Jatuporn Suttiwong

To translate and cross-culturally adapt the English version of the SCI-SCS into Thai and assess its psychometric properties (validity and reliability). A cross-cultural adaptation of the preliminary SCI-SCS was performed using guidelines by Beaton et al. to create a Thai version of the SCI-SCS. Exploratory factor analysis (EFA) was used to analyze construct validity. Pearson's correlation coefficient was used to analyze the convergent and discriminant validity against the Thai version of the World Health Organization Quality of Life-BREF scale (WHOQOL-BREF-Thai). Cronbach's alpha was used to analyze the internal consistency of the total score and each domain. Intraclass correlation (ICC) was used to analyze the test-retest reliability. A total of 160 participants were recruited from December 2023 to February 2024. The EFA suggested four components, with total variance accounting for 49.90%. The SCI-SCS Thai version was categorized into four domains and contained 16 items. There were significant moderate correlations, ranging from -0.32 to -0.46 between the SCI-SCS Thai version and WHOQOL-BREF-Thai. The ICC for the test-retest reliability was 0.94. Cronbach's α was 0.79 for the total score ranged from 0.47 to 0.66 for each domain. The SCI-SCS Thai version was cross-culturally developed with acceptable validity and reliability.

Study design A methodological study. Objectives To establish the criterion-related validity of the Nepali version of the Spinal Cord Independence Measure Self-Report (SCIM-SR). Setting Outpatient Department of the Spinal Injury Rehabilitation Center and community of Province no. 3, Nepal. Methods Community-dwelling individuals with spinal cord injury were enrolled. Participants self-administered the Nepali version of the SCIM-SR while a clinician concurrently administered the SCIM III. Descriptive statistics characterized the sample, while Spearman’s rank correlation coefficient and Intraclass correlation coefficient assessed the association between the SCIM III and the Nepali version of the SCIM-SR. Bland Altman’s analysis determined the differences. Results The Spearman’s rank correlation coefficient for the total score was 0.961, self-care subscale was 0.590, respiration and sphincter management subscale was 0.897, and mobility subscale was 0.891. The ICC (2,1) and confidence interval for the total score, self-care subscale, respiration and sphincter management subscale, and mobility subscale were 0.989 (0.983–0.993), 0.873 (0.804–0.918), 0.955 (0.931–0.971) and 0.991 (0.987–0.994), respectively. The SCIM-SR scores were lower than the SCIM III in total and all subscale scores. The Bland-Altman’s difference for the total score, self-care subscale, respiration and sphincter management subscale, and mobility subscale were 2.55, 1.34, 0.83, and 0.38, respectively. Conclusions The Nepali version of the SCIM-SR was validated and can be used to evaluate the functional status of individuals with spinal cord injury in the community setting of Nepal.

A self-report measure is considered a practical alternative tool for longitudinal monitoring and for community models of disability. Spinal Cord Independence Measure Self-Report (SCIM-SR) was developed to measure the functional independence of the spinal cord injury (SCI) population. For the application of this questionnaire in Nepali setting, the cross-cultural adaptation and reliability of the Nepali version of the SCIM-SR were also warranted. The aim of the study was to cross-culturally adapt the Nepali version of the SCIM-SR and determine its reliability. The English version of the SCIM-SR was translated into the Nepali language with cross-cultural adaptations following the Beaton guidelines. A total of 45 community-dwelling individuals with SCI administered the Nepali version of the SCIM-SR two times, with an interval of one week. The intraclass correlation coefficient (ICC) and Cronbachs alpha (α) were used to assess the test-retest reliability and internal consistency, respectively. Cross-cultural equivalence was achieved between the English version and the Nepali version of the SCIM-SR. The test-retest reliability was excellent, with ICCs for the total score 0.968 (95 confidence interval 0.9410.982), self-care subscale 0.964 (0.9340.980), respiration and sphincter management subscale 0.941 (0.8930.968), and mobility subscale 0.966 (0.9380.981). The internal consistency reached an acceptable range for the total score and most of the subscales except for those of respiration and sphincter management. Cronbachs α coefficients for the total score, self-care subscale, respiration and sphincter management subscale, and mobility subscale were 0.801, 0.959, 0.506, and 0.838, respectively. The Nepali version of the SCIM-SR was cross-culturally adapted and can be used as a reliable self-report instrument to assess functional independence among the community-dwelling SCI population in Nepal.

To describe perceived participation among persons with first stroke and to identify the predictors based on the International Classification of Functioning, Disability and Health (ICF) concept of participation after stroke. A total of 121 participants completed 4 questionnaires: the Impact on Participation and Autonomy (IPA), Personal Resource Questionnaire (PRQ2000), Hospital Anxiety and Depression Scale (HADS), and personal history. They were evaluated for their balance, motor function, functional and walking ability. The majority of participants perceived participation restriction in family role as poor to very poor. The best predictors of participation included social support, walking and balance, functional ability, number of secondary health problems and affected side, account for 66.6% of the variances in participation. The study highlights the importance of social support, walking and balance performance, functional ability in daily living, and number of secondary health problems after stroke. These factors that facilitate participation after stroke should be addressed by health personnel during rehabilitation.

Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year.