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Measuring Community Integration in Persons With Limb Trauma and Amputation

RESNIK L; BORGIA M; SILVER B
ARCH PHYS MED REHABIL , 2017, vol. 98, n° 3, p. 561-580.e8
Doc n°: 183837
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2016.08.463
Descripteurs : EB - AMPUTATION, DE14 - TRAUMATISMES - MEMBRE INFERIEUR, DD14 - TRAUMATISMES - MEMBRE SUPERIEUR
Article consultable sur : http://www.archives-pmr.org

OBJECTIVES: To conduct a systematic review of community integration measures used
with populations with limb trauma, amputation, or both, and to evaluate each
measure's focus, content, and psychometric properties.
DATA SOURCES: Searches of
PubMed and CINAHL for the terms social participation, community integration,
social function, outcome assessment, wounds and injuries, and amputation/rehabilitation. STUDY SELECTION: Included English-language articles
with a sample size of >/=20 adults with limb trauma or amputation. Measures were
deemed eligible if they contained a majority of items related to the construct of
participation as defined by the International Classification of Functioning,
Disability and Health. DATA EXTRACTION: Data on internal consistency;
test-retest, interrater, and intrarater reliability; content, structural,
construct, concurrent, and predictive validity; responsiveness; and floor/ceiling
effects were extracted from each article and confirmed by a second investigator.
DATA SYNTHESIS: A total of 156 articles containing 34 measures and 94 subscales
were reviewed. Psychometric properties were rated, and an overall score was
calculated for each measure. Content of the highest scoring measures was
examined. Scant evidence was found regarding the psychometric properties of most
measures. Eight scales from 5 instruments had the strongest measurement
properties: the Trinity Amputation and Prosthesis Experience (TAPES) social
restriction and adjustment to limitation scales; Community Reintegration of
Injured Service Members (CRIS) extent of participation and perceived limitations
scales; Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36)
role-physical and social functioning scales; the 136-item Sickness Impact Profile
(SIP) psychosocial domain scale; and the World Health Organization Disability
Assessment Schedule 2.0 (WHODAS-II) 12-item total score. CONCLUSIONS: Eights
scales from 5 instruments-the TAPES, CRIS, SF-36, the 136-item SIP, and the
WHODAS-II 12-item measure-had the strongest measurement properties.
CI - Published by Elsevier Inc.

Langue : ANGLAIS

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