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Measurement Characteristics and Clinical Utility of the Life Satisfaction Questionnaire 9 in a Spinal Cord Injury Population

Published:January 10, 2019DOI:https://doi.org/10.1016/j.apmr.2018.11.002
      There are several assessments that evaluate life satisfaction for those with spinal cord injury (SCI), and the Life Satisfaction Questionnaire 9 (LiSat-9) has merit due to the combination of efficiency and psychometric evidence.1 Advancements in medicine and care yield an increased lifespan for those with SCI; therefore, life satisfaction is becoming increasingly important to evaluate.2 The LiSat-9 assesses 9 aspects of life satisfaction including life as a whole, self-care management, leisure situations, vocation, financial situation, sexual life, partner relation, family life, and contact with friends and acquaintances.1 The items on the LiSat-9 are answered using a 6-point Likert scale, which ranges from 1 (very dissatisfied) to 6 (very satisfied).1 The total Life Satisfaction score is obtained by finding the mean of the item scores. Lower scores indicate dissatisfaction and higher scores indicate satisfaction. The LiSat-9 takes 10-30 minutes to complete, requires no formal training, and is free to use. The LiSat-9 has demonstrated adequate to excellent internal consistency,3. 4. excellent reliability,5 adequate to excellent concurrent validity,4 and adequate to excellent convergent validity2 across several studies. The LiSat-9 also demonstrates responsiveness, varying from small to large effect size, 1 year after discharge from inpatient rehabilitation.6 In addition, there is an 11-item version available that includes domains of somatic and psychological health.
      This abbreviated summary provides a review of the psychometric properties of LiSat-9 in people with SCI. A full review of the LiSat-9 and reviews of more than 400 other instruments for patients with various health conditions can be found at www.sralab.org/Rehabilitation-Measures.
      Please address correspondence to [email protected] .
      This instrument summary is designed to facilitate the selection of outcome measures by clinicians. The information contained in this summary represents a sample of the peer-reviewed research available at the time of this summary’s publication. The information contained in this summary does not constitute an endorsement of this instrument for clinical practice. The views expressed are those of the summary authors and do not represent those of authors’ employers, instrument owner(s), the Archives of Physical Medicine and Rehabilitation, the Rehabilitation Measures Database, or the U.S. Department of Health and Human Services. The information contained in this summary has not been reviewed externally.
      The Rehabilitation Measures Database and Instrument Summary Tear Sheets were initially funded by the National Institute on Disability, Independent Living, and Rehabilitation Research, U.S. Department of Health and Human Services, through the Rehabilitation Research and Training Center on Improving Measurement of Medical Rehabilitation Outcomes (H133B090024).
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        Budh CN, Österåker A-L. Life satisfaction in individuals with a spinal cord injury and pain. Clin Rehabil 2007;21:89-96.
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        Post MW, de Witte LP, van Asbeck FW, et al. Predictors of health status and life satisfaction in spinal cord injury. Arch Phys Med Rehabil 1998;79:395-401.
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        Post MW, van Leeuwen CM, et al. Validity of the Life Satisfaction questions, the Life Satisfaction Questionnaire, and the Satisfaction With Life Scale in persons with spinal cord injury. Arch Phys Med Rehabil 2012;93:1832-7.
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        Geyh S, Fellinghauer BA, Kirchberger I, et al. Cross-cultural validity of four quality of life scales in persons with spinal cord injury. Health Qual Life Outcomes 2010;8:94.
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        van Koppenhagen CF, Post MW, van der Woude LH, et al. Changes and determinants of life satisfaction after spinal cord injury: a cohort study in the Netherlands. Arch Phys Med Rehabil 2008;89:1733-40.