@article{ref1,
title="A semi-structured interview to capture manual wheelchair use for mobility activities among individuals with spinal cord injury in real-life situations: development and content validity of the Wheelchair Mobility Activity Log (WC-MAL)",
journal="Spinal Cord",
year="2024",
author="Sprizon, Giovana S. and Pereira, Natália D. and Almeida, Lorena O. and Dos Anjos, Sarah M. and Morris, David M. and Ilha, Jocemar",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="STUDY DESIGN: Mixed-method approach. <br><br>OBJECTIVES: To develop and assess the content validity of a semi-structured interview that captures the lived experience of using a manual wheelchair among individuals with SCI in the real world, the Wheelchair Mobility Activity Log (WC-MAL). SETTING: SCIR-Group (UDESC)/Brazil. <br><br>METHODS: Developing the WC-MAL comprised five steps: (1) defining the construct-based on the International Classification of Functioning, Disability and Health (ICF); (2) identifying relevant activities from other assessment instruments and interviews with the end-users (14 Individuals with SCI and 13 rehabilitation professionals); (3) Selecting the items - activities were linked to ICF codes and grouped into sets; (4) developing the scoring scales based on interviews with the end-users; and, (5) evaluating content validity in accordance with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). The content validity ratio (CVR) for each item and scale and the overall instrument content validity index (CVI) were calculated. <br><br>RESULTS: From an initial draft of 295 activities identified, a set of 222 activities was linked to the ICF domain of &quot;Mobility (d4)&quot; and further refined to generate the 23 items in the WC-MAL. Three scales were developed to assess Frequency (how often), Performance (how well), and Assistance (assistance needed) levels. The items and scales showed a CVR superior to the critical value established (≥0.64). The general CVI value was 0.96. <br><br>CONCLUSION: The WC-MAL is a promising clinical instrument with adequate content validity to assess the spontaneous use of the manual wheelchair in the real world among individuals with SCI.<p /> <p>Language: en</p>",
language="en",
issn="1362-4393",
doi="10.1038/s41393-024-01011-7",
url="http://dx.doi.org/10.1038/s41393-024-01011-7"
}