SMS-NAC | Bhtresearch

STOKE MANDEVILLE SPINAL NEEDS ASSESSMENT CHECKLIST - ADULT

The Stoke Mandeville Spinal Needs Assessment Checklist (SMS-NAC) is a rehabilitation outcome measure that assesses patient attainment of changes in rehabilitation outcomes through self-rating of perceived physical and/or verbal independence (also known as verbally instruction). This measure is used specifically for patients with a spinal cord injury or disorder (SCI/D).

Background (copied from adappss)

The ADAPSS was developed between 2006 and 2008, and first published in 2009 by Paul Kennedy and colleagues at the NSIC. A scale to measure the appraisals of people with spinal cord injuries (PwSCI) was important due to their role in how people understand and adjust psychologically to their SCI. This follows decades of research into the psychological factors of stress and coping, pioneered in a cognitive-behavioural model called the "Stress and Appraisal coping model" by Lazarus and Folkman (1984).

The measure was developed using a combination of lived-experience qualitative work with service users of the NSIC, and subsequent production and validation of scale items. Following publication, the ADAPPS has been used in research and clinical settings, which has furthered its validity.

Downloads

ADAPSS - Full version (English)

ADAPSS - Short form (ADAPSS-sf) (English)

Interpretation

(lifted from shirley ryan website so needs adapting)

There are two different versions of the ADAPSS: a short form (ADAPSS-sf) and a long form (ADAPSS). Both measures are scored on a 6-point Likert scale with 3 agree responses (strongly, moderately, and mildly) and 3 disagree responses (strongly, moderately, and mildly).
The short version of the ADAPSS (the ADAPSS-sf) is one of the quality indicators for psychological wellbeing on the NHS England SCI/D dashboard. The ADAPSS-sf includes 6 items, each representing a domain/subscale from the long form; fearful despondency, overwhelming disbelief, determined resolve, negative perceptions of disability, growth and resilience, and personal agency. Total scores are generated by adding responses for each of the 6 items (minimum score = 6, maximum score = 36). It should be noted that items representing determined resolve, growth and resilience, and personal agency are reverse scored. In this way, for all items it is the case that the higher the score the more likely someone will have increased loss and decreased resilience appraisals and therefore possible difficulties adjusting to SCI/D. The ADAPSS-sf is generally used for screening purposes, and if someone scores 22 or over it is recommended to complete the long form ADAPSS.
The long form ADAPSS can be used following the administration of the ADAPSS-sf or as a standalone measure. The long form contains 33 items. Items relate to the same 6 subscales as in the ADAPSS-sf: fearful despondency (FD; 9 items, maximum score of 54), overwhelming disbelief (OD; 5 items, maximum score of 30), determined resolve (DR; 4 items, maximum score of 24), negative perceptions of disability (NPD; 5 items, maximum score of 30), growth and resilience (GR; 5 items, maximum score of 30) and personal agency (PA; 5 items, maximum score of 30).
The 6 subscales can be further grouped into two superordinate factors: Catastrophic Negativity (Loss) and Determined Resilience (Resilience)1. The Catastrophic Negative (Loss) factor includes the subscales fearful despondency, overwhelming disbelief and negative perceptions of disability. The Determined Resilience factor includes determined resilience, growth and resilience and personal agency.
In the full ADAPSS, scores are calculated for each of the sub-scales by summing scores of the relevant items. As in the ADAPSS-sf, items from DR, GR and PA subscales are reverse scored. In the ADAPSS long form, scores of 51-54 (FD), 28-30 (OD), 21-24 (DR), 25-30 (GR), 27-30 (NPD) and 26-30 (PA) are considered high, and indicative of maladaptive appraisals in that domain.