Purpose
The SCILS measures health behaviors that delay or prevent the development of secondary impairments in patients with spinal cord injury.
Acronym
SCILS
Area of Assessment
Behavior
Assessment Type
Patient Reported Outcomes
Administration Mode
Paper & Pencil
Cost
Free
- The SCILS is a 25-item self report that measures the frequency of general health behaviors performed by persons with SCI for avoiding secondary impairments.
- The purpose is to evaluate the effectiveness of clinical and education efforts for health maintenance and the prevention of secondary impairments following SCI (Miller et al., 2010).
- Health categories include:
1) Cardiovascular
2) Genitourinary
3) Neuromusculoskeletal
4) Skin
5) Psychosocial
- The SCILS uses a 5-point ordinal scale with scores generated by totaling the item scores of each category.
- A total score consists of the sum of the 5 category scores. Higher scores indicate increased performances of behaviors promoting health.
30 minutes
Outcome measure is a self-paced questionnaire
Required Training
No Training
Instrument Reviewers
Initially reviewed by Eileen Tseng, PT, DPT, NCS, Rachel Tappan, PT, NCS, and the SCI EDGE task force of the Neurology Section of the APTA in 4/2012. Updated by Tayler Cypin, OTS, Alli Ferlin, OTS, Ada Terman, OTS in 05/2016.
ICF Domain
Activity
Participation
Measurement Domain
General Health
Motor
Professional Association Recommendation
Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.
For detailed information about how recommendations were made, please visit:
Abbreviations:
|
|
HR
|
Highly Recommend
|
R
|
Recommend
|
LS / UR
|
Reasonable to use, but limited study in target group / Unable to Recommend
|
NR
|
Not Recommended
|
Recommendations for use based on acuity level of the patient:
|
Acute
(CVA < 2 months post)
(SCI < 1 month post)
(Vestibular < 6 weeks post)
|
Subacute
(CVA 2 to 6 months)
(SCI 3 to 6 months)
|
Chronic
(> 6 months)
|
SCI EDGE
|
NR
|
NR
|
NR
|
Recommendations based on SCI AIS Classification:
|
AIS A/B
|
AIS C/D
|
SCI EDGE
|
NR
|
NR
|
Recommendations for entry-level physical therapy education and use in research:
|
Students should learn to administer this tool? (Y/N)
|
Students should be exposed to tool? (Y/N)
|
Appropriate for use in intervention research studies? (Y/N)
|
Is additional research warranted for this tool (Y/N)
|
SCI EDGE
|
No
|
No
|
No
|
Not reported
|
Considerations
A 22-item Dutch version is available with excellent internal consistency (Cronbach’s alpha = 0.80) (Bloemen-Vrencken 2007).
The SCILS requires further testing and development of the measure before recommending it for clinical use. (Miller et al., 2010).
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