TY  - JOUR
PY  - 2018//
TI  - Psychometric properties of two participation measures in veterans with mild traumatic brain injury
JO  - Archives of physical medicine and rehabilitation
A1  - Wen, Pey-Shan
A1  - Waid-Ebbs, J. Kay
A1  - Graham, David P.
A1  - Helmer, Drew A.
SP  - S86
EP  - S93
VL  - 99
IS  - 2S
N2  - OBJECTIVE: To compare the psychometric properties of two commonly used participation measures: the Community Reintegration of Service Members (CRIS) and the Participation Assessment with Recombined Tools-Objective (PART-O) in Veterans with mild traumatic brain injury (mTBI). <br><br>DESIGN: The data were collected from two cross-sectional observation studies conducted in two Veterans Affairs medical centers. SETTING: Questionnaires were completed in-person or by mail. PARTICIPANTS: Veterans with mild TBI were recruited from the Michael E. DeBakey Veterans Affairs Medical Center in Houston (N=94) and the Malcom Randall North Florida/South Georgia Veterans Health System (N=107). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: CRIS and PART-O. <br><br>RESULTS: We conducted Rasch analysis on the PART-O and on three subscales of the CRIS (Extent of Participation, Perceived Limitation, and Satisfaction). For PART-O, results showed PART-O has questionable unidimensionality. For both instruments, some rating categories were under used and rating scales did not advance accordingly. Compared with PART-O, the CRIS was able to distinguish more categories of a person's ability (>5 vs 2 by PART-O ) and had better internal consistency as indicated by higher Cronbach's Alpha (0.96-0.98vs 0.65 for PART-O). <br><br>CONCLUSIONS: To capture participation unique to Veterans with mTBI, CRIS has greater potential to detect a change in participation and is therefore recommended over PART-O. Rating scales of both instruments, however, need further refinement. We suggest future studies examine collapsed rating categories and use qualitative methods to redefine categories.<br><br>Copyright © 2017. Published by Elsevier Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0003-9993
UR  - http://dx.doi.org/10.1016/j.apmr.2017.04.026
ID  - ref1
ER  -