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Arch Phys Med Rehabil. 2014 Jan;95(1):87-93. doi: 10.1016/j.apmr.2013.08.236. Epub 2013 Sep 2.

Comparison of the Utrecht Scale for Evaluation of Rehabilitation-Participation with the ICF Measure of Participation and Activities Screener and the WHO Disability Assessment Schedule II in persons with spinal cord injury.

Author information

1
Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
2
Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands. Electronic address: m.post@dehoogstraat.nl.
3
Swiss Paraplegic Research, Notwill, Switzerland.
4
Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands; Department of Rehabilitation, Nursing Sciences and Sports, University Medical Center Utrecht, Utrecht, The Netherlands.

Abstract

OBJECTIVE:

To validate the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) in persons with spinal cord injury (SCI) using 2 International Classification of Functioning, Disability and Health (ICF)-based instruments: the ICF Measure of Participation and Activities-Screener (IMPACT-S) and the World Health Organization Disability Assessment Schedule II (WHODAS II).

DESIGN:

Validation study. Score distributions, internal consistency, and concurrent and discriminant validity were evaluated.

SETTING:

The community.

PARTICIPANTS:

Convenience sample of persons (N=157) with long-term SCI living in The Netherlands.

INTERVENTIONS:

Not applicable.

MAIN OUTCOME MEASURES:

USER-Participation, IMPACT-S, and WHODAS II.

RESULTS:

No instruments showed floor effects, and 3 out of 6 WHODAS II domains showed ceiling effects. Most scores showed adequate internal consistency (α≥.70), except for the USER-Participation frequency scale (.51) and 2 WHODAS II domains (.58-.60). Spearman correlation coefficients between the segregate USER-Participation scales were <.60 (range, .39-.46), showing that they cover separate aspects of participation. Concurrent validity of the USER-Participation was shown because >75% (83.3%) of the 24 hypotheses (Spearman correlation coefficients above or below .60) with the other measurement instruments were confirmed. Concurrent validity between the IMPACT-S and WHODAS II was not shown (53.8% of 13 hypotheses confirmed). All scores except 4 WHODAS II domains showed significant differences in participation between persons with paraplegia and tetraplegia.

CONCLUSIONS:

The USER-Participation showed generally satisfactory psychometric properties in Dutch persons with long-term SCI living in the community. The IMPACT-S showed the best psychometric properties, and the WHODAS II showed less favorable results. Future research on the USER-Participation should focus on validation in other languages and different diagnostic groups.

KEYWORDS:

ICF; ICF Measure of Participation and Activities Screener; IMPACT-S; International Classification of Functioning, Disability and Health; Outcome assessment (health care); Rehabilitation; SCI; Social participation; Spinal cord injuries; USER-Participation; Utrecht Scale for Evaluation of Rehabilitation-Participation; Validation studies as topic; WHODAS II; World Health Organization Disability Assessment Schedule II; spinal cord injury

PMID:
24008052
DOI:
10.1016/j.apmr.2013.08.236
[Indexed for MEDLINE]

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