Evidence map›Paper›PMID 36962914›Full record

ArticlePLOS global public health2022

Monitoring independence in daily life activities after trauma in humanitarian settings: Item reduction and assessment of content validity of the Activity Independence Measure-Trauma (AIM-T).

Bérangère Gohy, Christina H Opava, Johan von Schreeb, Rafael Van den Bergh, Aude Brus, Abed El Hamid Qaradaya, Jean-Marie Mafuko, Omar Al-Abbasi, Sophia Cherestal, Livia Fernandes and 4 more

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In one paragraph

Article in PLOS global public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Bérangère GohyDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.ORCID https://orcid.org/0000-0003-4368-4791
Christina H OpavaDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Johan von SchreebDepartment of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Rafael Van den BerghMédecins Sans Frontières, Operational Center Brussels, Brussels, Belgium.ORCID https://orcid.org/0000-0001-6277-8713
Aude BrusImpact & Information Division, Humanity & Inclusion, Innovation, Brussels, Belgium.ORCID https://orcid.org/0000-0003-4317-3799
Abed El Hamid QaradayaMédecins Sans Frontières, Operational Center Paris, Gaza, Palestinian territories.
Jean-Marie MafukoMédecins Sans Frontières, Operational Center Brussels, Bujumbura, Burundi.
Omar Al-AbbasiMédecins Sans Frontières, Operational Center Brussels, Erbil, Iraq.ORCID https://orcid.org/0000-0002-5225-2846
Sophia CherestalMédecins Sans Frontières, Operational Center Brussels, Port-au-Prince, Haiti.
Livia FernandesMédecins Sans Frontières, Operational Center Paris, Baghdad, Iraq.ORCID https://orcid.org/0000-0002-3417-8937
Andre Da Silva FroisMédecins Sans Frontières, Operational Center Paris, Paris, France.
Eric WeertsHumanity & Inclusion, Rehabilitation technical direction, Brussels, Belgium.ORCID https://orcid.org/0000-0001-9136-2098
AIM-T Study Group
Nina BrodinDivision of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Funding

Wellcome Trust
6 · The paper itself

Abstract

A standardized set of measures to assess functioning after trauma in humanitarian settings has been called for. The Activity Independence Measure for Trauma (AIM-T) is a clinician-rated measure of independence in 20 daily activities among patients after trauma. Designed in Afghanistan, it has since been used in other contexts. Before recommending the AIM-T for wider use, its measurement properties required confirmation. This study aims at item reduction followed by content validity assessment of the AIM-T. Using a two-step revision process, first, routinely collected data from 635 patients at five facilities managing patients after trauma in Haiti, Burundi, Yemen, and Iraq were used for item reduction. This was performed by analyzing inter-item redundancy and distribution of the first version of the AIM-T (AIM-T1) item scores, resulting in a shortened version (AIM-T2). Second, content validity of the AIM-T2 was assessed by item content validity indices (I-CVI, 0-1) based on structured interviews with 23 health care professionals and 60 patients in Haiti, Burundi, and Iraq. Through the analyses, nine pairs of redundant items (r≥0.90) were identified in the AIM-T1, leading to the removal of nine items, and resulting in AIM-T2. All remaining items were judged highly relevant, appropriate, clear, feasible and representative by most of participants (I-CVI>0.5). Ten items with I-CVI 0.5-0.85 were revised to improve their cultural relevance or appropriateness and one item was added, resulting in the AIM-T3. In conclusion, the proposed 12-item AIM-T3 is overall relevant, clear, and representative of independence in daily activity after trauma and it includes items appropriate and feasible to be observed by clinicians across different humanitarian settings. While some additional measurement properties remain to be evaluated, the present version already has the potential to serve as a routine measure to assess patients after trauma in humanitarian settings.

Identifiers

PMID36962914
PMCPMC10021394

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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.