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. 2011 Oct;92(10):1602-10.
doi: 10.1016/j.apmr.2011.05.004.

Psychometric properties of the community integration questionnaire in a heterogeneous sample of adults with physical disability

Adam T Hirsh  1 , Alan L Braden, Jason G Craggs, Mark P Jensen
Affiliations

Psychometric properties of the community integration questionnaire in a heterogeneous sample of adults with physical disability

Adam T Hirsh et al. Arch Phys Med Rehabil. 2011 Oct.

Abstract

Objective: To investigate the psychometric properties of the Community Integration Questionnaire (CIQ) in a mixed sample of adults with physical disabilities.

Design: Cross-sectional, survey study.

Setting: Academic and community medical clinics, national registry, and self-referral.

Participants: Community-dwelling adults with spinal cord injury (n=146), multiple sclerosis (n=174), limb loss (n=158), or muscular dystrophy (n=273).

Interventions: Not applicable.

Main outcome measures: CIQ, General Health item from the Medical Outcomes Study 36-Item Short-Form Health Survey, and Mental Health Scale from the Medical Outcomes Study 36-Item Short-Form Health Survey.

Results: Based on the original scoring procedures, the CIQ Total scale and Home Integration subscale demonstrated acceptable internal consistency; however, reliability indices for the Social Integration and Productive Activities subscales were suboptimal. The exploratory factor analysis yielded a 4-factor solution (accounting for approximately 63% of the variance) that did not replicate the original factor structure of the CIQ. The results of the confirmatory factor analyses indicated that a modified 3-factor solution provided the best fit to the data from our samples. Using a revised scoring system based on these findings, the CIQ demonstrated improved reliability relative to the original scoring and good concurrent validity.

Conclusions: The results provide general support for the validity of the CIQ as a measure of participation in adults with physical disabilities. However, our results indicate that some small modifications to the original scoring system are needed to optimize its use in this patient group. Additional research is needed to refine the measurement of participation in these and other populations.

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Conflict of interest statement

No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

Figures

Fig 1
Fig 1
Results of the CFA identifying the best-fitting model. CFA with maximum likelihood. CIQ item 4 was not included in these analyses. Job/school is a combination of items 13 to 15 assessing work, school, and volunteer activities. HI, Home Integration; PA, Productive Activities; SI, Social Integration.
See this image and copyright information in PMC

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