title: Validation of the Community Integration Questionnaire in the adult burn injury population.
abstract: OBJECTIVE
  With improved survival, long-term effects of burn injuries on quality of life, particularly community integration, are important outcomes. This study aims to assess the Community Integration Questionnaire's psychometric properties in the adult burn population.
  
  
  METHODS
  Data were obtained from a multicenter longitudinal data set of burn survivors. The psychometric properties of the Community Integration Questionnaire (n = 492) were examined. The questionnaire items were evaluated for clinical and substantive relevance; validation procedures were conducted on different samples of the population; construct validity was assessed using exploratory factor analysis; internal consistency reliability was examined using Cronbach's α statistics; and item response theory was applied to the final models.
  
  
  RESULTS
  The CIQ-15 was reduced by two questions to form the CIQ-13, with a two-factor structure, interpreted as self/family care and social integration. Item response theory testing suggests that Factor 2 captures a wider range of community integration levels. Cronbach's α was 0.80 for Factor 1, 0.77 for Factor 2, and 0.79 for the test as a whole.
  
  
  CONCLUSIONS
  The CIQ-13 demonstrates validity and reliability in the adult burn survivor population addressing issues of self/family care and social integration. This instrument is useful in future research of community reintegration outcomes in the burn population.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, 300 1st Avenue, Boston, MA, 02114, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Gerrard
authors.affiliation: Center for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA.
authors.forename: Lewis E
authors.initials: LE
authors.lastname: Kazis
authors.affiliation: Sumner Redstone Burn Center, Surgical Services Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.|Shriners Hospitals for Children®-Boston, Boston, MA, USA.
authors.forename: Colleen M
authors.initials: CM
authors.lastname: Ryan
authors.affiliation: Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, 300 1st Avenue, Boston, MA, 02114, USA.
authors.forename: Vivian L
authors.initials: VL
authors.lastname: Shie
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Texas Southwestern Medical Center, Dallas, TX, USA.
authors.forename: Radha
authors.initials: R
authors.lastname: Holavanahalli
authors.affiliation: Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
authors.forename: Austin
authors.initials: A
authors.lastname: Lee
authors.affiliation: Center for the Assessment of Pharmaceutical Practices (CAPP), Department of Health Policy and Management, Boston University School of Public Health, Boston, MA, USA.
authors.forename: Alan
authors.initials: A
authors.lastname: Jette
authors.affiliation: Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, USA.
authors.forename: James A
authors.initials: JA
authors.lastname: Fauerbach
authors.affiliation: Department of Rehabilitation Medicine, Harborview Medical Center, University of Washington, Seattle, WA, USA.
authors.forename: Peter
authors.initials: P
authors.lastname: Esselman
authors.affiliation: Department of Surgery and Pediatrics, University of Texas Medical Branch, Galveston, TX, USA.
authors.forename: David
authors.initials: D
authors.lastname: Herndon
authors.affiliation: Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Harvard Medical School, 300 1st Avenue, Boston, MA, 02114, USA. jcschneider@partners.org.
authors.forename: Jeffrey C
authors.initials: JC
authors.lastname: Schneider
mesh_terms: D000293:Adolescent; D000328:Adult; D002056:Burns / Q000534:rehabilitation* / Q000628:therapy*; D062309:Community Integration; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011594:Psychometrics; D011788:Quality of Life; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D017741:Survivors; D016896:Treatment Outcome; D055815:Young Adult
keywords: Burn injury; Burn outcomes; Community Integration Questionnaire; Community integration; Participation; Rehabilitation