title: Comparison of the Utrecht Scale for Evaluation of Rehabilitation-Participation with the ICF Measure of Participation and Activities Screener and the WHO Disability Assessment Schedule II in persons with spinal cord injury.
abstract: OBJECTIVE
  To validate the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) in persons with spinal cord injury (SCI) using 2 International Classification of Functioning, Disability and Health (ICF)-based instruments: the ICF Measure of Participation and Activities-Screener (IMPACT-S) and the World Health Organization Disability Assessment Schedule II (WHODAS II).
  
  
  METHODS
  Validation study. Score distributions, internal consistency, and concurrent and discriminant validity were evaluated.
  
  
  METHODS
  The community.
  
  
  METHODS
  Convenience sample of persons (N=157) with long-term SCI living in The Netherlands.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  USER-Participation, IMPACT-S, and WHODAS II.
  
  
  RESULTS
  No instruments showed floor effects, and 3 out of 6 WHODAS II domains showed ceiling effects. Most scores showed adequate internal consistency (α≥.70), except for the USER-Participation frequency scale (.51) and 2 WHODAS II domains (.58-.60). Spearman correlation coefficients between the segregate USER-Participation scales were <.60 (range, .39-.46), showing that they cover separate aspects of participation. Concurrent validity of the USER-Participation was shown because >75% (83.3%) of the 24 hypotheses (Spearman correlation coefficients above or below .60) with the other measurement instruments were confirmed. Concurrent validity between the IMPACT-S and WHODAS II was not shown (53.8% of 13 hypotheses confirmed). All scores except 4 WHODAS II domains showed significant differences in participation between persons with paraplegia and tetraplegia.
  
  
  CONCLUSIONS
  The USER-Participation showed generally satisfactory psychometric properties in Dutch persons with long-term SCI living in the community. The IMPACT-S showed the best psychometric properties, and the WHODAS II showed less favorable results. Future research on the USER-Participation should focus on validation in other languages and different diagnostic groups.
authors.affiliation: Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
authors.forename: Carlijn H
authors.initials: CH
authors.lastname: van der Zee
authors.affiliation: Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands. Electronic address: m.post@dehoogstraat.nl.
authors.forename: Marcel W
authors.initials: MW
authors.lastname: Post
authors.affiliation: Swiss Paraplegic Research, Notwill, Switzerland.
authors.forename: Martin W
authors.initials: MW
authors.lastname: Brinkhof
authors.affiliation: Rudolf Magnus Institute of Neuroscience and Center of Excellence for Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands; Department of Rehabilitation, Nursing Sciences and Sports, University Medical Center Utrecht, Utrecht, The Netherlands.
authors.forename: Robert C
authors.initials: RC
authors.lastname: Wagenaar
mesh_terms: D000328:Adult; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D064702:International Classification of Functioning, Disability and Health; D008297:Male; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D026741:Physical Therapy Modalities; D011594:Psychometrics; D015203:Reproducibility of Results; D058992:Social Participation; D013119:Spinal Cord Injuries / Q000523:psychology / Q000534:rehabilitation*; D014944:World Health Organization
keywords: ICF; ICF Measure of Participation and Activities Screener; IMPACT-S; International Classification of Functioning, Disability and Health; Outcome assessment (health care); Rehabilitation; SCI; Social participation; Spinal cord injuries; USER-Participation; Utrecht Scale for Evaluation of Rehabilitation-Participation; Validation studies as topic; WHODAS II; World Health Organization Disability Assessment Schedule II; spinal cord injury