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Study design <p>Psychometric study.</p> Objectives <p>To evaluate the data completeness, data distribution and ceiling/floor effects, internal consistency and convergent validity of the Swedish versions of the Spinal Cord Independence Measure IV (s-SCIM IV) and the Spinal Cord Independence Measure Self-report (s-SCIM-SR).</p> Setting <p>Swedish inpatient and outpatient spinal cord injury (SCI) rehabilitation.</p> Methods <p>The translation process was based on established guidelines with researchers, clinicians and consumers. s-SCIM IV and FIM<sup>TM</sup> assessments were performed by observation and/or interview, s-SCIM-SR through self-report using paper forms.</p> Results <p>In total, 101 participants (82% men) were included. There were no missing data for s-SCIM IV and 92% had answered all items in s-SCIM-SR. No ceiling or floor effects were observed. Cronbach´s alpha for the total s-SCIM IV scale was 0.91 (subscales 0.68–0.93) and for the total s-SCIM-SR scale 0.91 (subscales 0.62–0.93), with the lowest alphas for Respiration and Sphincter Management in both outcome measures. s-SCIM IV and s-SCIM-SR correlated strongly with each other and with FIM<sup>TM</sup>.</p> Conclusions <p>Our results support the data completeness, lack of ceiling/floor effects, internal consistency (except the Respiration and Sphincter Management subscale) and convergent validity of the s-SCIM IV and s-SCIM-SR. Based on this initial psychometric testing, these outcome measures can be considered suitable to assess physical independence in inpatient and outpatient rehabilitation and long-term follow-up after SCI, for both clinical and research purposes. The now available Swedish versions of SCIM will enable a uniform national assessment of SCI-specific physical independence and facilitate research and international collaborations and comparisons.</p>

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Psychometric properties of the Swedish versions of Spinal Cord Independence Measure IV (SCIM IV) and Self-report (SCIM-SR) in inpatient and outpatient rehabilitation settings

  • 期刊论文

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  • 发表日期：

    2026年1月22日

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  • Ulrica Antepohl,
  • Emelie Butler Forslund,
  • Peter Flank,
  • Lisa Holmlund,
  • Wolfram Antepohl,
  • Richard Levi,
  • Erik Berndtsson,
  • Anna Granström,
  • Tobias Holmlund,
  • Xiaolei Hu,
  • Claes Hultling,
  • Jan Lexell,
  • Maria Moschovou,
  • Anna Olsson,
  • Nora Sandholdt,
  • Kristina Skill,
  • Filip Tööj,
  • Kerstin Wahman,
  • Mikael Waller,
  • Johanna Wangdell,
  • Veronika Wiebols,
  • Gunilla Åhrén,
  • Elisabet Åkesson,
  • Anestis Divanoglou,
  • Sophie Jörgensen

摘要

Study design

Psychometric study.

Objectives

To evaluate the data completeness, data distribution and ceiling/floor effects, internal consistency and convergent validity of the Swedish versions of the Spinal Cord Independence Measure IV (s-SCIM IV) and the Spinal Cord Independence Measure Self-report (s-SCIM-SR).

Setting

Swedish inpatient and outpatient spinal cord injury (SCI) rehabilitation.

Methods

The translation process was based on established guidelines with researchers, clinicians and consumers. s-SCIM IV and FIMTM assessments were performed by observation and/or interview, s-SCIM-SR through self-report using paper forms.

Results

In total, 101 participants (82% men) were included. There were no missing data for s-SCIM IV and 92% had answered all items in s-SCIM-SR. No ceiling or floor effects were observed. Cronbach´s alpha for the total s-SCIM IV scale was 0.91 (subscales 0.68–0.93) and for the total s-SCIM-SR scale 0.91 (subscales 0.62–0.93), with the lowest alphas for Respiration and Sphincter Management in both outcome measures. s-SCIM IV and s-SCIM-SR correlated strongly with each other and with FIMTM.

Conclusions

Our results support the data completeness, lack of ceiling/floor effects, internal consistency (except the Respiration and Sphincter Management subscale) and convergent validity of the s-SCIM IV and s-SCIM-SR. Based on this initial psychometric testing, these outcome measures can be considered suitable to assess physical independence in inpatient and outpatient rehabilitation and long-term follow-up after SCI, for both clinical and research purposes. The now available Swedish versions of SCIM will enable a uniform national assessment of SCI-specific physical independence and facilitate research and international collaborations and comparisons.