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Objectives:This systematic review documents the content and the quality of the psychometric evidence concerning the utilization of the Community Integration Questionnaire for individuals living with a disability other than a traumatic brain injury.Data sources:Medline, Embase, CINAHL, OTseeker and PsycINFO (searched from inception to June 2019).Review methods:Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used for conducting and reporting this review. Studies that investigated at least one psychometric property of the Community Integration Questionnaire for individuals living with a disability other than traumatic brain injury were included. Data extraction and critical methodological appraisal of the articles (MacDermid checklist, COnsensus-based Standards for the selection of health Measurement INstruments checklist) were independently performed and validated by the first two authors.Results:Ten studies representing 3000 individuals met the inclusion criteria. Five populations were documented. There are positive and trustable data regarding internal consistency for adults living with multiple sclerosis, spinal cord injury or burns and in mixed samples ( α = 0.71–0.84). Construct validity is fairly documented for adults living with multiple sclerosis or aphasia and in mixed samples. Test–retest reliably is acceptable for adults living with multiple sclerosis (intraclass correlation coefficient = 0.91–0.97) as well as responsiveness (area under the receiver operating characteristic curve = 0.81). Other psychometric properties could not be demonstrated sufficiently solid.Conclusion:Many psychometric properties of the Community Integration Questionnaire are still poorly evaluated for adults living with a disability other than a traumatic brain injury. However, promising data have been documented in each population included in this review.

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Introduction: Rehabilitation practices that adopt a strengths-based perspective are known as transdisciplinary evidence-based practices. However, little is known about whether and how such a perspective is experienced by people living with a neurological condition during their rehabilitation. Objective: To explore how core components of a strengths-based rehabilitation perspective (i.e., hope, self-determination, and mobilization of personal strengths) are envisioned and experienced in outpatient-based rehabilitation by adults living with multiple sclerosis or spinal cord injury. Methods: A descriptive exploratory study with mixed data collection was conducted with adults living with spinal cord injury (n = 9) or multiple sclerosis (n = 11). Participants completed two semi-structured interviews and the Recovery Promoting Relationship Scale (RPRS). The qualitative analysis relied on a hybrid inductive and deductive approach. Results: Four themes depict a strengths-based rehabilitation perspective: (1) The mobilization of personal strengths (e.g., what a strengths-based perspective could offer); (2) hope (e.g., what hinders hope in rehabilitation); (3) accessing information for decision-making (e.g., navigating the system); and (4) exercising self-determination (e.g., influencing the length or intensity of rehabilitation services). Conclusions: Hope, self-determination, and the mobilization of personal strengths are of the utmost importance throughout the rehabilitation of adults living with multiple sclerosis and or spinal cord injury. This paper raises awareness about elements specific to the contexts in which services are offered or to the therapeutic relationships influencing how these three strength-based constructs are envisioned and experienced in rehabilitation.

Abré gé Description. Bien que l'intégration communautaire (IC) constitue l'ultime but en réadaptation, elle s'actualise rarement en clinique. But. Le but de cette étude était de (a) synthétiser l'état des connaissances ergothérapiques liées à l'IC auprès de personnes atteintes d'un trouble neurologique et (b) dresser un portrait de l'opérationnalisation du concept d'IC au sein de ces écrits. Mé thodologie. Un examen de la portée fut réalisé en double sélection pour ultimement retenir 47 écrits, touchant quatre populations sélectionnées. Les thématiques propres à l'ensemble des clientèles ont été dégagées par analyse de contenu et les constats touchant l'évolution des connaissances ont fait l'objet de synthèses itératives. Ré sultats. Les écrits retenus concernent le traumatisme craniocérébral (n ¼ 21, 9 devis expérimentaux [EXP]), les blessures médullaires (n ¼ 11, 4 EXP), l'accident vasculaire cérébral (n ¼ 9, 4 EXP) et la sclérose en plaques (n ¼ 4, 1 EXP). L'IC est employée de façon interchangeable avec la participation sociale: 51 % des écrits définissent l'IC uniquement à partir d'un outil de mesure et 10 % n'offrent aucune définition de l'IC. La dimension physique de l'IC est plus étudiée que les dimensions sociale et psychologique. Consé quences. Les pratiques innovantes doivent viser l'affiliation et l'exercice d'une pleine citoyenneté afin de soutenir une habilitation durable.

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