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Schemas are cognitive structures that provide a framework for interpreting and organizing social information. They help individuals navigate complex environments by offering expectations about people, events, and behaviors. Schemas influence attention, encoding, and retrieval processes, thereby shaping the entire trajectory of information processing in social contexts.Attention and Cognitive LoadDuring initial attention, schemas function as filters that prioritize schema-consistent information,...
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Development of a Virtual Reality Assessment of Everyday Living Skills
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Development and initial evaluation of the SCI-FI/AT.

Alan M Jette, Mary D Slavin, Pengsheng Ni

    The Journal of Spinal Cord Medicine
    |May 27, 2015
    PubMed
    Summary
    This summary is machine-generated.

    The Spinal Cord Injury Functional Index for Assistive Technology (SCI-FI/AT) has four validated domains: Basic Mobility, Self-care, Fine Motor Function, and Ambulation. This tool accurately measures function in individuals with spinal cord injury using assistive technology.

    Keywords:
    Outcome assessment (health care)PsychometricsQuality of LifeRehabilitationSpinal cord injuries

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    Area of Science:

    • Rehabilitation Medicine
    • Clinical Assessment
    • Assistive Technology

    Background:

    • Spinal cord injury (SCI) significantly impacts an individual's functional abilities.
    • Existing functional assessment tools may not fully capture the nuances of function for individuals using assistive technology (AT).
    • Development of specialized assessment tools is crucial for accurate evaluation and rehabilitation planning in SCI populations using AT.

    Purpose of the Study:

    • To describe the domain structure and calibration of the Spinal Cord Injury Functional Index for Assistive Technology (SCI-FI/AT).
    • To report the initial psychometric properties of each SCI-FI/AT domain.
    • To validate the accuracy and reliability of simulated computerized adaptive tests (CATs) derived from the SCI-FI/AT item banks.

    Main Methods:

    • Cross-sectional survey design.
    • Utilized confirmatory factor analysis (CFA) and item response theory (IRT) for domain identification.
    • Simulated computerized adaptive tests (CATs) were developed and analyzed.

    Main Results:

    • Identified four unidimensional SCI-FI/AT domains: Basic Mobility, Self-care, Fine Motor Function, and Ambulation.
    • High correlations between full item banks and simulated 10-item CATs demonstrated high accuracy in function estimation.
    • Simulated CAT scales exhibited high measurement reliability compared to full item banks.
    • SCI-FI/AT items in Self-care, Fine Motor Function, and Ambulation domains were less difficult than in original SCI-FI item banks.

    Conclusions:

    • The SCI-FI/AT provides multidimensional assessment scales for individuals with SCI using AT.
    • These scales complement existing SCI-FI assessments.
    • Clinicians and researchers now have a specialized tool to evaluate functional outcomes in SCI individuals utilizing assistive technology.