Environmental factors item development for persons with stroke, traumatic brain injury, and spinal cord injury.
Arch Phys Med Rehabil
; 96(4): 589-95, 2015 Apr.
Article
en En
| MEDLINE
| ID: mdl-24378804
ABSTRACT
OBJECTIVES:
To describe methods used in operationalizing environmental factors; to describe the results of a research project to develop measures of environmental factors that affect participation; and to define an initial item set of facilitators and barriers to participation after stroke, traumatic brain injury, and spinal cord injury.DESIGN:
Instrument development included an extensive literature review, item classification and selection, item writing, and cognitive testing following the approach of the Patient-Reported Outcomes Measurement Information System.SETTING:
Community.PARTICIPANTS:
Content area and outcome measurement experts (n=10) contributed to instrument development; individuals (n=200) with the target conditions participated in focus groups and in cognitive testing (n=15).INTERVENTIONS:
None. MAIN OUTCOMEMEASURES:
Environmental factor items were categorized in 6 domains assistive technology; built and natural environment; social environment; services, systems, and policies; access to information and technology; and economic quality of life.RESULTS:
We binned 2273 items across the 6 domains, winnowed this pool to 291 items for cognitive testing, and recommended 274 items for pilot data collection.CONCLUSIONS:
Five of the 6 domains correspond closely to the International Classification of Functioning, Disability and Health taxonomy of environmental factors; the sixth domain, economic quality of life, reflects an important construct that reflects financial resources that affect participation. Testing with a new and larger sample is underway to evaluate reliability, validity, and sensitivity.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Traumatismos de la Médula Espinal
/
Lesiones Encefálicas
/
Personas con Discapacidad
/
Accidente Cerebrovascular
/
Ambiente
Tipo de estudio:
Prognostic_studies
/
Qualitative_research
Límite:
Humans
Idioma:
En
Revista:
Arch Phys Med Rehabil
Año:
2015
Tipo del documento:
Article