 1). Self-assessment was completed for another transfer after a 10-minute delay (session 2, intrarater reliability) and after a 1- to 2-day delay (session 3, test-retest reliability). Self-assessment was compared with a criterion standard of an experienced clinician scoring the same transfers with the Transfer Assessment Instrument (TAI) version 4.0 (concurrent validity). Setting: 2017 National Veterans Wheelchair Games. Participants: Convenience sample of full-time wheelchair users (N=44). Interventions: Not applicable. Main Outcome Measures: TAI-Q and TAI. Results: After video review of their transfer, acceptable levels of reliability were demonstrated for total TAI-Q score for intrarater (intraclass correlation [ICC], 0.627) and test-retest reliability (ICC, 0.705). Moderate to acceptable concurrent validity was demonstrated with the TAI (ICC, 0.554-0.740). Participants tended to underestimate the quality of their transfer (reported more deficient items) compared with the TAI. However, this deficit decreased and reliability improved from pre-video review to post-video review and from session 1 to session 2. The minimum detectable change indicated that a change of 1.63 to 2.21 in the TAI-Q total score is needed to detect a significant difference in transfer skills. Conclusions: When paired with video review, the TAI-Q demonstrates moderate to acceptable levels of reliability and validity for the total score. Self-assessment was completed quickly (<5min) and could help to potentially screen for deficiencies in transfer quality and opportunities for intervention.

【 授权许可】

Unknown