Faculty of Medicine, Université Laval, Quebec City, Canada; Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Université Laval, Quebec City, Canada.
Center for Interdisciplinary Research in Rehabilitation and Social Integration (CIRRIS), Université Laval, Quebec City, Canada; Department of Rehabilitation, Faculty of Medicine, Université Laval, Quebec City, Canada.
Ann Phys Rehabil Med. 2018 Jul;61(4):262-269. doi: 10.1016/j.rehab.2017.12.004. Epub 2018 Jan 6.
Reintegration to Normal Living Index (RNLI) is a generic 11-item questionnaire-based instrument that measures the degree to which individuals achieve reintegration to normal social activities.
This systematic review aimed to provide an overview of the use of this questionnaire in rehabilitation (objective 1) and to analyze its psychometric properties (objective 2).
We searched the literature in 4 electronic databases (MEDLINE via PubMed, Embase, CINAHL and Web of Science) for articles published in English or French between 1988 and 2017. Studies that used RNLI or investigated at least one of its psychometric properties were included and analyzed according to the PRISMA statement. Data extraction and critical methodological appraisal of the articles were independently performed by 2 authors.
A total of 117 studies met the inclusion criteria for objective 1. Half of these studies were conducted in North America (50.4%), mainly with stroke patients. The RNLI was used according to 7 different response formats. The 0-10 visual analog scale and 3-point Likert scale were the most commonly used response formats. For objective 2, 10 studies had evaluated the psychometric properties of the RNLI. Their results suggested good test-retest reliability (intraclass coefficient: 0.83-0.87); good internal consistency (Cronbach α: 0.73-0.97); poor to good construct validity, with Pearson's or Spearman's correlation coefficients between the RNLI and scores for many other well-known questionnaires ranging from 0.25 to 0.77. Other types of psychometric properties (e.g., responsiveness) were poorly investigated.
Despite the increasing use of RNLI in clinical studies, some aspects of its psychometric properties are still poorly evaluated. In addition to the validity and reliability shown in different studies, further studies are needed to investigate other measurement properties such as responsiveness.
重返正常生活指数（RNLI）是一种基于 11 项问题的通用问卷工具，用于衡量个体重新融入正常社会活动的程度。
本系统评价旨在提供该问卷在康复中的使用概述（目标 1），并分析其心理测量学特性（目标 2）。
我们在 4 个电子数据库（通过 PubMed 搜索的 MEDLINE、Embase、CINAHL 和 Web of Science）中检索了 1988 年至 2017 年发表的英文或法文文献。纳入使用 RNLI 或至少调查其心理测量学特性之一的研究，并根据 PRISMA 声明进行分析。两名作者独立进行数据提取和对文章的批判性方法学评估。
共有 117 项研究符合目标 1 的纳入标准。其中一半研究在北美进行（50.4%），主要针对脑卒中患者。RNLI 使用了 7 种不同的应答格式。0-10 视觉模拟评分和 3 点 Likert 评分是最常用的应答格式。针对目标 2，有 10 项研究评估了 RNLI 的心理测量学特性。结果表明，RNLI 具有良好的重测信度（组内相关系数：0.83-0.87）；良好的内部一致性（Cronbach α：0.73-0.97）；较差至良好的结构效度，与其他许多知名问卷的评分之间的 Pearson 或 Spearman 相关系数在 0.25 至 0.77 之间。其他类型的心理测量学特性（如反应度）研究较少。
尽管 RNLI 在临床研究中的使用日益增加，但它的某些心理测量学特性仍未得到充分评估。除了不同研究中显示的有效性和可靠性之外，还需要进一步研究来调查其他测量特性，如反应度。
