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Qual Life Res. 2015 Nov;24(11):2651-5. doi: 10.1007/s11136-015-0997-4. Epub 2015 May 19.

Validation of the Community Integration Questionnaire in the adult burn injury population.

Author information

1
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, 300 1st Avenue, Boston, MA, 02114, USA.
2
Center for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA.
3
Sumner Redstone Burn Center, Surgical Services Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
4
Shriners Hospitals for Children®-Boston, Boston, MA, USA.
5
Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, USA.
6
Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
7
Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA.
8
Department of Rehabilitation Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.
9
Department of Surgery and Pediatrics, University of Texas Medical Branch, Galveston, TX, USA.
10
Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, 300 1st Avenue, Boston, MA, 02114, USA. jcschneider@partners.org.

Abstract

PURPOSE:

With improved survival, long-term effects of burn injuries on quality of life, particularly community integration, are important outcomes. This study aims to assess the Community Integration Questionnaire's psychometric properties in the adult burn population.

METHODS:

Data were obtained from a multicenter longitudinal data set of burn survivors. The psychometric properties of the Community Integration Questionnaire (n = 492) were examined. The questionnaire items were evaluated for clinical and substantive relevance; validation procedures were conducted on different samples of the population; construct validity was assessed using exploratory factor analysis; internal consistency reliability was examined using Cronbach's ╬▒ statistics; and item response theory was applied to the final models.

RESULTS:

The CIQ-15 was reduced by two questions to form the CIQ-13, with a two-factor structure, interpreted as self/family care and social integration. Item response theory testing suggests that Factor 2 captures a wider range of community integration levels. Cronbach's ╬▒ was 0.80 for Factor 1, 0.77 for Factor 2, and 0.79 for the test as a whole.

CONCLUSIONS:

The CIQ-13 demonstrates validity and reliability in the adult burn survivor population addressing issues of self/family care and social integration. This instrument is useful in future research of community reintegration outcomes in the burn population.

KEYWORDS:

Burn injury; Burn outcomes; Community Integration Questionnaire; Community integration; Participation; Rehabilitation

PMID:
25986908
DOI:
10.1007/s11136-015-0997-4
[Indexed for MEDLINE]

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