TY - JOUR PY - 2018// TI - Cross-cultural adaptation and validation of the "Spinal Cord Injury-Falls Concern Scale" in the Italian population JO - Spinal Cord A1 - Marquez, Maria Auxiliadora A1 - De Santis, Rita A1 - Ammendola, Viviana A1 - Antonacci, Martina A1 - Santilli, Valter A1 - Berardi, Anna A1 - Valente, Donatella A1 - Galeoto, Giovanni SP - 712 EP - 718 VL - 56 IS - 7 N2 - STUDY DESIGN: Psychometrics study.

OBJECTIVE: The objective of this study was to develop an Italian version of the Spinal Cord Injury-Falls Concern Scale (SCI-FCS) and examine its reliability and validity. SETTING: Multicenter study in spinal units in Northern and Southern Italy. The scale also was administered to non-hospitalized outpatient clinic patients.

METHODS: The original scale was translated from English to Italian using the "Translation and Cultural Adaptation of Patient-Reported Outcomes Measures" guidelines. The reliability and validity of the culturally adapted scale were assessed following the "Consensus-Based Standards for the Selection of Health Status Measurement Instruments" checklist. The SCI-FCS-I internal consistency, inter-rater, and intra-rater reliability were examined using Cronbach's alpha coefficient and the intraclass correlation coefficient, respectively. Concurrent validity was evaluated using Pearson's correlation coefficient with the Italian version of the short form of the Wheelchair Use Confidence Scale for Manual Wheelchair Users (WheelCon-M-I-short form).

RESULTS: The Italian version of the SCI-FCS-I was administered to 124 participants from 1 June to 30 September 2017. The mean ± SD of the SCI-FCS-I score was 16.73 ± 5.88. All SCI-FCS items were either identical or similar in meaning to the original version's items. Cronbach's α was 0.827 (p < 0.01), the inter-rater reliability was 0.972 (p < 0.01), and the intra-rater reliability was 0.973 (p < 0.01). Pearson's correlation coefficient of the SCI-FCS-I scores with the WheelCon-M-I-short form was 0.56 (p < 0.01).

CONCLUSIONS: The SCI-FCS-I was found to be reliable and a valid outcome measure for assessing manual wheelchair concerns about falling in the Italian population.

Language: en

LA - en SN - 1362-4393 UR - http://dx.doi.org/10.1038/s41393-018-0070-6 ID - ref1 ER -