Detecting change in community participation with the Enfranchisement scale of the community participation indicators.
Clin Rehabil
; 36(2): 251-262, 2022 Feb.
Article
en En
| MEDLINE
| ID: mdl-34723687
ABSTRACT
OBJECTIVE:
This study determined the sensitivity to change of the Enfranchisement scale of the Community Participation Indicators in people with stroke. DATA SOURCES We analyzed data from two studies of participants with stroke an intervention study and an observational study. MAINMEASURES:
The Enfranchisement Scale contains two subscales the Importance subscale (feeling valued by and contributing to the community; range 14-70) and the Control subscale (choice and control range 13-64). DATAANALYSIS:
Assessments were administered 6 months apart. We calculated minimum detectable change and minimal clinically important difference.RESULTS:
The Control subscale analysis included 121 participants with a mean age of 61.2 and mild-moderate disability (Functional Independence Measure, mean = 97.9, SD = 24.7). On the Control subscale, participants had a mean baseline score of 51.4 (SD = 10.4), and little mean change (1.3) but with large variation in change scores (SD = 11.5). We found a minimum detectable change of 9 and a minimum clinically important difference of 6. The Importance subscale analysis included 116 participants with a mean age of 60.7 and mild-moderate disability (Functional Independence Measure, mean = 98.9, SD = 24.5). On the Importance subscale, participants had a mean baseline score of 44.1 (SD = 12.7), and again demonstrated little mean change (1.08) but with large variation in change scores (SD = 12.6). We found a minimum detectable change of 11 and a minimum clinically important difference 7.CONCLUSIONS:
The Control subscale required 9 points of change, and the Importance subscale required 11 points of change, to achieve statistically and clinically meaningful changes, suggesting adequate sensitivity to change.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Personas con Discapacidad
/
Accidente Cerebrovascular
/
Rehabilitación de Accidente Cerebrovascular
Tipo de estudio:
Observational_studies
Límite:
Humans
/
Middle aged
Idioma:
En
Año:
2022
Tipo del documento:
Article