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Measurement Characteristics and Clinical Utility of the Craig Handicap Assessment and Reporting Technique Among Individuals With Spinal Cord Injury

      Community reintegration after spinal cord injury (SCI) is usually a rehabilitation goal. Assessment of an individual's level of community reintegration involves understanding multiple variables, including physical independence, cognitive independence, mobility, occupation, social integration, and economic self-sufficiency.1 The Craig Handicap Assessment and Reporting Technique (CHART) is a patient-reported measure that assesses how individuals with a disability participate as active members of their communities. Each domain is assessed by the 32-item instrument, and has a maximum score of 100 per domain. The total score on the CHART is a summation of each domain score, with a maximum score of 600. Higher scores on the CHART indicate a greater degree of social and community participation. The CHART is free, can be completed in less than 10 minutes, and does not require training prior to administration. Psychometric studies have indicated that the CHART demonstrates adequate to excellent reliability and validity in SCI samples.
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