期刊
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
卷 94, 期 11, 页码 2157-2165出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2013.05.017
关键词
Psychometrics; Quality of life; Rehabilitation; Social participation
资金
- National Institute on Disability and Rehabilitation Research through a Rehabilitation Research and Training Center on Measuring Rehabilitation Outcomes and Effectiveness [H133B040032]
Objective: To evaluate the psychometric properties and validity of an expanded set of community enfranchisement items that are suitable for computer adaptive testing. Design: Survey. Setting: Community setting. Participants: Individuals with disabilities (N=1163) were recruited from an online panel generation company (51%), former rehabilitation inpatients (18%), disability community organizations (13%), a registry of rehabilitation patients (10%), and Traumatic Brain Injury and Spinal Cord Injury Model System facilities (8%). Inclusion criteria were a self-identified disability, aged >= 18 years, and the ability to read and speak English. Interventions: None. Main Outcome Measure: Community enfranchisement. Results: Exploratory and confirmatory factor analyses of the 48 enfranchisement items suggested 2 distinct subsets of items: (1) importance of participation and (2) control over participation. Principal components analysis of the residuals suggested that the 2 item sets are unidimensional. Rating scale analysis provided evidence that the 2 item sets fit the Rasch model. Importance and control were moderately correlated with each other and with disability severity. Conclusions: Importance of participation and control over participation define 2 distinct sets of participation enfranchisement. Preliminary evidence supports their validity. (C) 2013 by the American Congress of Rehabilitation Medicine
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