Division of Spine, Department of Orthopaedics, University of British Columbia, 276-828 West 10th Avenue, Vancouver, BC, Canada.
Disabil Rehabil. 2009;31(23):1883-901. doi: 10.1080/09638280902846947.
To identify and review instruments which assess participation as defined by the International Classification of Functioning, Disability and Health (ICF).
A systematic search of the literature was conducted. Data related to the content, administration, scoring, reliability, validity and responsiveness was abstracted.
Eleven instruments met the inclusion criteria. Seven instruments include questions with content from Chapters 4 to 9 in the ICF activities and participation component. Four instruments exclude Chapter 5 (self-care). Most of the instruments assess subjective aspects of participation. Evidence on reliability was available for 10 instruments and the majority met the criteria for group level comparisons for internal consistency and reproducibility in the health conditions assessed. In terms of validity, dimensionality was assessed in eight instruments, with six using modern measurement methods. Participation instruments have been compared with various generic and/or disease-specific instruments, but they have not been compared with each other. Evidence on responsiveness was only available for four instruments.
There has been considerable interest in developing instruments to measure participation. To date, the World Health Organisation Disability Assessment Schedule II has undergone the most psychometric testing. Future research must continue to assess these instruments in persons with various health conditions to advance the conceptualisation and measurement of participation.
识别和综述评估《国际功能、残疾和健康分类》（ICF）所定义的参与情况的工具。
系统地检索文献。提取与内容、管理、评分、信度、效度和反应度相关的数据。
11 个工具符合纳入标准。7 个工具包括 ICF 活动和参与部分第 4 至 9 章的内容问题。4 个工具不包括第 5 章（自我照顾）。大多数工具评估参与的主观方面。有 10 个工具提供了可靠性方面的证据，其中大多数在评估的健康状况下，符合内部一致性和可重复性的群体水平比较的标准。在效度方面，有 8 个工具评估了维度，其中 6 个使用了现代测量方法。参与工具已经与各种通用和/或疾病特异性工具进行了比较，但尚未相互比较。只有 4 个工具提供了反应性方面的证据。
人们对开发衡量参与情况的工具产生了浓厚的兴趣。迄今为止，世界卫生组织残疾评估表 II 已经进行了最多的心理测量学测试。未来的研究必须继续在各种健康状况的人群中评估这些工具，以推进参与的概念化和测量。
