Article

OBJECTIVES: To 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. DESIGN: Instrument development included an
extensive literature review, item classification and selection, item writing, and
cognitive testing following the approach of the Patient-Reported Outcomes
Measurement Information System. SETTING: Community. PARTICIPANTS: Content area
and outcome measurement experts (n=10) contributed to instrument development;
individuals (n=200) with the target conditions participated in focus groups and
in cognitive testing (n=15). INTERVENTIONS: None. MAIN OUTCOME MEASURES:
Environmental factor items were categorized in 6 domains: assistive technology;
built and natural environment; social environment; services, systems, and
policies; access to information and technology; and economic quality of life.
RESULTS: We binned 2273 items across the 6 domains, winnowed this pool to 291
items for cognitive testing, and recommended 274 items for pilot data collection.
CONCLUSIONS: Five of the 6 domains correspond closely to the International
Classification of Functioning, Disability and Health taxonomy of environmental
factors; the sixth domain, economic quality of life, reflects an important
construct that reflects financial resources that affect participation. Testing
with a new and larger sample is underway to evaluate reliability, validity, and
sensitivity.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS