Impact on participation and autonomy questionnaire: internal scale validity of the Swedish version for use in people with spinal cord injury

Lund, Maria Larsson; Fisher, Anne G.; Lexell, Jan; Bernspång, Birgitta

doi:10.2340/16501977-0031

Cited by 54 publications

(64 citation statements)

References 11 publications

(16 reference statements)

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“…This result is somewhat surprising because of widely available evidence that home modifications can facilitate PMD use indoors ( Lund, Fisher, et al, 2007) and environmental barriers according to the Housing Enabler instrument This result indicates that home modifications either were not made or did not enable optimal participation for the PMD users. Regarding the outdoor environment, participants perceived more restriction in autonomy outdoors compared with indoors, notably in going on trips and vacations and visiting friends (Table 3).…”

Section: Discussioncontrasting

confidence: 41%

“…Autonomy was assessed by means of the Impact on Participation and Autonomy (IPA) instrument (Cardol, de Haan, van den Bos, de Jong, & de Groot, 1999); we used the Swedish version (IPA-S; Lund, Fisher, Lexell, & Bernspång, 2007), which has shown validity and reliability equivalent to those of the original version. Consistent with the aims of the study, we used only two of the five domains of the IPA-S: autonomy indoors (7 items) and autonomy outdoors (5 items).…”

Section: Data Collection Methodsmentioning

confidence: 99%

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Autonomy and Housing Accessibility Among Powered Mobility Device Users

Pettersson

Brandt

Lexell

et al. 2015

The American Journal of Occupational Therapy

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OBJECTIVE. To describe environmental barriers, accessibility problems, and powered mobility device (PMD) users’ autonomy indoors and outdoors; to determine the home environmental barriers that generated the most housing accessibility problems indoors, at entrances, and in the close exterior surroundings; and to examine personal factors and environmental components and their association with indoor and outdoor autonomy. METHOD. This cross-sectional study was based on data collected from a sample of 48 PMD users with a spinal cord injury (SCI) using the Impact of Participation and Autonomy and the Housing Enabler instruments. Descriptive statistics and logistic regression were used. RESULTS. More years living with SCI predicted less restriction in autonomy indoors, whereas more functional limitations and accessibility problems related to entrance doors predicted more restriction in autonomy outdoors. CONCLUSION. To enable optimized PMD use, practitioners must pay attention to the relationship between client autonomy and housing accessibility problems.

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Section: Discussioncontrasting

confidence: 41%

Section: Data Collection Methodsmentioning

confidence: 99%

Autonomy and Housing Accessibility Among Powered Mobility Device Users

Pettersson

Brandt

Lexell

et al. 2015

The American Journal of Occupational Therapy

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“…It includes subscales of social relations, autonomy in self-care, mobility and leisure, family role, and work and educational opportunities. Studies have supported its reliability, validity, and factor structure among persons with SCI [18,[68][69][70]. Limitations of the IPA include some floor and ceiling effects and relatively less use empirically than other activity and participation measures [15,71].…”

Section: Participation Measuresmentioning

confidence: 99%

Activity and participation after spinal cord injury: State-of-the-art report

Ullrich¹,

Spungen²,

Atkinson³

et al. 2012

JRRD

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Abstract-The importance of activities and community participation for persons with spinal cord injury (SCI) has been recognized for decades and yet theoretical and empirical advances have been limited. This report summarizes the recommendations for researchers on the topic of measuring activity and participation among persons with SCI formulated by the Spinal Cord Injury workgroup at the State-of-the-Art Conference on Outcome Measures in Rehabilitation held in January 2010. Activity and participation were defined as independent constructs ideally measured in reference to personal values and environmental influences. Measures of activity, participation, and factors influencing activity and participation are reviewed and critiqued. Gaps in available measures are described, measures in development are discussed, and suggestions for future research are made.

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“…Floor effects were noted in PARA-SCI for highintensity lifestyle activity 22 and ceiling effects were observed in the domains of the CHART. 27 In the IPA when the participation questions were considered as one scale, 4% achieved the best possible score 32 and so ceiling effects may be an issue with the domain scores. None of the instruments assessed responsiveness.…”

Section: 31mentioning

confidence: 99%

“…Rasch analysis was used in testing the CHART, IPA and Life-H, providing evidence for the factorial structure. 5,32,34 Convergent validity was assessed in all of the instruments with the exception of the IPA. Two instruments included in this review (CHART and Life-H) were compared by mapping all of the Life-H (Short Form) questions into the corresponding domains of the CHART.…”

Section: 31mentioning

confidence: 99%

A review of instruments assessing participation in persons with spinal cord injury

2009

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Study design: A systematic search of the literature. Objectives: To critically review instruments that assess participation in persons with spinal cord injury (SCI). Setting: Vancouver, British Columbia. Methods: Four electronic databases (MEDLINE/PubMed, CINAHL, EMBASE and PsychInfo) were searched for studies published between 1980 and March 2008. Instruments were included if information was published in English in at least one peer-reviewed journal on its measurement properties (reliability, validity and responsiveness) in a sample that included adults with SCI. Instruments were evaluated using criteria proposed for disability outcome measures. Results: Six instruments were included: Craig Handicap Assessment and Reporting Technique (CHART); Impact on Participation and Autonomy Questionnaire (IPA);

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Impact on participation and autonomy questionnaire: internal scale validity of the Swedish version for use in people with spinal cord injury

Cited by 54 publications

References 11 publications

Autonomy and Housing Accessibility Among Powered Mobility Device Users

Autonomy and Housing Accessibility Among Powered Mobility Device Users

Activity and participation after spinal cord injury: State-of-the-art report

A review of instruments assessing participation in persons with spinal cord injury

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