Article

Participation in community life is a major challenge for most people with psychiatric and/or cognitive disabilities. Current assessments of participation
lack a theoretical basis. However, the new International Classification of
Functioning, Disability and Health (ICF) provides a relevant framework. AIMS: The
present study used an ICF-derived assessment tool to activity limitations and
participation restrictions in two groups of participants with disabilities linked
to schizophrenia or traumatic brain injury respectively. METHODS: Twenty-six
items (related to six ICF sections) were selected by reviewing the literature and
gathering the clinician's opinions and representatives of patient associations.
These items, yielded an ordinal rating of activity limitations, participation
restrictions and contextual factors (social support, attitudes and, systems &
politics). Special attention was paid to contextual and environmental factors.
The final checklist (called the Grid for Measurements of Activity and
Participation, G-MAP) was administered to 16 participants with traumatic brain
injury (the TBI group) and 15 participants with schizophrenic disorders (the SD
group). Psychometric assessments of cognition and, neurobehavioural,
psychological and psychosocial functioning were also performed. RESULTS: The internal consistencies for activity limitations (Cronbach's alpha
coefficient=0.89) and participation restriction (Cronbach's alpha
coefficient=0.89) were satisfactory. We did not observe any significant
differences between the two groups in terms of the psychometric test results. The
G-MAP scores demonstrated that the two groups were confronted with the same
limitations in self care, domestic life, leisure and community life (i.e., the
intergroup differences were not statistically significant in Mann-Whitney tests).
However, interpersonal relationships and economic and social productivity
appeared to be more severely limited in the SD group than in the TBI group.
Similarly, participation restrictions in domestic life, interpersonal
relationships and economic and social productivity were more severe in the SD
group than in the TBI group. CONCLUSION: G-MAP is a useful, feasible, relevant
tool for performing a detailed, individualized assessment of participation
restrictions in people with psychiatric and/or cognitive disabilities.
CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS