Development and preliminary assessment of the measurement properties of the Seating Identification Tool (SIT)1

@article{citeulike:2672307, abstract = {Objective: To present and discuss the development and measurement properties of the Seating Identification Tool (SIT), a screening tool designed to identify the need for formal seating and wheelchair intervention among institutionalized elderly. Specifically, investigation of the inter-rater and test-retest reliability, sensitivity, specificity, the positive and negative predictive values of the SIT was conducted. Design: A two-week retest design. Setting: A long-term care facility in London, Ontario, Canada. Subjects: Forty-two randomly selected residents with an average age of 83 years who had a disability and required the use of a wheelchair as their main mode of mobility. Intervention: Two health care assistants from a long-term facility collected data using the SIT. One rater assessed all subjects two weeks later to evaluate test-retest reliability. Diagnostic properties (validity) were determined by having all subjects assessed by a seating therapist. Main measurement: The SIT and formal evaluation by a therapist experienced in seating. Results: The ICC for both test-retest and inter-rater reliability was 0.83. A cut-off score of 2 maximized the sensitivity (100\%) and specificity (64\% and 57\% for raters 1 and 2 respectively) and the area under the receiver operating characteristics curve (0.855 and 0.862 for raters 1 and 2). The positive and negative predictive values ranged from 82 to 100\%. Conclusion: The SIT is a quick, easy to use, reliable and valid screening tool that can be used to facilitate clinical referral for formal intervention. Other potential uses include population-based surveys to estimate the need for including seating intervention in strategic planning for the institutionalized elderly. 10.1191/0269215504cr729oa}, author = {Miller, William C. and Miller, Francine and Trenholm, Karen and Grant, Desiree and Goodman, Kristen }, citeulike-article-id = {2672307}, doi = {http://dx.doi.org/10.1191/0269215504cr729oa}, journal = {Clin Rehabil}, keywords = {assessment, measure, sit, sitting}, month = {March}, number = {3}, pages = {317--325}, posted-at = {2008-04-15 10:30:22}, priority = {2}, title = {Development and preliminary assessment of the measurement properties of the Seating Identification Tool (SIT)1}, url = {http://dx.doi.org/10.1191/0269215504cr729oa}, volume = {18}, year = {2004} }

TY - JOUR ID - citeulike:2672307 L3 - citeulike-article-id:2672307 TI - Development and preliminary assessment of the measurement properties of the Seating Identification Tool (SIT)1 JF - Clin Rehabil VL - 18 IS - 3 SP - 317 EP - 325 N2 - Objective: To present and discuss the development and measurement properties of the Seating Identification Tool (SIT), a screening tool designed to identify the need for formal seating and wheelchair intervention among institutionalized elderly. Specifically, investigation of the inter-rater and test-retest reliability, sensitivity, specificity, the positive and negative predictive values of the SIT was conducted. Design: A two-week retest design. Setting: A long-term care facility in London, Ontario, Canada. Subjects: Forty-two randomly selected residents with an average age of 83 years who had a disability and required the use of a wheelchair as their main mode of mobility. Intervention: Two health care assistants from a long-term facility collected data using the SIT. One rater assessed all subjects two weeks later to evaluate test-retest reliability. Diagnostic properties (validity) were determined by having all subjects assessed by a seating therapist. Main measurement: The SIT and formal evaluation by a therapist experienced in seating. Results: The ICC for both test-retest and inter-rater reliability was 0.83. A cut-off score of 2 maximized the sensitivity (100%) and specificity (64% and 57% for raters 1 and 2 respectively) and the area under the receiver operating characteristics curve (0.855 and 0.862 for raters 1 and 2). The positive and negative predictive values ranged from 82 to 100%. Conclusion: The SIT is a quick, easy to use, reliable and valid screening tool that can be used to facilitate clinical referral for formal intervention. Other potential uses include population-based surveys to estimate the need for including seating intervention in strategic planning for the institutionalized elderly. 10.1191/0269215504cr729oa KW - assessment KW - measure KW - sit KW - sitting AU - Miller, William AU - Miller, Francine AU - Trenholm, Karen AU - Grant, Desiree AU - Goodman, Kristen PY - 2004/03/01/ UR - http://dx.doi.org/10.1191/0269215504cr729oa ER -