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Use and psychometric properties of the Reintegration to Normal Living Index in rehabilitation

BOURGET N; DEBLOCK BELLAMY A; BLANCHETTE AK; BATCHO CS
ANN PHYS REHABIL MED , 2018, vol. 61, n° 4, p. 262-269
Doc n°: 187823
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2017.12.004
Descripteurs : JL - INSERTION ET INCLUSION SOCIALE, JF - QUALITE DE VIE

Reintegration to Normal Living Index (RNLI) is a generic 11-item
questionnaire-based instrument that measures the degree to which individuals
achieve reintegration to normal social activities.
OBJECTIVES: This systematic
review aimed to provide an overview of the use of this questionnaire in
rehabilitation (objective 1) and to analyze its psychometric properties
(objective 2). METHODS:
We searched the literature in 4 electronic databases
(MEDLINE via PubMed, Embase, CINAHL and Web of Science) for articles published in
English or French between 1988 and 2017. Studies that used RNLI or investigated
at least one of its psychometric properties were included and analyzed according
to the PRISMA statement. Data extraction and critical methodological appraisal of
the articles were independently performed by 2 authors. RESULTS: A total of 117
studies met the inclusion criteria for objective 1. Half of these studies were
conducted in North America (50.4%), mainly with stroke patients. The RNLI was
used according to 7 different response formats. The 0-10 visual analog scale and
3-point Likert scale were the most commonly used response formats. For objective
2, 10 studies had evaluated the psychometric properties of the RNLI. Their
results suggested good test-retest reliability (intraclass coefficient:
0.83-0.87); good internal consistency (Cronbach alpha: 0.73-0.97); poor to good
construct validity, with Pearson's or Spearman's correlation coefficients between
the RNLI and scores for many other well-known questionnaires ranging from 0.25 to
0.77. Other types of psychometric properties (e.g., responsiveness) were poorly
investigated. CONCLUSION: Despite the increasing use of RNLI in clinical studies,
some aspects of its psychometric properties are still poorly evaluated. In
addition to the validity and reliability shown in different studies, further
studies are needed to investigate other measurement properties such as
responsiveness.
CI - Copyright (c) 2018. Published by Elsevier Masson SAS.

Langue : ANGLAIS

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