Article

Participation, defined as a person's involvement in activities and
roles, is a primary intervention goal in rehabilitation. To achieve
client-centered practice, rehabilitation professionals need to go beyond
objective accomplishment criteria and consider satisfaction with and the
importance of participation in activities and roles. To our knowledge, no
instrument considers accomplishment, satisfaction and importance of activities
and roles, and allows numerical scoring and comparison.
The objectives of this
study were to modify the Assessment of Life Habits questionnaire (LIFE-Hm) to
consider personalized satisfaction (satisfaction weighted by importance) with
participation in activities and roles, and to: (1) examine its convergent
validity with quality of life (QOL) and (2) compare the associations between QOL
on the one hand and, satisfaction (LIFE-H) and personalized satisfaction
(LIFE-Hm) with participation on the other. METHOD: A descriptive cross-sectional
study was conducted with 84 older adults, average age 76 years, with different
functional autonomy levels. RESULTS: Quality of life was associated with
personalized satisfaction for all categories of activities and roles (r = 0.45 to
0.75; p < 0.001). These associations differed significantly from the associations
with satisfaction for the "housing", "mobility" and "responsibilities" categories
(p = 0.04 to 0.0047). CONCLUSIONS: This study found good construct validity of
the LIFE-Hm with QOL. Personalization can add value in achieving client-centered
practice. Implications for Rehabilitation The LIFE-Hm becomes the first
instrument available in English and French that allows comparison between
individuals and informs rehabilitation professionals about the level of
accomplishment, satisfaction and personalized satisfaction with participation in
activities and roles. Personalized satisfaction can add value in achieving
client-centered practice as it considers not only how satisfying activities and
roles are for the person, but also the importance that these activities and roles
have for her/him. The LIFE-Hm offers the advantage of systematically identifying
activities and roles which are not satisfactory but are important for the client
and have the potential to be improved (lower accomplishment level).

Langue : ANGLAIS