Article

OBJECTIVE: To investigate the psychometric properties of the Community
Integration Questionnaire (CIQ) in a mixed sample of adults with physical
disabilities. DESIGN: Cross-sectional, survey study. SETTING: Academic and
community medical clinics, national registry, and self-referral. PARTICIPANTS:
Community-dwelling adults with spinal cord injury (n=146), multiple sclerosis
(n=174), limb loss (n=158), or muscular dystrophy (n=273). INTERVENTIONS: Not
applicable. MAIN OUTCOME MEASURES: CIQ, General Health item from the Medical
Outcomes Study 36-Item Short-Form Health Survey, and Mental Health Scale from the
Medical Outcomes Study 36-Item Short-Form Health Survey. RESULTS: Based on the
original scoring procedures, the CIQ Total scale and Home Integration subscale
demonstrated acceptable internal consistency; however, reliability indices for
the Social Integration and Productive Activities subscales were suboptimal. The
exploratory factor analysis yielded a 4-factor solution (accounting for
approximately 63% of the variance) that did not replicate the original factor
structure of the CIQ. The results of the confirmatory factor analyses indicated
that a modified 3-factor solution provided the best fit to the data from our
samples. Using a revised scoring system based on these findings, the CIQ
demonstrated improved reliability relative to the original scoring and good
concurrent validity. CONCLUSIONS: The results provide general support for the
validity of the CIQ as a measure of participation in adults with physical
disabilities. However, our results indicate that some small modifications to the
original scoring system are needed to optimize its use in this patient group.
Additional research is needed to refine the measurement of participation in these
and other populations.
CI - Copyright (c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS