Abstract
Objective
To describe the development of new self-report measures of social attitudes that act
as environmental facilitators or barriers to the participation of people with disabilities
in society.
Design
A mixed-methods approach included a literature review; item classification, selection,
and writing; cognitive interviews and field testing of participants with spinal cord
injury (SCI), traumatic brain injury (TBI), or stroke; and rating scale analysis to
evaluate initial psychometric properties.
Setting
General community.
Participants
Individuals with SCI, TBI, or stroke participated in cognitive interviews (n=9); community
residents with those same conditions participated in field testing (n=305).
Interventions
None.
Main Outcome Measure
Self-report item pool of social attitudes that act as facilitators or barriers to
people with disabilities participating in society.
Results
An interdisciplinary team of experts classified 710 existing social environment items
into content areas and wrote 32 new items. Additional qualitative item review included
item refinement and winnowing of the pool prior to cognitive interviews and field
testing of 82 items. Field test data indicated that the pool satisfies a 1-parameter
item response theory measurement model and would be appropriate for development into
a calibrated item bank.
Conclusions
Our qualitative item review process supported a social environment conceptual framework
that includes both social support and social attitudes. We developed a new social
attitudes self-report item pool. Calibration testing of that pool is underway with
a larger sample to develop a social attitudes item bank for persons with disabilities.
Keywords
List of abbreviations:
EF (environmental factor), ICF (International Classification of Functioning, Disability and Health), PROMIS (Patient Reported Outcomes Measurement Information System), SCI (spinal cord injury), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: July 18, 2014
Footnotes
Supported by the National Institute on Disability and Rehabilitation Research (grant no. H133B090024). A portion of Dr. Garcia's time toward this publication was supported by the National Center for Complementary and Alternative Medicine and the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health (award no. U54AR057951-S1).
The content of this publication is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
Disclosures: none.
Identification
Copyright
© 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Environmental Barriers and Supports to Everyday Participation: A Qualitative Insider Perspective From People With DisabilitiesArchives of Physical Medicine and RehabilitationVol. 96Issue 4
- Environmental Factors Item Development for Persons With Stroke, Traumatic Brain Injury, and Spinal Cord InjuryArchives of Physical Medicine and RehabilitationVol. 96Issue 4
- PreviewTo describe methods used in operationalizing environmental factors; to describe the results of a research project to develop measures of environmental factors that affect participation; and to define an initial item set of facilitators and barriers to participation after stroke, traumatic brain injury, and spinal cord injury.
- Full-Text
- Preview
- Theoretical Foundations for the Measurement of Environmental Factors and Their Impact on Participation Among People With DisabilitiesArchives of Physical Medicine and RehabilitationVol. 96Issue 4
- PreviewThe ascendance of the World Health Organization's International Classification of Functioning, Disability and Heath (ICF) as the global standard for describing and characterizing aspects of disability has refocused attention on the role that environmental factors (EFs) have on the health and participation of people with disabilities, both as individuals and as a group. There has been a rise in the development of instruments designed to measure EFs alone and in relation to participation. Some instrument developers have used the ICF as a theoretical base for instrument development and to substantiate content validity claims.
- Full-Text
- Preview
