Community Participation Measures for People With Disabilities: A Systematic Review of Content From an International Classification of Functioning, Disability and Health Perspective

Chang, Feng Hang; Coster, Wendy J.; Helfrich, Christine A.

doi:10.1016/j.apmr.2012.10.031

Cited by 110 publications

(92 citation statements)

References 31 publications

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“…We acknowledge that the participation characterised in this study may fail to recognise participation events such as employment, social and recreational roles, which may be fulfilled from within a person's home. However, by selectively defining participation in this study as community participation, we have attempted to specifically characterise activities outside of the home setting 27. We sought to do this as participation outside of the home is likely to present greater mobility and social challenges and therefore greater community integration.…”

Section: Discussionmentioning

confidence: 99%

Community activity and participation are reduced in transtibial amputee fallers: a wearable technology study

Barr

Crotty

2014

BMJ Innov

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Wearable technology is an important development in the field of rehabilitation as it has the potential to progress understanding of activity and function in various patient groups. For lower limb amputees, falls occur frequently, and are likely to affect function in the community. Therefore, the purpose of this study was to use wearable technology to assess activity and participation characteristics in the home and various community settings for transtibial amputee fallers and non-fallers. Participants were provided with an accelerometer-based activity monitor and global positioning system (GPS) device to record activity and participation data over a period of seven consecutive days. Data from the accelerometer and GPS were linked to assess community activity and participation. Forty-six transtibial amputees completed the study (79% male, 35% identified as fallers). Participants with a history of falls demonstrated significantly lower levels of community activity (p=0.01) and participation (p=0.02). Specifically, activity levels were reduced for recreational (p=0.01) and commercial roles (p=0.02), while participation was lower for recreational roles (p=0.04). These findings highlight the potential of wearable technology to assist in the understanding of activity and function in rehabilitation and to further emphasise the importance of clinical falls assessments to improve the overall quality of life in this population.

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Section: Discussionmentioning

confidence: 99%

Community activity and participation are reduced in transtibial amputee fallers: a wearable technology study

Barr

Crotty

2014

BMJ Innov

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“…Therefore in development of measures, decisions must be made as to the level of approach (individual or societal), range of participation environments to be included and the elements within that participation area to be addressed. It is not possible to encompass the complete environmental context in any great detail as demonstrated by Noonan et al ( 2009 ) and Chang et al ( 2013 ) work reviewing the content of a variety of participation instruments. Therefore, decisions about the focus of measurement require very careful consideration.…”

Section: Current Forms Of Measurementmentioning

confidence: 98%

Developing Tools to Identify Environmental Factors as Context for Disability: A Theoretical Perspective

Altman

Meltzer

2016

International Measurement of Disability

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“…Unfortunately, the ICF framework provides little guidance to researchers and clinicians on which factors are most important to address in order to encourage full participation in life roles. Furthermore, research has been hindered by participation measures that are not adequately validated, narrowly focused, and/or do not account for differences in individual preferences about engaging in activities across different life roles (6, 7). Thus, many questions remain about the factors that influence participation.…”

Section: Introductionmentioning

confidence: 99%

Correlates of participation in meaningful activities among people with multiple sclerosis

et al. 2015

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Objective To explore the associations between impairments, self-management self-efficacy, self-management behaviors, and environmental factors and their role in predicting participation in meaningful activities among people with multiple sclerosis. Design Online cross-sectional survey. Subjects/patients Randomly selected individuals (n = 335) from a large multiple sclerosis patient registry. Methods Participation in activities that are meaningful to the individual was measured with Community Participation Indicators (CPI), the dependent variable. Independent variables included symptom severity, activities of daily living limitations, cognitive problems, stages of change for physical activity, nutritional behaviors, self-efficacy, and environmental barriers. A backwards selection regression analysis was used to compare the relative contributions of independent variables in predicting the CPI. A path analysis was conducted to explore the associations between independent variables and their direct and indirect effects on the CPI. Results The final regression model included self-management self-efficacy (β = 0.12), environmental barriers (β = −0.16), cognitive problems (β = −0.22), and stages of change for physical activity (β = 0.12). Path analysis indicated that impairments and environmental barriers might negatively influence self-management self-efficacy. Self-management self-efficacy might have indirect effects on the CPI via engagement in self-management behaviors. Conclusion Future research should explore whether interventions that promote self-management self-efficacy can facilitate participation in meaningful activities.

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Community Participation Measures for People With Disabilities: A Systematic Review of Content From an International Classification of Functioning, Disability and Health Perspective

Cited by 110 publications

References 31 publications

Community activity and participation are reduced in transtibial amputee fallers: a wearable technology study

Community activity and participation are reduced in transtibial amputee fallers: a wearable technology study

Developing Tools to Identify Environmental Factors as Context for Disability: A Theoretical Perspective

Correlates of participation in meaningful activities among people with multiple sclerosis

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