Participation is an important outcome for individuals with spinal cord injury (SCI), but very few participation instruments have been tested in this population. Using a sample of persons with SCI, this study directly compared the measurement properties of three instruments: the Impact on Participation and Autonomy (IPA), the Participation Measure-Post Acute Care (PM-PAC), and the World Health Organization Disability Assessment Schedule II (WHODAS II). Ceiling effects were common among all the instruments. Reliability (internal consistency, intraclass correlation coefficients, and minimal detectable change) and construct validity were superior for the IPA. However, the PM-PAC and WHODAS II had adequate measurement properties across most domains.
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Original Article|
April 16 2010
Measuring Participation Among Persons with Spinal Cord Injury: Comparison of Three Instruments
Vanessa Noonan;
Vanessa Noonan
1
Division of Spine, Department of Orthopaedics, University of British Columbia, and School of Population and Public Health, University of British Columbia, Vancouver, BC,Canada
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Jacek Kopec;
Jacek Kopec
2
School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
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Luc Noreau;
Luc Noreau
3
Rehabilitation Department, Laval University, and Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, QC, Canada
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Joel Singer;
Joel Singer
2
School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
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Louise Mâsse;
Louise Mâsse
4
Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada
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Hongbin Zhang;
Hongbin Zhang
5
Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada
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Marcel Dvorak
Marcel Dvorak
5
Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada
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Top Spinal Cord Inj Rehabil (2010) 15 (4): 49–62.
Citation
Vanessa Noonan, Jacek Kopec, Luc Noreau, Joel Singer, Louise Mâsse, Hongbin Zhang, Marcel Dvorak; Measuring Participation Among Persons with Spinal Cord Injury: Comparison of Three Instruments. Top Spinal Cord Inj Rehabil 1 April 2010; 15 (4): 49–62. doi: https://doi.org/10.1310/sci1504-49
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