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Development of the participation assessment with recombined tools-objective for use after traumatic brain injury

Article consultable sur : http://www.archives-pmr.org

OBJECTIVE: To develop a new measure, the Participation Assessment With Recombined
Tools-Objective (PART-O), based on items from 3 participation instruments.
DESIGN: Instrument development based on survey research. SETTING: Community.
PARTICIPANTS: Adults (N=400) with traumatic brain injury (TBI) 1 to 15 years
postinjury, recruited from 8 TBI Model Systems (TBIMS). INTERVENTIONS: None. MAIN
Community Integration Questionnaire version 2; Participation
Objective, Participation Subjective; Craig Handicap Assessment and Reporting
Technique; PART-O. RESULTS: Using Rasch rating scale analysis to evaluate the
psychometric properties of participation items drawn from 3 instruments, a set of
24 items was developed that covered a broad range of participation content and
formed a measure with person separation of 2.47, person reliability of .86, item
spread of 4.25 logits, item separation of 11.36, and item reliability of .99.
Items were well targeted on the sample with only 1 item misfitting. The PART-O
showed expected relationships with measures of impairment, activity limitations,
and subjective well-being. CONCLUSIONS: The 24-item PART-O is an acceptable
measure of objective participation for persons with moderate and severe TBI. It
has been adopted as the measure of participation in the TBIMS.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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