title: A multidimensional measure of participation for adults with serious mental illnesses.
abstract: OBJECTIVE
  The aims of this study were to (1) construct a multidimensional measure of participation (the Community Participation Domains Measure (CPDM)) based on a conceptual model of participation and (2) test the construct validity of the CPDM in adults with serious mental illnesses (SMI).
  
  
  METHODS
  The sample consisted of 235 adults with SMI who completed the Temple University Community Participation Measure (TUCP), Community Participation Indicators (CPIs), Colorado Symptom Index (CSI), along with other scales. A conceptual model, descriptive analysis and expert reviews were employed to select a subset of items to include in the measure. Confirmatory factor analysis (CFA) and Rasch analysis were used to test the item and model fit for each scale.
  
  
  RESULTS
  Based on the conceptual model, the items of the CPDM were divided into three domains: Productive Activities, Social Participation and Recreation/Leisure. This 3-factor model showed good model-fit (CFI = 0.940, TLI = 0.933, RMSEA = 0.048) in CFA and good item-fit in Rasch analysis.
  
  
  CONCLUSIONS
  The CPDM is a validated measure that can be used to assess levels of participation in adults with SMI.
  
  
  CONCLUSIONS
  Participation is an important goal and rehabilitation outcome indicator for individuals with serious mental illnesses (SMI). Participation is a multidimensional concept, which includes three distinct domains: Productive Activities, Social Participation and Community Activities. The Community Participation Domains Measure (CPDM) is a valid measure that can be used to assess the multidimensional construct of participation in adults with SMI.
authors.affiliation: a Graduate Institute of Injury Prevention and Control, Taipei Medical University , Taipei , Taiwan .|b Health and Disability Research Institute, Boston University School of Public Health , Boston , MA , USA .
authors.forename: Feng-Hang
authors.initials: FH
authors.lastname: Chang
authors.affiliation: c Department of Occupational Therapy , Boston University College of Health and Rehabilitation Sciences, Sargent College , Boston , MA , USA , and.
authors.forename: Wendy J
authors.initials: WJ
authors.lastname: Coster
authors.affiliation: d Department of Rehabilitation Sciences , Temple University College of Health Professions and Social Work , Philadelphia , PA , USA.
authors.forename: Mark S
authors.initials: MS
authors.lastname: Salzer
authors.affiliation: d Department of Rehabilitation Sciences , Temple University College of Health Professions and Social Work , Philadelphia , PA , USA.
authors.forename: Eugene
authors.initials: E
authors.lastname: Brusilovskiy
authors.affiliation: b Health and Disability Research Institute, Boston University School of Public Health , Boston , MA , USA .
authors.forename: Pengsheng
authors.initials: P
authors.lastname: Ni
authors.affiliation: b Health and Disability Research Institute, Boston University School of Public Health , Boston , MA , USA .
authors.forename: Alan M
authors.initials: AM
authors.lastname: Jette
mesh_terms: D000328:Adult; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D064702:International Classification of Functioning, Disability and Health; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000534:rehabilitation*; D008875:Middle Aged; D015143:Philadelphia; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D011998:Recreation; D015203:Reproducibility of Results; D012111:Residence Characteristics; D012720:Severity of Illness Index; D058992:Social Participation; D016896:Treatment Outcome
keywords: Adults; ICF; assessment; mental illness; participation