Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 8 , Pages 1043-1051, August 2006

Preliminary Results for the PAR-PRO: A Measure of Home and Community Participation

  • Glenn V. Ostir, PhD

      Affiliations

    • Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX
    • ,
  • Carl V. Granger, MD

      Affiliations

    • Department of Rehabilitation Medicine, State University of New York, Buffalo, NY
    • ,
  • Terrie Black, RN, MBA

      Affiliations

    • Uniform Data System for Medical Rehabilitation, Amherst, NY
    • ,
  • Pamela Roberts, MSHA, OTR/L, CPHQ

      Affiliations

    • Cedars-Sinai Medical Center, Los Angeles, CA
    • ,
  • Laura Burgos, MS, PT

      Affiliations

    • Mount Sinai Medical Center & Miami Heart Institute, Miami Beach, FL
    • ,
  • Paula Martinkewiz, MS, RN, CRRN

      Affiliations

    • Horizon Health Physical Rehabilitation Services, Lewisville, TX
    • ,
  • Kenneth J. Ottenbacher, PhD, OTR

      Affiliations

    • Division of Rehabilitation Sciences, University of Texas Medical Branch, Galveston, TX
    • Corresponding Author InformationReprint requests to Kenneth J. Ottenbacher, PhD, OTR, UTMB, 301 University Blvd, Galveston, TX, 77555-1137

Abstract 

Ostir GV, Granger CV, Black T, Roberts P, Burgos L, Martinkewiz P, Ottenbacher KJ. Preliminary results for the PAR-PRO: a measure of home and community participation.

Objective

To develop a measure of home and community participation related to the World Health Organization’s International Classification of Functioning, Disability and Health.

Design

Cross-sectional analysis of survey data.

Setting

Nine medical inpatient rehabilitation facilities from 6 states.

Participants

A total of 594 patients of mixed impairment type admitted for inpatient rehabilitation in 2002. Mean age was 74.0 years and 61.4% were women.

Interventions

Not applicable.

Main Outcome Measures

Reliability and validity of the participation instrument.

Results

A 20-item instrument of home and community participation was developed (PAR-PRO). The instrument showed good internal consistency and good Rasch person and item fit statistics. Four subfactors were identified beyond the unidimensional construct of participation including domestic management, socialization, physical vigor, and generative activities. The PAR-PRO total participation score correlated inversely with age (r=−.31, P<.001) but did not differ by sex.

Conclusions

The 20-item PAR-PRO instrument of home and community participation displayed good psychometric characteristics. The instrument shows promise as a broad measure of home and community involvement for persons with disabilities. Further work is needed to support its application for people without disability.

Key Words:  Activities of daily living , Consumer participation , Outcome assessment (health care) , Rehabilitation

 

 Supported by the American Heart Association (grant no. 0270045N), the National Institute of Child Health and Human Development, National Institutes of Health (NIH) (grant no. K01 HD046682), and National Institute on Aging, NIH (grant no. K02AG019736).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(06)00432-1

doi:10.1016/j.apmr.2006.04.024

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 8 , Pages 1043-1051, August 2006

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