Measurement Characteristics and Clinical Utility of the Participation With Recombined Tools-Objective Measure in a Traumatic Brain Injury Population

Published:April 14, 2020DOI:
      Participation is the measure of the amount and types of meaningful activities a person engages in at a societal level.1 Participation of people with disability in society is a primary aim of rehabilitation and yet definitions vary, and it is often not measured or reported.1 Participation With Recombined Tools-Objective (PART-O) is a National Institute of Neurological Disorders and Stroke traumatic brain injury (TBI) common data element that measures frequencies of participation within the subdomains of productivity, social interaction, and out and about.2. 3. There are three Yes/No items and the rest of the items are ordinal scale with higher scores indicating more participation. Balanced scoring and Rasch scoring methods are established on the PART-O.1 Subscale scores are calculated by taking the mean score of all items within the subscale. The PART-O demonstrates excellent construct validity (0.61-0.82) with CIQ, CHART, POPS, Mayo-Portland Participation Index, Cognitive FIM, Supervision Rating Scale, Glasgow Outcome Scale extended, and Disability Rating Scale.4 PART-O has adequate construct validity (0.34-0.59) with the Motor FIM, and the Satisfaction with Life Scale, excellent interrater reliability, and adequate internal consistency.4. 5. Convergent validity is supported by adequate to excellent correlations between various commonly utilized scales and at least 1 factor of the PART-O.4 The PART-O can be administered in 15-30 minutes and does not require training or additional equipment. The measure and additional resources can be found on the Center for Outcome Measurement in Brain Injury website.2
      This abbreviated summary provides a review of the psychometric properties of the PART-O in adults with TBI. A full review of the PART-O and reviews of over 460 other instruments for patients with various health conditions can be found at:
      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 United States 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 (NIDILRR), Administration for Community Living, United States Department of Health and Human Services, through the Rehabilitation Research and Training Center on Improving Measurement of Medical Rehabilitation Outcomes (H133B090024). Current funding for the Rehabilitation Measures Database comes from the Shirley Ryan AbilityLab, the first-ever translational research hospital where clinicians, scientists, innovators, and technologists work together in the same space, applying research in real time to physical medicine and rehabilitation and by NIDILRR through the Rehabilitation Research and Training Center on Employment for People with Physical Disabilities (90RTEM0001).
      • 1.
        Whiteneck GG, Dijkers MP, Heinemann AW, et al. Development of the participation assessment with recombined tools-objective for use after traumatic brain injury. Arch Phys Med Rehabil 2011;92:542-51.
      • 2.
        Bogner JA. The participation assessment with recombined tools-objective. The Center for Outcome Measurement in Brain Injury. Available at: Accessed February 26, 2020.
      • 3.
        NINDS Common Data Elements. Streamline your neuroscience clinical research using content standards that enable clinical investigators to systematically collect, analyze, and share data across the research community. Available at: Accessed February 26, 2020.
      • 4.
        Bogner JA, Whiteneck GG, MacDonald J, et al. Test-retest reliability of traumatic brain injury outcome measures: a traumatic brain injury model systems study. J Head Trauma Rehabil 2017;32:E1-16.
      • 5.
        Wen PS, Waid-Ebbs JK, Graham DP, et al. Psychometric properties of 2 participation measures in veterans with mild traumatic brain injury. Arch Phys Med Rehabil 2018;99:S86-93.