Abstract
Objective
To identify instruments that measure community participation in people with disabilities
and to evaluate which domains, to what extent, and how precisely they address this
construct. The review aims to provide information to guide the selection of community
participation instruments and to identify limitations of existing measures.
Data Sources
A systematic search was performed in PubMed, CINAHL, and PsychINFO in February and
March 2012. The latest systematic reviews and references of searched articles were
also reviewed to check for measures that were not identified in the initial search.
Study Selection
Instruments were included if they (1) were a self-report questionnaire; (2) measured
community participation, participation, or community integration; (3) measured actual
participation (rather than subjective experience); (4) had available information on
the instrument content and measurement properties; (5) were designed for adults; and
(6) were applicable for all disabled populations.
Data Extraction
Instruments were obtained from identified full-text articles, reference lists, or
websites. Two researchers independently reviewed each selected instrument to determine
which of their items measure community participation. These items were then classified
using 9 community participation domains from the International Classification of Functioning, Disability and Health to reflect each instrument's domain coverage.
Data Synthesis
Seventeen instruments were identified as containing community participation items,
2 of which were 100% composed of community participation items. The rest of the instruments
included 8.7% to 73.1% items measuring community participation. The domain coverage
varied from 3 to 8 domains across the instruments.
Conclusions
None of the 17 instruments covered the full breadth of community participation domains,
but each addressed community participation to some extent. New instruments that evaluate
community participation more comprehensively will be needed in the future.
Keywords
List of abbreviations:
CASIG (Client's Assessment of Strengths, Interests and Goals), CHART (Craig Handicap Assessment and Reporting Technique), CPI (Community Participation Indicators), FAI (Frenchay Activities Index), ICF (International Classification of Functioning, Disability and Health), ICI (Index of Community Involvement), ILSS (Independent Living Skills Survey), KAP (Keele Assessment of Participation), KAS (Katz Adjustment Scale), MSPP (Maastricht Social Participation Profile), PART-O (Participation Assessment with Recombined Tools–Objective), SFS (Social Functioning Scale)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 12, 2012
Footnotes
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2013 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
