Reliability and Validity of the Revised Transfer Assessment Instrument

Overview

Journal Top Spinal Cord Inj Rehabil

Specialties Emergency Medicine
Rehabilitation Medicine

Date 2018 Jul 13

PMID 29997425

Citations 9

Authors

Lynn A Worobey

Christina K Zigler

Randall Huzinec

Stephanie K Rigot

JongHun Sung

Laura A Rice

Affiliations

Soon will be listed here.

Abstract

Proper transfer technique is associated with improved biomechanics and decreased pain and pathology. However, many users do not use proper technique, and appropriate assessment and training are needed to address these deficits. The transfer assessment instrument (TAI) 4.0 was designed to meet those needs and improve on past versions by removing the need for clinician training, shortening administration time, and simplifying question content. Evaluate the psychometric properties of the TAI 4.0. A convenience sample of full-time wheelchair users was scored on multiple transfers by four raters to assess interrater, intrarater, and test-retest reliability and concurrent validity of the TAI 4.0. Each user also was scored using a visual analog scale (VAS). For 44 participants, the mean TAI 4.0 and VAS across all transfers were 7.58 ± 1.12 and 7.44 ± 1.78, respectively, and scores were significantly correlated ( = 0.52-0.7). VAS scores were more strongly influenced by the flight/landing and body setup phases of the transfer. There were no significant associations between TAI 4.0 score and demographics. Intraclass correlation coefficients (ICC) ranged from 0.80 to 0.85 for interrater reliability, 0.60 to 0.76 for intrarater reliability, and 0.55 to 0.76 for test-retest reliability. The minimum detectable change (MDC) for the total score ranged from 1.02 to 1.30. The TAI 4.0 provides reliable and valid quantitative assessment of an individual's transfer without the need for comprehensive training, as is the case with the TAI 3.0. The tool can be completed in 3 minutes (average) in a clinical setting with only a ruler and goniometer.

Citing Articles

Development and content validity of the caregiver assisted transfer technique instrument.

Kulich H, Collins D, Dicianno B, Leykum L, Worobey L, Cooper R Assist Technol. 2024; 37(sup1):S96-S104.

PMID: 38669044 PMC: 11511782. DOI: 10.1080/10400435.2024.2336334.

Reliability of home-based remote and self-assessment of transfers using the Transfer Assessment Instrument among wheelchair users with spinal cord injury.

Abou L, Worobey L, Rigot S, Stanley E, Rice L Spinal Cord Ser Cases. 2023; 9(1):10.

PMID: 36990980 PMC: 10060131. DOI: 10.1038/s41394-023-00567-5.

Reliability of 3D Depth Motion Sensors for Capturing Upper Body Motions and Assessing the Quality of Wheelchair Transfers.

Koontz A, Neti A, Chung C, Ayiluri N, Slavens B, Davis C Sensors (Basel). 2022; 22(13).

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Risk Factors Associated With Falls and Fall-Related Injuries Among Wheelchair Users With Spinal Cord Injury.

Abou L, Rice L Arch Rehabil Res Clin Transl. 2022; 4(2):100195.

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Automating the Clinical Assessment of Independent Wheelchair Sitting Pivot Transfer Techniques.

Wei L, Chung C, Koontz A Top Spinal Cord Inj Rehabil. 2021; 27(3):1-11.

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References

Koontz A, Brindle E, Kankipati P, Feathers D, Cooper R . Design features that affect the maneuverability of wheelchairs and scooters. Arch Phys Med Rehabil. 2010; 91(5):759-64. DOI: 10.1016/j.apmr.2010.01.009. View

Tsai C, Boninger M, Hastings J, Cooper R, Rice L, Koontz A . Immediate Biomechanical Implications of Transfer Component Skills Training on Independent Wheelchair Transfers. Arch Phys Med Rehabil. 2016; 97(10):1785-92. DOI: 10.1016/j.apmr.2016.03.009. View

Gagnon D, Nadeau S, Noreau L, Eng J, Gravel D . Trunk and upper extremity kinematics during sitting pivot transfers performed by individuals with spinal cord injury. Clin Biomech (Bristol). 2007; 23(3):279-90. DOI: 10.1016/j.clinbiomech.2007.09.017. View

Hogaboom N, Worobey L, Boninger M . Transfer Technique Is Associated With Shoulder Pain and Pathology in People With Spinal Cord Injury: A Cross-Sectional Investigation. Arch Phys Med Rehabil. 2016; 97(10):1770-6. DOI: 10.1016/j.apmr.2016.03.026. View

Finley M, McQuade K, Rodgers M . Scapular kinematics during transfers in manual wheelchair users with and without shoulder impingement. Clin Biomech (Bristol). 2004; 20(1):32-40. DOI: 10.1016/j.clinbiomech.2004.06.011. View

Tsai C, Hogaboom N, Boninger M, Koontz A . The relationship between independent transfer skills and upper limb kinetics in wheelchair users. Biomed Res Int. 2014; 2014:984526. PMC: 4139077. DOI: 10.1155/2014/984526. View

Rice L, Smith I, Kelleher A, Greenwald K, Hoelmer C, Boninger M . Impact of the clinical practice guideline for preservation of upper limb function on transfer skills of persons with acute spinal cord injury. Arch Phys Med Rehabil. 2013; 94(7):1230-46. DOI: 10.1016/j.apmr.2013.03.008. View

Koontz A, Tsai C, Hogaboom N, Boninger M . Transfer component skill deficit rates among Veterans who use wheelchairs. J Rehabil Res Dev. 2016; 53(2):279-94. DOI: 10.1682/JRRD.2015.02.0023. View

Koo T, Li M . A Guideline of Selecting and Reporting Intraclass Correlation Coefficients for Reliability Research. J Chiropr Med. 2016; 15(2):155-63. PMC: 4913118. DOI: 10.1016/j.jcm.2016.02.012. View

10.

. Preservation of upper limb function following spinal cord injury: a clinical practice guideline for health-care professionals. J Spinal Cord Med. 2006; 28(5):434-70. PMC: 1808273. DOI: 10.1080/10790268.2005.11753844. View

11.

Hogaboom N, Diehl J, Oyster M, Koontz A, Boninger M . Ultrasonographic Median Nerve Changes After Repeated Wheelchair Transfers in Persons With Paraplegia: Relationship With Subject Characteristics and Transfer Skills. PM R. 2015; 8(4):305-313. DOI: 10.1016/j.pmrj.2015.08.001. View

12.

Gagnon D, Nadeau S, Noreau L, Dehail P, Gravel D . Quantification of reaction forces during sitting pivot transfers performed by individuals with spinal cord injury. J Rehabil Med. 2008; 40(6):468-76. DOI: 10.2340/16501977-0192. View

13.

Morris Z, Wooding S, Grant J . The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med. 2011; 104(12):510-20. PMC: 3241518. DOI: 10.1258/jrsm.2011.110180. View

14.

Jonsdottir J, Cattaneo D . Reliability and validity of the dynamic gait index in persons with chronic stroke. Arch Phys Med Rehabil. 2007; 88(11):1410-5. DOI: 10.1016/j.apmr.2007.08.109. View

15.

McClure L, Boninger M, Ozawa H, Koontz A . Reliability and validity analysis of the transfer assessment instrument. Arch Phys Med Rehabil. 2011; 92(3):499-508. DOI: 10.1016/j.apmr.2010.07.231. View

16.

Tsai C, Rice L, Hoelmer C, Boninger M, Koontz A . Basic psychometric properties of the transfer assessment instrument (version 3.0). Arch Phys Med Rehabil. 2013; 94(12):2456-2464. DOI: 10.1016/j.apmr.2013.05.001. View

17.

Gagnon D, Nadeau S, Noreau L, Dehail P, Piotte F . Comparison of peak shoulder and elbow mechanical loads during weight-relief lifts and sitting pivot transfers among manual wheelchair users with spinal cord injury. J Rehabil Res Dev. 2008; 45(6):863-73. DOI: 10.1682/jrrd.2007.11.0189. View

18.

Srebnik D, Uehara E, Smukler M, Russo J, Comtois K, Snowden M . Psychometric properties and utility of the problem severity summary for adults with serious mental illness. Psychiatr Serv. 2002; 53(8):1010-7. DOI: 10.1176/appi.ps.53.8.1010. View

19.

Pentland W, Twomey L . Upper limb function in persons with long term paraplegia and implications for independence: Part I. Paraplegia. 1994; 32(4):211-8. DOI: 10.1038/sc.1994.40. View