Whiteneck Gale, Meade Michelle A, Dijkers Marcel, Tate Denise G, Bushnik Tamara, Forchheimer Martin B
Craig Hospital, Englewood, CO 80113, USA.
Arch Phys Med Rehabil. 2004 Nov;85(11):1793-803. doi: 10.1016/j.apmr.2004.04.024.
To investigate environmental barriers reported by people with spinal cord injury (SCI), and to determine the relative impact of environmental barriers compared with demographic and injury characteristics and activity limitations in predicting variation in participation and life satisfaction.
Cross-sectional, follow-up survey.
Individuals rehabilitated at 16 federally designated Model Spinal Cord Injury Systems of care, now living in the community.
People with SCI (N=2726) who completed routine follow-up research interviews between 2000 and 2002.
Not applicable.
The Craig Hospital Inventory of Environmental Factors-Short Form (CHIEF-SF), the Craig Handicap Assessment and Reporting Technique-Short Form, and the Satisfaction With Life Scale.
The top 5 environmental barriers reported by subjects with SCI, in descending order of importance, were the natural environment, transportation, need for help in the home, availability of health care, and governmental policies. The CHIEF-SF subscales accounted for only 4% or less of the variation in participation; they accounted for 10% of the variation in life satisfaction.
The inclusion of environmental factors in models of disability was supported, but were found to be more strongly related to life satisfaction than to societal participation.
调查脊髓损伤患者报告的环境障碍，并确定与人口统计学和损伤特征及活动受限相比，环境障碍在预测参与度和生活满意度变化方面的相对影响。
横断面随访调查。
在16个联邦指定的脊髓损伤模范护理系统中接受康复治疗、现居住在社区的个体。
2000年至2002年间完成常规随访研究访谈的脊髓损伤患者（N = 2726）。
不适用。
克雷格医院环境因素简表（CHIEF-SF）、克雷格残疾评估与报告技术简表以及生活满意度量表。
脊髓损伤患者报告的前5个环境障碍，按重要性降序排列为自然环境、交通、家庭中对帮助的需求、医疗保健的可及性和政府政策。CHIEF-SF分量表仅占参与度变化的4%或更少；它们占生活满意度变化的10%。
支持将环境因素纳入残疾模型，但发现环境因素与生活满意度的关联比与社会参与的关联更强。
