This observational methodology study will produce a Turkish version of the Nottwil Environmental Factors Inventory (NEFI-TR) within one month using a standardized translation and cultural adaptation process. Content validity will be assessed using an expert panel (and, if applicable, cognitive debriefing with adults with spinal cord injury) to ensure relevance, clarity, and comprehensibility of each item in the Turkish context.
Adults (>=16 years) with a diagnosis/history of spinal cord injury (traumatic or non-traumatic)
Living in Turkey
Able to read/understand Turkish and provide informed consent
Clinically stable to complete questionnaires
Fully recovered from SCI / no longer living with SCI-related functional consequences (as defined by your protocol)
Severe cognitive/communication limitations preventing valid completion
Any condition judged by investigators to preclude participation
Adults (≥16 years) living in Turkey with a history of spinal cord injury (traumatic or non-traumatic) who can read and understand Turkish and provide informed consent. Participants will be recruited from rehabilitation/SCI outpatient settings and/or patient networks to complete the Turkish NEFI (NEFI-TR) pretest as part of the translation and content validity process. Individuals coded as fully recovered from SCI (i.e., no ongoing SCI-related limitations) will be excluded.
Other
Cross-sectional
Not listed
Item Content Validity Index (I-CVI)
Item Content Validity Index (I-CVI) for NEFI-TR, derived from expert ratings of item relevance on a 4-point scale.
Scale Content Validity Index (S-CVI/Ave)
Scale Content Validity Index (S-CVI/Ave) for NEFI-TR, derived from expert ratings of item relevance on a 4-point scale.
Qualitative feedback on clarity/comprehensibility
Qualitative feedback on clarity/comprehensibility; proportion of items requiring modification; (if cognitive debriefing) participant-rated clarity and acceptability.
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