ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2016
Using the ICF's environmental factors framework to develop an item bank measuring built and natural environmental features affecting persons with disabilities.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- A Scoping Review on the Influence of Housing on the Health and Well-Being of People with a Spinal Cord Injury/Dysfunction.Healthcare (Basel, Switzerland) · 2024Article
- Self-reported effects of warm seasonal temperatures in persons with spinal cord injury.The journal of spinal cord medicine · 2024Article
- Development of a tool to assess environmental factors to support home care - a Delphi study.BMC geriatrics · 2023Article
- Experiences of stroke survivors and measurement of post stroke participation and activity across seasons-A mixed methods approach.PloS one · 2021Article
- The impact of Geriatric Emergency Department Innovations (GEDI) on health services use, health related quality of life, and costs: Protocol for a randomized controlled trial.Contemporary clinical trials · 2020Article
- Developing a Facilitators Scale in the Context of Travel: ReTRIP.Archives of rehabilitation research and clinical translation · 2020Article
- Impact of passive heat stress on persons with spinal cord injury: Implications for Olympic spectators.Temperature (Austin, Tex.) · 2019Review
- Development of a short scale for assessing economic environmental aspects in patients with spinal diseases using Rasch analysis.Health and quality of life outcomes · 2017Article
- Relationships between environmental factors and participation in adults with traumatic brain injury, stroke, and spinal cord injury: a cross-sectional multi-center study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo develop a measure of natural environment and human-made change features (Chapter 2 of the international classification of functioning, disability, and health) and evaluate the influence of perceived barriers on health-related quality of life.
methodsA sample of 570 adults with stroke, spinal cord injury, and traumatic brain injury residing in community settings reported their functioning in home, outdoor, and community settings (mean age = 47.0 years, SD = 16.1). They rated 18 items with a 5-point rating scale to describe the influence of barriers to moving around, seeing objects, hearing sounds, hearing conversations, feeling safe, and regulating temperature and indicated whether any difficulties were due to environmental features. We used Rasch analysis to identify misfitting items and evaluate differential item functioning (DIF) across impairment groups. We computed correlations between barriers and patient-reported outcomes measurement information system (PROMIS) social domain measures and community participation indicators (CPI) measures.
resultsThe 18 items demonstrated person reliability of .70, discriminating nearly three levels of barriers. All items fit the Rasch model; impairment-related DIF was negligible. Ceiling effects were negligible, but 25 % of the respondents were at the floor, indicating that they did not experience barriers that they attributed to the built and natural environment. As anticipated, barriers correlated moderately with PROMIS and CPI variables, suggesting that although this new item bank measures a construct that is related to participation and health-related quality of life, it also captures something unique. Known-groups validity was supported by wheelchair users reporting a higher level of barriers than did ambulatory respondents.
conclusionsPreliminary evidence supports the reliability and validity of this new measure of barriers to the built and natural environment. This measure allows investigators and clinicians to measure perceptions of the natural environment and human-made changes, providing information that can guide interventions to reduce barriers. Moderate relationships between barriers and PROMIS and CPI variables provide support for the measurement and theory of environmental influences on social health and participation.
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