Article

OBJECTIVE: To identify and critique the measures currently used to assess
participation in clinical stroke studies. DATA SOURCES: Relevant articles
published between January 2001 and April 2012 identified through Medline, CINAHL,
and ProQuest Central databases. STUDY SELECTION: Published articles involving
poststroke assessment of participation. Case studies, cohort studies, and
randomized controlled trials were included. DATA EXTRACTION: The most frequently
used measures were identified and the psychometric properties evaluated. Three
raters independently evaluated each measure relative to the first and second
coding levels of the International Classification of Functioning, Disability and
Health (ICF) Activities and Participation domain categories. DATA SYNTHESIS:
Thirty-six measures were identified. The Stroke Impact Scale (SIS), London
Handicap Scale, Assessment of Life Habits (LIFE-H), Frenchay Activities Index,
and Activity Card Sort (ACS) were used most frequently. No single measure met
criteria across all psychometric indices, and not one covered all 9 of the ICF
Activities and Participation domains. The SIS, LIFE-H, and ACS covered the widest
range. The domains covered most frequently were Community, Social and Civic Life,
Domestic Life, and Mobility. Learning and Applying Knowledge, General Tasks and
Demands, and Communication were the domains less frequently covered. CONCLUSIONS:
This review identified and evaluated the most frequently used participation
measures in clinical stroke studies. The SIS, LIFE-H, and ACS covered the ICF
Activities and Participation domain categories most comprehensively. However,
none of the measures covered all the ICF Activities and Participation domain
categories. The information provided in this systematic review can be used to
guide the selection of participation measures to meet specific clinical and
research purposes.
CI - Copyright (c) 2013 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS