Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings.
The importance of measuring outcomes after injury beyond mortality and morbidity is increasingly recognized, though underreported in humanitarian settings. To address shortcomings of existing outcome measures in humanitarian settings, the Activity Independence Measure-Trauma (AIM-T) was developed, a...
| Main Authors: | , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
|
| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0001723 |
| _version_ | 1827320973011976192 |
|---|---|
| author | Bérangère Gohy Christina H Opava Johan von Schreeb Rafael Van den Bergh Aude Brus Nicole Fouda Mbarga Jean Patrick Ouamba Jean-Marie Mafuko Irene Mulombwe Musambi Delphine Rougeon Evelyne Côté Grenier Lívia Gaspar Fernandes Julie Van Hulse Eric Weerts AIM-T Study Group Nina Brodin |
| author_facet | Bérangère Gohy Christina H Opava Johan von Schreeb Rafael Van den Bergh Aude Brus Nicole Fouda Mbarga Jean Patrick Ouamba Jean-Marie Mafuko Irene Mulombwe Musambi Delphine Rougeon Evelyne Côté Grenier Lívia Gaspar Fernandes Julie Van Hulse Eric Weerts AIM-T Study Group Nina Brodin |
| author_sort | Bérangère Gohy |
| collection | DOAJ |
| description | The importance of measuring outcomes after injury beyond mortality and morbidity is increasingly recognized, though underreported in humanitarian settings. To address shortcomings of existing outcome measures in humanitarian settings, the Activity Independence Measure-Trauma (AIM-T) was developed, and is structured in three subscales (i.e., core, lower limb, and upper limb). This study aimed to assess the AIM-T construct validity (structural validity and hypothesis testing) and reliability (internal consistency, inter-rater reliability and measurement error) in four humanitarian settings (Burundi, Iraq, Cameroon and Central African Republic). Patients with acute injury (n = 195) were assessed using the AIM-T, the Barthel Index (BI), and two pain scores. Structural validity was assessed through confirmatory factor analysis. Hypotheses were tested regarding correlations with BI and pain scores using Pearson correlation coefficient (PCC) and differences in AIM-T scores between patients' subgroups, using standardized effect size Cohen's d (d). Internal consistency was assessed with Cronbach's alpha (α). AIM-T was reassessed by a second rater in 77 participants to test inter-rater reliability using intraclass correlation coefficient (ICC). The results showed that the AIM-T structure in three subscales had an acceptable fit. The AIM-T showed an inverse weak to moderate correlation with both pain scores (PCC<0.7, p≤0.05), positive strong correlation with BI (PCC≥0.7, p≤0.05), and differed between all subgroups (d≥0.5, p≤0.05). The inter-rater reliability in the (sub)scales was good to excellent (ICC 0.86-0.91) and the three subscales' internal consistency was adequate (α≥0.7). In conclusion, this study supports the AIM-T validity in measuring independence in mobility activities and its reliability in humanitarian settings, as well as it informs on its interpretability. Thus, the AIM-T could be a valuable measure to assess outcomes after injury in humanitarian settings. |
| first_indexed | 2024-03-07T19:39:23Z |
| format | Article |
| id | doaj.art-44ecdddfe0f5470c9b66c22c6067a8f1 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-04-25T00:58:16Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-44ecdddfe0f5470c9b66c22c6067a8f12024-03-11T06:00:29ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0139e000172310.1371/journal.pgph.0001723Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings.Bérangère GohyChristina H OpavaJohan von SchreebRafael Van den BerghAude BrusNicole Fouda MbargaJean Patrick OuambaJean-Marie MafukoIrene Mulombwe MusambiDelphine RougeonEvelyne Côté GrenierLívia Gaspar FernandesJulie Van HulseEric WeertsAIM-T Study GroupNina BrodinThe importance of measuring outcomes after injury beyond mortality and morbidity is increasingly recognized, though underreported in humanitarian settings. To address shortcomings of existing outcome measures in humanitarian settings, the Activity Independence Measure-Trauma (AIM-T) was developed, and is structured in three subscales (i.e., core, lower limb, and upper limb). This study aimed to assess the AIM-T construct validity (structural validity and hypothesis testing) and reliability (internal consistency, inter-rater reliability and measurement error) in four humanitarian settings (Burundi, Iraq, Cameroon and Central African Republic). Patients with acute injury (n = 195) were assessed using the AIM-T, the Barthel Index (BI), and two pain scores. Structural validity was assessed through confirmatory factor analysis. Hypotheses were tested regarding correlations with BI and pain scores using Pearson correlation coefficient (PCC) and differences in AIM-T scores between patients' subgroups, using standardized effect size Cohen's d (d). Internal consistency was assessed with Cronbach's alpha (α). AIM-T was reassessed by a second rater in 77 participants to test inter-rater reliability using intraclass correlation coefficient (ICC). The results showed that the AIM-T structure in three subscales had an acceptable fit. The AIM-T showed an inverse weak to moderate correlation with both pain scores (PCC<0.7, p≤0.05), positive strong correlation with BI (PCC≥0.7, p≤0.05), and differed between all subgroups (d≥0.5, p≤0.05). The inter-rater reliability in the (sub)scales was good to excellent (ICC 0.86-0.91) and the three subscales' internal consistency was adequate (α≥0.7). In conclusion, this study supports the AIM-T validity in measuring independence in mobility activities and its reliability in humanitarian settings, as well as it informs on its interpretability. Thus, the AIM-T could be a valuable measure to assess outcomes after injury in humanitarian settings.https://doi.org/10.1371/journal.pgph.0001723 |
| spellingShingle | Bérangère Gohy Christina H Opava Johan von Schreeb Rafael Van den Bergh Aude Brus Nicole Fouda Mbarga Jean Patrick Ouamba Jean-Marie Mafuko Irene Mulombwe Musambi Delphine Rougeon Evelyne Côté Grenier Lívia Gaspar Fernandes Julie Van Hulse Eric Weerts AIM-T Study Group Nina Brodin Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings. PLOS Global Public Health |
| title | Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings. |
| title_full | Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings. |
| title_fullStr | Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings. |
| title_full_unstemmed | Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings. |
| title_short | Assessing independence in mobility activities in trauma care: Validity and reliability of the Activity Independence Measure-Trauma (AIM-T) in humanitarian settings. |
| title_sort | assessing independence in mobility activities in trauma care validity and reliability of the activity independence measure trauma aim t in humanitarian settings |
| url | https://doi.org/10.1371/journal.pgph.0001723 |
| work_keys_str_mv | AT berangeregohy assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT christinahopava assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT johanvonschreeb assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT rafaelvandenbergh assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT audebrus assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT nicolefoudambarga assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT jeanpatrickouamba assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT jeanmariemafuko assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT irenemulombwemusambi assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT delphinerougeon assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT evelynecotegrenier assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT liviagasparfernandes assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT julievanhulse assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT ericweerts assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT aimtstudygroup assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings AT ninabrodin assessingindependenceinmobilityactivitiesintraumacarevalidityandreliabilityoftheactivityindependencemeasuretraumaaimtinhumanitariansettings |