Spinal Cord Injury - Quality of Life Psychological Trauma

Last Updated

June 02, 2016

Expertise, Instruction and Mentorship

Center for Smart Use of Technologies to Assess Real World Outcomes (C-STAR)

Learn more

Upcoming Stroke Course

May 9–10
Live and Online

Offered by Academy, Shirley Ryan AbilityLab

Purpose

The SCI-QOL Psychological Trauma instrument assesses experiences of psychological trauma results from spinal cord injury (SCI).

Link to Instrument

Instrument Details

Acronym SCI-QOL Psychological Trauma

Area of Assessment

Mental Health
Negative Affect
Quality of Life
Stress & Coping

Assessment Type

Patient Reported Outcomes

Administration Mode

Computer

Cost

Free

Cost Description

Paper copies of short forms are available. PDFs can be requested through emails to sci-qol@udel.edu and tbi-qol@udel.edu

Electronic versions can be found in the NIH Toolbox or the PROMIS app. Either app is $500/yr, and covers up to 10 iPads on a single license. The SCI-QOL and TBI-QOL CATs can be administered directly through these apps. It is important to note that using the app requires you to be physically with the participant or read the questions aloud by interview over the phone - there is no way to send a link to have someone complete the measures at home.

Free electronic versions are available. If your institution has REDCap, the CATs and short forms can be accessed through the REDCap instrument library by searching for the specific measure you want and adding them to your REDCap project. For non-REDCap alternatives, the SCI-QOL and TBI-QOL short forms can be imported into an alternative electronic administration platform such as Qualtrics, SurveyMonkey, Google Forms, etc. Email sci-qol@udel.edu or tbi-qol@udel.edu to request PDF versions.

Diagnosis/Conditions

Spinal Cord Injury

Spinal Injuries

The SCI-QOL Psychological Trauma instrument is an item response theory (IRT)-calibrated item bank with 19 items that is available for administration as a computer adaptive test (CAT; range 4-12 items) or 8 item short form (SF).

Number of Items

Short: 8

CAT: 4-12

The Short Form (SF) version requires only the printed form and a pencil. A CAT administration requires a desktop, laptop, or tablet computer with internet connection and login to AssessmentCenter.net.
Access to the short form, and administration of CATs is available. Email SCI-QOL@udel.edu to request PDF versions.
Please see 'Cost Description' for more information on how to access this measure

Less than 5 minutes

Required Training

Reading an Article/Manual

Adults

18 - 64

years

Elderly Adults

65 +

years

Instrument Reviewers

Review completed by Kelsey Stipp, MS and Kristian Nitsch, MS for the Rehabilitation Measures Database Team.

ICF Domain

Body Function

Measurement Domain

Emotion

Considerations

Do you see an error or have a suggestion for this instrument summary? Please e-mail us!

Standard Error of Measurement (SEM)

Depends upon mode of administration (Standard Error = SE)

Full Item Bank: Mean SE= .32 (Range= 0.19-0.58)
8-Item Fixed CAT: Mean SE= 0.38 (Range= 0.25-0.62)
Variable Length CAT: Mean SE= 0.36 (0.28-0.60)

Minimal Detectable Change (MDC)

Calculated Using Mean SEM:

Full Item Bank: MDC= 10.46
8-Item Fixed CAT: MDC= 9.99
Variable Length CAT: MDC= 10.22

Test/Retest Reliability

Traumatic SCI(Kisala, et al., 2015; n= 716; Mean Age= 43, SD= 15.3; Time Post Injury= 7.1, SD= 10; 45% Paraplegia, 55% Tetraplegia)

Excellent: (ICC= 0.84)

Content Validity

Items were derived from focus groups and interviews with individuals with traumatic SCI (n=65) and clinicians who specialize in SCI care (n=42) (Tulsky et al., 2011).

Floor/Ceiling Effects

Traumatic SCI (Kisala, et al., 2015; n= 716; Mean Age= 43, SD= 15.3; Time Post Injury= 7.1, SD= 10; 45% Paraplegia, 55% Tetraplegia)

Floor Effect: Adequate (8.7%)
Ceiling Effect: Adequate to Excellent (0.14%)

Bibliography

Kisala, P.A., Victorson, D., Pace, N., Heinemann, A.W., Choi, S.W., & Tulsky, D.S. (2015). Measuring psychological trauma after spinal cord injury: Development and psychometric characteristics of the SCI-QOL Psychological Trauma item bank and short form. Journal of Spinal Cord Medicine, 38(3), 326-334.

Tulsky, D.S., Kisala, P.A., Victorson, D. Tate, D., Heinemann, A.W., Amtmann, D., & Cella, D. (2011). Developing a contemporary patient-reported outcomes measure for spinal cord injury. Archives of Physical Medicine and Rehabilitation, 92(10), S44-S51.