Article

There is still a need for a generic participation instrument that
measures both objective and subjective participation in adults living in the
community and that is feasible for use in rehabilitation practice. The Utrecht
Scale for Evaluation of Rehabilitation-Participation (USER-Participation) was
developed to satisfy this need, comprising 31 items in three scales: Frequency,
Restrictions and Satisfaction. The aim of this study was to examine the validity
of this measure. METHODS: Cross-sectional study involving former rehabilitation
outpatients from five rehabilitation facilities in the Netherlands (n = 395). The
Frenchay Activities Index (FAI), the participation subtotal score of the ICF
Measure of Participation and Activities Screener (IMPACT-SP) and the
Participation Scale were included as reference measures. RESULTS: Internal
consistency of the USER-Participation scales was satisfactory (alpha 0.70-0.91).
Spearman correlations between these scales were between 0.36 and 0.52. Concurrent
validity was shown by strong correlations between the Frequency scale and the FAI
(0.59), the Restrictions scale and the IMPACT-SP (0.75) and the Satisfaction
scale and the Participation Scale (-0.73). Discriminant validity was shown by
significant differences in USER-Participation scores between participants with
different levels of independence and between participants with different health
conditions. CONCLUSION: The USER-Participation appears to be a valid measure to
rate objective and subjective participation in persons with physical
disabilities.

Langue : ANGLAIS