Psychometric properties of the spinal cord injury-quality of life (SCI-QOL) Resilience item bank in a sample with spinal cord injury and chronic pain

Qual Life Res, 2022 · DOI: 10.1007/s11136-021-02981-4 · Published: March 1, 2022

Spinal Cord Injury Mental Health Rehabilitation

Simple Explanation

This study examines the reliability and validity of a new tool, the SCI-QOL Resilience CAT, designed to measure resilience in people with spinal cord injuries (SCI) and chronic pain. The study looks at how well the SCI-QOL Resilience CAT performs in terms of its ability to accurately and consistently measure resilience in this population. The findings can help clinicians and researchers understand whether this tool is useful for assessing resilience in people with SCI and chronic pain.

Study Duration

June 2014 and January 2016

Participants

One hundred thirty-three adults with SCI (N = 133; 73.5% male, 26.5% female)

Evidence Level

Not specified

Key Findings

1
The SCI-QOL Resilience CAT demonstrated good convergent and discriminant validity.
2
The CAT administration characteristics were impressive: With few items (low response burden), the scale achieved good reliability.
3
Significant moderate correlations between SCI-QOL Resilience CAT scores and PHQ-9, CPAQ, CSQ-Pain Catastrophizing, BPI-Pain Interference, and Positive Affect and Well-Being SF scores suggest adequate convergent validity.

Research Summary

Resilience is emerging as an important construct in the study of adaptation to spinal cord injury. We aimed to characterize the administration characteristics and reliability properties of the Spinal Cord Injury Quality of Life Resilience Item Bank delivered as a computer adaptive test. The results of the study indicated that the Spinal Cord Injury Quality of Life Resilience computer adaptive test is brief to administer and has good reliability and convergent and discriminant validity in a sample with chronic pain and spinal cord injury.

Practical Implications

Clinical Assessment

The SCI-QOL Resilience CAT can be used to quickly and reliably assess resilience in individuals with SCI and chronic pain, aiding in identifying those who may benefit from interventions to enhance resilience.

Research Tool

The validated measure provides a tool for researchers to study resilience in the context of SCI, contributing to a better understanding of factors that promote positive adjustment and well-being.

Treatment Planning

By assessing resilience, clinicians can tailor treatment plans to address not only physical impairments but also psychological factors that contribute to overall quality of life for individuals with SCI.

Study Limitations

1
A larger sample is needed to achieve a better psychometric analysis.
2
This study was not designed to validate the Resilience measure, we did not administer any gold-standard resilience measures
3
Longitudinal studies with repeated measurement will provide important insights into both the psychometrics of the measure

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