Evidence map›Paper›PMID 29704507›Full record

ArticleArchives of physical medicine and rehabilitation2018

Development and Psychometric Evaluation of a Fatigability Index for Full-Time Wheelchair Users With Spinal Cord Injury.

Alina Ionela Palimaru, William E Cunningham, Marcus Dillistone, Arturo Vargas-Bustamante, Honghu Liu, Ron D Hays

Open access · greenAbstract read
In one paragraph

Article in Archives of physical medicine and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Assessing content validity: challenges of conducting systematic reviews of patient-reported outcome measures and recommendations to improve the application of COSMIN guidance.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Alina Ionela PalimaruDepartment of Health Policy and Management, Fielding School of Public Health, The University of California, Los Angeles (UCLA), Los Angeles, California, United States. Electronic address: alinapalimaru@ucla.edu.
William E CunninghamDepartment of Health Policy and Management, Fielding School of Public Health, The University of California, Los Angeles (UCLA), Los Angeles, California, United States; Division of General Internal Medicine and Health Services Research, Department of Medicine, Geffen School of Medicine, UCLA, Los Angeles, California, United States.
Marcus DillistoneRoyal Society of Medicine, Marylebone, London, United Kingdom.
Arturo Vargas-BustamanteDepartment of Health Policy and Management, Fielding School of Public Health, The University of California, Los Angeles (UCLA), Los Angeles, California, United States.
Honghu LiuDivision of General Internal Medicine and Health Services Research, Department of Medicine, Geffen School of Medicine, UCLA, Los Angeles, California, United States; Division of Public Health and Community Dentistry, School of Dentistry, UCLA, Los Angeles, California, United States; Department of Biostatistics, Fielding School of Public Health, UCLA, Los Angeles, California, United States.
Ron D HaysDepartment of Health Policy and Management, Fielding School of Public Health, The University of California, Los Angeles (UCLA), Los Angeles, California, United States; Division of General Internal Medicine and Health Services Research, Department of Medicine, Geffen School of Medicine, UCLA, Los Angeles, California, United States.
University of California, Los Angeles · USRoyal Society of Medicine · GB

Funding

The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Homero Erwin del Pino · 2002 to 2026
$19.7M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI MILBURN, NORWEETA GERMAINE, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
NIA NIH HHS P30 AG021684NIMHD NIH HHS P20 MD000182
6 · The paper itself

Abstract

objectiveTo develop and evaluate psychometrically a self-reported instrument assessing physical fatigability (PF) and mental fatigability (MF) in adults with spinal cord injury (SCI).

designCross-sectional.

settingPeer-support groups at rehabilitation centers, online support groups.

participantsAdults with SCI (N=464) in the United States.

interventionsNot applicable.

main outcome measuresThe dimensional structure was assessed by confirmatory factor analysis. The relationship between item responses and fatigability was measured with item response theory (graded response model). Reliability was measured with test information functions. Differential item functioning was evaluated with Wald chi-square tests and the weighted area between the curves. Construct validity was assessed using the known groups method.

resultsAn 82-item pool was developed from prior qualitative research and consultations with rehabilitation experts. A non-probability sample (N=464) was used to evaluate the psychometric properties of the PF and MF scales. The item pool was reduced to 75 based on factor loadings and R

conclusionsThe Fatigability Index is the first instrument designed to assess physical and mental fatigability in adults with SCI. The index highlights causes of fatigue and areas requiring immediate intervention. Development of short-forms and further research on representative samples are necessary.

Indexed as

AdultCross-Sectional StudiesFactor Analysis, StatisticalFatigueFemaleHumansMaleMiddle AgedPersons with DisabilitiesPsychometricsReproducibility of ResultsSpinal Cord InjuriesSurveys and QuestionnairesUnited StatesWheelchairsFatigueMental fatigueQuality of lifeRehabilitationSpinal cord injuries

Identifiers

PMID29704507
PMCPMC8341152
OpenAlexW2801092348

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.