Article

OBJECTIVE: To validate the Utrecht Scale for Evaluation of
Rehabilitation-Participation (USER-Participation) in persons with spinal cord
injury (SCI) using 2 International Classification of Functioning, Disability and
Health (ICF)-based instruments: the ICF Measure of Participation and
Activities-Screener (IMPACT-S) and the World Health Organization Disability
Assessment Schedule II (WHODAS II). DESIGN: Validation study. Score
distributions, internal consistency, and concurrent and discriminant validity
were evaluated. SETTING: The community. PARTICIPANTS: Convenience sample of
persons (N=157) with long-term SCI living in The Netherlands. INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: USER-Participation, IMPACT-S, and WHODAS II.
RESULTS: No instruments showed floor effects, and 3 out of 6 WHODAS II domains
showed ceiling effects. Most scores showed adequate internal consistency
(alpha>/=.70), except for the USER-Participation frequency scale (.51) and 2
WHODAS II domains (.58-.60). Spearman correlation coefficients between the
segregate USER-Participation scales were <.60 (range, .39-.46), showing that they
cover separate aspects of participation. Concurrent validity of the
USER-Participation was shown because >75% (83.3%) of the 24 hypotheses (Spearman
correlation coefficients above or below .60) with the other measurement
instruments were confirmed. Concurrent validity between the IMPACT-S and WHODAS
II was not shown (53.8% of 13 hypotheses confirmed). All scores except 4 WHODAS
II domains showed significant differences in participation between persons with
paraplegia and tetraplegia. CONCLUSIONS: The USER-Participation showed generally
satisfactory psychometric properties in Dutch persons with long-term SCI living
in the community. The IMPACT-S showed the best psychometric properties, and the
WHODAS II showed less favorable results. Future research on the
USER-Participation should focus on validation in other languages and different
diagnostic groups.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS