Ostir Glenn V, Granger Carl V, Black Terrie, Roberts Pamela, Burgos Laura, Martinkewiz Paula, Ottenbacher Kenneth J
Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, USA.
Arch Phys Med Rehabil. 2006 Aug;87(8):1043-51. doi: 10.1016/j.apmr.2006.04.024.
To develop a measure of home and community participation related to the World Health Organization's International Classification of Functioning, Disability and Health.
Cross-sectional analysis of survey data.
Nine medical inpatient rehabilitation facilities from 6 states.
A total of 594 patients of mixed impairment type admitted for inpatient rehabilitation in 2002. Mean age was 74.0 years and 61.4% were women.
Not applicable.
Reliability and validity of the participation instrument.
A 20-item instrument of home and community participation was developed (PAR-PRO). The instrument showed good internal consistency and good Rasch person and item fit statistics. Four subfactors were identified beyond the unidimensional construct of participation including domestic management, socialization, physical vigor, and generative activities. The PAR-PRO total participation score correlated inversely with age (r=-.31, P<.001) but did not differ by sex.
The 20-item PAR-PRO instrument of home and community participation displayed good psychometric characteristics. The instrument shows promise as a broad measure of home and community involvement for persons with disabilities. Further work is needed to support its application for people without disability.
制定一项与世界卫生组织《国际功能、残疾和健康分类》相关的家庭和社区参与度测量方法。
对调查数据进行横断面分析。
来自6个州的9家医疗住院康复机构。
2002年共594名因住院康复而入院的混合型损伤患者。平均年龄为74.0岁,61.4%为女性。
不适用。
参与度测量工具的信度和效度。
开发了一个包含20个条目的家庭和社区参与度测量工具(PAR-PRO)。该工具显示出良好的内部一致性以及良好的Rasch人-项目拟合统计量。除了参与度的单维结构外,还确定了四个子因素,包括家庭管理、社交、身体活力和生产性活动。PAR-PRO总参与度得分与年龄呈负相关(r = -0.31,P <.001),但在性别上没有差异。
20个条目的PAR-PRO家庭和社区参与度测量工具显示出良好的心理测量学特征。该工具有望作为衡量残疾人家庭和社区参与度的广泛指标。需要进一步开展工作以支持其在非残疾人群中的应用。