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Validation of the seating and mobility script concordance test.

Laura J Cohen¹, Shirley G Fitzgerald, Suzanne Lane

¹Crawford Research Institute, Shepherd Center, Atlanta, Georgia, USA.

Assistive Technology : the Official Journal of RESNA

|September 2, 2009

Summary

The Seating and Mobility Script Concordance Test (SMSCT) shows promise for assessing seating and mobility expertise, but requires further development for clinical application.

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Area of Science:

Rehabilitation Engineering
Clinical Assessment Tools
Knowledge Evaluation

Background:

Accurate assessment of seating and mobility prescription knowledge is crucial for effective patient care.
Existing methods for evaluating expertise in this field may be limited.
The Seating and Mobility Script Concordance Test (SMSCT) was developed to address this need.

Purpose of the Study:

To develop a scoring system for the SMSCT.
To gather evidence on the internal and external structure of the SMSCT.
To evaluate the validity of the SMSCT for assessing seating and mobility prescription knowledge.

Main Methods:

A scoring system was developed with input from 106 therapists and 15 spinal cord injury experts.
Validity evidence was collected from 15 seating and mobility experts, 10 orthopedic experts, and 66 therapists.

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Proxy measures of clinical expertise were utilized for external validity assessment.

Main Results:

The SMSCT differentiated between seating and mobility experts and orthopedic experts on intervention subtest scores (p = 0.04).
Weekly seating and mobility practice hours predicted SMSCT intervention scores (p = 0.002).
Internal structure analysis indicated potential item performance issues but satisfactory convergent and discriminant evidence.

Conclusions:

The SMSCT shows potential as a tool for measuring seating and mobility expertise.
Limitations in the current content necessitate further refinement of the tool.
Additional development is recommended before widespread clinical application of the SMSCT.