International Journal For Multidisciplinary Research

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Development and Validation of a Data Collection Instrument for Identifying Adaptive Clothing Requirements in People with Spinal Cord Injury

Author(s) Ms. Bhawna Chauhan, Prof. Dr. Varsha Gupta, Dr. Chitra Kataria
Country India
Abstract The term ‘spinal cord injury’ (SCI) refers to the damage to the spinal cord that results from trauma (e.g. a car crash) or from disease or degeneration (e.g. cancer). (WHO, 2013) In addition to the challenge of paralysis, individuals with spinal cord injury also develop several secondary conditions that can be extremely debilitating. A person's self-image is significantly influenced by their clothing. Since the 1960s, researchers have investigated clothing solutions that address multiple problems (Hallenbeck, 1966; Phipps, 1977; Schwab & Sindelar, 1973), but they found that the nature of individually distinct disabilities appeared to defy general solutions. (Carrol, 2001). To address this critical gap, this study reports on the development and content validation of a new, user-centered instrument designed to systematically assess the clothing-related challenges faced by individuals with SCI, adopting a ‘conceptual framework for inclusive adaptive clothing’. A methodological study was conducted to examine the content validity of the user-centred instrument through a three-phase process of development, recruitment of experts, and quantitative assessment by using Lawsche’s content validity ratio. The developed instrument consists of three sections i.e., the psychological state, the psychological state, physical Limitation, and the clothing needs of the user. A panel consisting of 16 professional experts from the apparel industry, spinal injury rehabilitation, SCI patients, and their caregivers was reached out for content validity testing. For quantitative computing of content validity, the Content Validity Ratio (CVR) was calculated, and each item was compared with the minimum value of CVR of 0.50 for all 16 experts as given by the Lawsche table. Items with a CVR of more than 0.50 were retained, and others were removed. From a set of 31 items, the content validity process identified that five items had CVR less than 0.50; hence, the final version of the instrument consisted of 25 items. An examination of the instrument's content validity showed that it is at the appropriate level. Although the instrument's overall content validity index was low, it can be supported given the large number of content experts who made consensus challenging and the high value of the S-CVI with the average approach, which was equivalent to 0.86
The study led to the development of an instrument consisting of 26 items on the psychological and anatomical discomfort experienced by individuals with SCI. This validated instrument provides an essential foundation for the future development of inclusive and user-centric clothing solutions for the SCI community.
Keywords Spinal cord Injury, Data collection instrument, content validity, Inclusive clothing, psychological discomfort, anatomical discomfort
Field Sociology
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-01-28
DOI https://doi.org/10.36948/ijfmr.2026.v08i01.65834
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