Self Care Assessment Tool (SCAT)

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Tool Description

  • Developed by experienced clinicians to assess cognitive and self care skills required by individuals with an SCI below C7 to perform self-care.  Cognitive and functional skills are measured in eight self-care areas: bathing/grooming; nutritional management; medications; mobility/transfers/safety; skin management; bladder management; and bowel management.
  • The items in the SCAT consider the use of physical assistance as well as assistive devices. The scale for each item is yes/no/not applicable.

ICF Domain:

Activity – Subcategory: Self-Care

Number of Items:

81 (41 cognitive and 40 functional)

Brief Instructions for Administration & Scoring

Administration:

  • Interviewer-administered test.

Equipment: None.

Scoring:

  • A cognitive and a functional subscale score can be calculated as well as an overall score, although no details are provided on how to calculate the scores.

Interpretability

MCID: not established in SCI
SEM: not established in SCI
MDC: not established in SCI

  • No standardized norms are available and no results were reported so it is difficult to make any comparisons.

Languages:

English

Training Required:

None formally required.

Availability:

For a copy, contact the authors of the original article (McFarland et al. 1992).

Clinical Considerations

  • The SCAT was developed specifically for the SCI patient population whereas many other self-care measures have been developed for a broad range of health conditions.
  • The tool has been used in both the rehabilitation and community setting.
  • However, the SCAT does not appear to be widely used in research.

Measurement Property Summary

# of studies reporting psychometric properties: 1

Reliability:

  • Test-retest reliability is High for the SCAT-Functional subscale (r=0.80-0.86), and Low to High for the SCAT-Cognitive subscale (r=0.47-0.80) and SCAT total (r=0.45-0.69).
  • Inter-rater reliability is High for the SCAT-Cognitive subscale (r=0.69-0.93), SCAT-Functional subscale (r=0.80-0.92), and the SCAT-Total (r=0.74-0.93).

[McFarland et al. 1992]

Validity:

  • Content for all areas of the scale (over 90% agreement) validated by clinical nurse specialists.
  • Predictive value at 6 months following discharge was R2=0.61 for SCAT-Cognitive, R2=0.82 for SCAT-Functional and R2=0.90 for SCAT Total.

[McFarland et al. 1992]

Responsiveness:

No values were reported for the responsiveness of the SCAT for the SCI population.

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the SCAT for the SCI population.

Reviewer

Dr. William Miller, Kyle Diab

Date Last Updated:

Mar 16, 2017

Download the measure

Download Worksheet:
For a copy, contact the authors of the original article (McFarland et al. 1992).

Video

n/a

Scoring

n/a

Equipment Needed

SCAT:

McFarland SM, Sasser L, Boss BJ, Dickerson JL, Stelling JD. Self-care assessment tool for spinal cord injured persons. SCI Nursing 1992;9:111-116.
http://www.ncbi.nlm.nih.gov/pubmed/1292085