Measures of Participation

Question 1

What does participation encompass?

Answer 1

the concepts of personal independence and social and community integration

Question 2

how is quality of life achieved?

Answer 2

by having meaningful relationships, having a job, being a good parent, and engaging in leisure interests, all of which depend on having the cognitive capacity, strength, endurance, and mobility and may require development of new skills or methods of accessing home and community environments

Question 3

What does participation include according to the ICF?

Answer 3

• Learning and applying knowledge
• general tasks and demands
• communication
• mobility
• self-care
• domestic life
• interpersonal interactions and relationship
• community, social, and civic life

Question 4

additional considerations for rehabilitation professionals

Answer 4

• community function
• driving
• health and wellness
• home management
• leisure/recreational activities
• life satisfaction
• QoL
• Reintegration to community
• Role function
• Shopping
• Social function
• Work

Question 5

Environmental Factors

Answer 5

• products and technology
• natural environment and human made changes to environment
• support and relationships
• attitudes
• services, systems, and policies

Question 6

Determinants of Participation

Answer 6

Individual
Family/ Support System
Environment

Question 7

Dimensions of Participation

Answer 7

• Physical: “doing”
• Social: “belonging”
• Self: “being”

Question 8

Subjective questions to address participation goals and needs

Answer 8

• living environment
• work
• household duties
• social participation
• ongoing health

Question 9

Assessment of Life Habits

Answer 9

• General Measure
• Scored on scale addressing difficulty and need of assistance
• one of the most comprehensive
• evaluates level of accomplishment, assistance needed for accomplishment, and satisfaction with accomplishment
• higher score = higher accomplishment/satisfaction

Question 10

Assessment of Life Habits Considerations

Answer 10

requires copyright payment to use, lengthly, may only be useful in subacute or chronic populations

Question 11

EuroQoL

Answer 11

• general measure
• self report of level of participation
• 20 cm visual analog scale
• mobility, self care, usual activities, pain/discomfort, anxiety/depression

Question 12

EuroQoL Considerations

Answer 12

Requires licensure fee and may only be suitable for subacute and chronic populations

Question 13

Modified Rankin Scale

Answer 13

• general measure
• General report of basic level of function
• One item on a 0-6 scale
• 0 is no symptoms, 6 is dead

Question 14

Reintegration to Normal Living

Answer 14

• general measure
• scored on visual analog scale or scored on 3 or 4 pt scale
• self report measure consisting of 11 declarative statements covering 8 domains
• a little bit more than rankin
• need to have had experience living at home to complete measure, so measure may only be appropriate for subacute and chronic stage s

Question 15

SF 36

Answer 15

• general health measure assessing general health QoL
• self report
• 8 sub scales and 2 composite domains
• higher scores demonstrate higher levels of health QoL
• copyrighted material

Question 16

Community Integration Questionnaire

Answer 16

• 15 items assessing home integration, social integration, productive activity
• total score from 0 to 29 pts
• higher score = greater independence

Question 17

London Handicap Scale - General Measure

Answer 17

• Free, quick
• mobility, physical independence, occupation, social integration, orientation, economic self- sufficiency

Question 18

Frenchay Activities Index- General Measure

Answer 18

• ADLs
• 15 items, quick, free

Question 19

Stroke Impact Scale

Answer 19

• 59 items scored on 5 pt scale by self report
• Strength, hand function, ADL/IADL, mobility, communication, emotion, memory/thinking, participation/role function
• adequate to excellent reliability and internal consistency