Heinemann Allen W, Miskovic Ana, Semik Patrick, Wong Alex, Dashner Jessica, Baum Carolyn, Magasi Susan, Hammel Joy, Tulsky David S, Garcia Sofia F, Jerousek Sara, Lai Jin-Shei, Carlozzi Noelle E, Gray David B
Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Center for Rehabilitation Outcomes Research, Rehabilitation Institute of Chicago, Chicago, IL.
Arch Phys Med Rehabil. 2016 Dec;97(12):2113-2122. doi: 10.1016/j.apmr.2016.05.021. Epub 2016 Jun 23.
To describe the unique and overlapping content of the newly developed Environmental Factors Item Banks (EFIB) and 7 legacy environmental factor instruments, and to evaluate the EFIB's construct validity by examining associations with legacy instruments.
Cross-sectional, observational cohort.
Community.
A sample of community-dwelling adults with stroke, spinal cord injury, and traumatic brain injury (N=568).
None.
EFIB covering domains of the built and natural environment; systems, services, and policies; social environment; and access to information and technology; the Craig Hospital Inventory of Environmental Factors (CHIEF) short form; the Facilitators and Barriers Survey/Mobility (FABS/M) short form; the Home and Community Environment Instrument (HACE); the Measure of the Quality of the Environment (MQE) short form; and 3 of the Patient Reported Outcomes Measurement Information System's (PROMIS) Quality of Social Support measures.
The EFIB and legacy instruments assess most of the International Classification of Functioning, Disability and Health (ICF) environmental factors chapters, including chapter 1 (products and technology; 75 items corresponding to 11 codes), chapter 2 (natural environment and human-made changes; 31 items corresponding to 7 codes), chapter 3 (support and relationships; 74 items corresponding to 7 codes), chapter 4 (attitudes; 83 items corresponding to 8 codes), and chapter 5 (services, systems, and policies; 72 items corresponding to 16 codes). Construct validity is provided by moderate correlations between EFIB measures and the CHIEF, MQE barriers, HACE technology mobility, FABS/M community built features, and PROMIS item banks and by small correlations with other legacy instruments. Only 5 of the 66 legacy instrument correlation coefficients are moderate, suggesting they measure unique aspects of the environment, whereas all intra-EFIB correlations were at least moderate.
The EFIB measures provide a brief and focused assessment of ICF environmental factor chapters. The pattern of correlations with legacy instruments provides initial evidence of construct validity.
描述新开发的环境因素题库（EFIB）与7种传统环境因素工具的独特内容及重叠内容，并通过检查与传统工具的关联来评估EFIB的结构效度。
横断面观察性队列研究。
社区。
患有中风、脊髓损伤和创伤性脑损伤的社区居住成年人样本（N = 568）。
无。
涵盖建筑与自然环境、系统、服务与政策、社会环境以及信息与技术获取等领域的EFIB；克雷格医院环境因素量表（CHIEF）简表；促进因素与障碍调查/移动性（FABS/M）简表；家庭与社区环境工具（HACE）；环境质量测量量表（MQE）简表；以及患者报告结局测量信息系统（PROMIS）社会支持质量测量量表中的3个。
EFIB和传统工具评估了《国际功能、残疾和健康分类》（ICF）中大部分环境因素章节，包括第1章（产品与技术；对应11个编码的75项）、第2章（自然环境与人为变化；对应7个编码的31项）、第3章（支持与关系；对应7个编码的74项）、第4章（态度；对应8个编码的83项）和第5章（服务、系统与政策；对应16个编码的72项）。EFIB测量值与CHIEF、MQE障碍、HACE技术移动性、FABS/M社区建筑特征以及PROMIS题库之间的中度相关性以及与其他传统工具的小相关性提供了结构效度。66个传统工具相关系数中只有5个是中度的，表明它们测量的是环境的独特方面，而EFIB内部的所有相关性至少是中度的。
EFIB测量提供了对ICF环境因素章节的简短且重点突出的评估。与传统工具的相关模式提供了结构效度的初步证据。
