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The Reliability and Validity of the Spinal Cord Independence Measure (SCIM) Ⅲ

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2009, 17(3), pp.97-109
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics

Park Kyoungyoung 1 정이정 2 김정희 2

1경동대학교
2삼육대학교

Accredited

ABSTRACT

Objective : The purpose of this study was to determine the reliability and validity of the third version of Spinal Cord Independence Measure (SCIM) in patients with spinal cord lesions. Methods : Thirty one subjects (26 males, 5 female) with spinal cord injury participated in this study. To determine inter-rater reliability, the relationship between the SCIM III scores obtained by two raters was evaluated by Kappa coefficient and in total agreement. Concurrent validity was examined by correlating the SCIM III scores to the Functional Independence Measure (FIM) scores. Results : Total agreement between raters was above 67% and the agreement of 16 items was 80% or greater among 19 items. In most SCIM III tasks, the Kappa coefficients range from .62 to 1.00. The Pearson product- moment correlation coefficients between FIM and SCIM III by two raters were .972 and .975. Conclusion : We conclude that the inter-rater reliability and concurrent validity of the SCIM III used for evaluating the activities of the daily living of the patients with spinal cord injury were high. And the application of the SCIM III will be possible nationally in the future if afterwards the test-retest reliability, and the difficulty of an item and conformance of the scale are established.

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