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International classification of functioning, disability and health categories explored for selfrated participation in swedish adolescents and adults with a mild intellectual disability
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Swedish Institute for Disability Research, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; CHILD, School of Health Science, Jönköping University, Jönköping, Sweden.
Rheumatology, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Swedish Institute for Disability Research, Örebro University, Örebro, Sweden; Rehabilitation Medicine, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.
2012 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 44, no 7, p. 562-569Article in journal (Refereed) Published
Abstract [en]

Objective: To explore internal consistency and correlations between perceived ability, performance and perceived importance in a preliminary selection of self-reported items representing the activity/participation component of the International Classification of Functioning, Disability and Health (ICF).

Design: Structured interview study. Subjects: Fifty-five Swedish adolescents and adults with a mild intellectual disability.

Methods: Questions about perceived ability, performance and perceived importance were asked on the basis of a 3-grade Likert-scale regarding each of 68 items representing the 9 ICF domains of activity/participation.

Results: Internal consistency for perceived ability (Cron-bach's alpha for all 68 items): 0.95 (values for each domain varied between 0.57 and 0.85), for performance: 0.86 (between 0.27 and 0.66), for perceived importance: 0.84 (between 0.27 and 0.68). Seventy-two percent of the items showed correlations >0.5 (mean =0.59) for performance vs perceived importance, 41% >0.5 (mean =0.47) for perceived ability vs performance and 12% >0.5 (mean =0.28) for perceived ability vs perceived importance.

Conclusion: Measures of performance and perceived importance may have to be based primarily on their estimated clinical relevance for describing aspects of the ICF participation concept. With a clinimetric approach, parts of the studied items and domains may be used to investigate factors related to different patterns and levels of participation, and outcomes of rehabilitation.

Place, publisher, year, edition, pages
Uppsala, Sweden: Foundation Rehabilitation Information , 2012. Vol. 44, no 7, p. 562-569
Keywords [en]
Clinimetrics, psychometrics, rehabilitation
National Category
Social Work
Research subject
Disability Science
Identifiers
URN: urn:nbn:se:oru:diva-32541DOI: 10.2340/16501977-0976ISI: 000305814900008PubMedID: 22674238Scopus ID: 2-s2.0-84865971822OAI: oai:DiVA.org:oru-32541DiVA, id: diva2:667437
Available from: 2013-11-26 Created: 2013-11-26 Last updated: 2018-05-12Bibliographically approved
In thesis
1. Assessment of participation in people with a mild intellectual disability
Open this publication in new window or tab >>Assessment of participation in people with a mild intellectual disability
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this doctoral thesis was to explore an assessment of participation according to the International Classification of Functioning, Disability and Health (ICF) in people with a mild intellectual disability.

Study I used secondary data and explored how participation can be assessed. Study II-IV explored participation empirically regarding 68 everyday activities from all nine life domains according to the ICF. Study II explored assessment of self-rated participation by investigating to what extent perceived ability, actual performance and perceived importance correlated. Study III-IV explored the contribution of perceived importance to an assessment of participation; study III by investigating frequencies of everyday activities regarding performance and importance separately as well as regarding combined measures of performance and perceived importance, and study IV by comparing proxy ratings with self-rated measures regarding ability and measures of participation. Study III also correlated measures of participation with a single-item measure of subjective general well-being and study II and IV investigated internal consistency in terms of Cronbach’s alpha. Study II and III included 55 and 69 individuals with intellectual disability respectively. Study IV included 40 individuals with intellectual disability and 40 proxy persons. The informants from the target group were partly the same.

Study II and IV supported the suggestions from study I that participation should be assessed by self-ratings and study II found that this is an appropriate method also to people with a mild intellectual disability. Study III showed that participation is related to subjective well-being. Study III-IV found somewhat different results if measuring participation as performance solely or as a combination of performance and perceived importance. Overall, the results of the thesis suggest that performance solely might be sufficient to assess participation at a group level but in a clinical context, when the knowledge of a certain individual is of interest, the perceived aspect of involvement is necessary to include in an assessment of participation.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 89
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 55
Keywords
assessment, clinimetrics, ICF, intellectual disability, participation, participation restrictions, self-ratings
National Category
Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-32018 (URN)978-91-7668-974-5 (ISBN)
Public defence
2013-11-22, Hörsal P2, Prismahuset, Örebro universitet, Fakultetsgatan 1, 701 82, 13:15 (Swedish)
Opponent
Supervisors
Available from: 2013-10-15 Created: 2013-10-15 Last updated: 2017-10-17Bibliographically approved

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