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Intra- and Interrater Reliability of Remote Assessment of Transfers by Wheelchair Users Using the Transfer Assessment Instrument (Version 4.0).
Worobey, Lynn A; Hibbs, Rachel; Rigot, Stephanie K; Boninger, Michael L; Huzinec, Randall; Sung, Jong H; Rice, Laura A.
Afiliación
  • Worobey LA; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Departments of Physical Medicine and Rehabilitation; Bioengineering; Physical Therapy; University of Pittsburgh Medical Center Centers for Rehab Services, Pittsburgh, PA. Electronic address: law93
  • Hibbs R; Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, PA; University of Pittsburgh Medical Center Centers for Rehab Services, Pittsburgh, PA.
  • Rigot SK; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Bioengineering; University of Pittsburgh Medical Center Centers for Rehab Services, Pittsburgh, PA.
  • Boninger ML; Human Engineering Research Laboratories, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA; Departments of Physical Medicine and Rehabilitation; Bioengineering; Physical Therapy.
  • Huzinec R; University of Pittsburgh Medical Center Centers for Rehab Services, Pittsburgh, PA.
  • Sung JH; Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL.
  • Rice LA; Department of Human Performance and Sport Studies, Idaho State University, Pocatello, ID.
Arch Phys Med Rehabil ; 103(4): 816-821, 2022 04.
Article en En | MEDLINE | ID: mdl-33711281
OBJECTIVE: To evaluate the reliability, standard error of measurement, minimum detectable change, and item-level consistency of the Transfer Assessment Instrument (TAI) version 4.0 when used to evaluate transfer quality remotely. DESIGN: Participants transferred from their wheelchair to a mat table (transfer 1), repeated this after a 10-minute delay to assess intrarater reliability (transfer 2), and repeated this 1-2 days later to assess test-retest reliability (transfer 3). Each transfer was scored in person by 4 raters and asynchronously by a remote clinician rater. SETTING: 2017 National Veterans Wheelchair Games. PARTICIPANTS: Convenience sample of 44 full-time wheelchair users (N=44). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: TAI total score, subscores (wheelchair setup, body setup, flight/landing), and item scores (15 items). RESULTS: Moderate to excellent reliability was found when scoring remotely for TAI total and subscores for intrarater (intraclass correlation coefficient (ICC(3,1)=0.687-0.854), test-retest (ICC(3,1)=0.695-0.836), and interrater reliability (ICC(3,5)=0.746-0.962). Remote rater total score and flight/landing subscore were greater (indicating higher transfer quality) compared to the average in-person raters (P=.021 and P=.005, respectively). There were no differences between transfers 1-3 in remote rater scores. Item-level percentage agreement between the remote rater and in-person exceeded the 75% cutoff for clinical utility for all items. CONCLUSIONS: The TAI is a reliable outcome measure for assessing transfer technique remotely.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Veteranos / Silla de Ruedas Límite: Humans Idioma: En Revista: Arch Phys Med Rehabil Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Veteranos / Silla de Ruedas Límite: Humans Idioma: En Revista: Arch Phys Med Rehabil Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos