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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
Barbara Gandek, MS, Samuel J. Sinclair, MEd, and John E. Ware, PhD. Health Assessment Lab, 15 Court Square, Suite 400, Boston, MA 02108, 617-523-7336, bgandek@hal-health.org
The World Health Organization recently adopted the International Classification of Functioning, Disability and Health (ICF), to provide a revised framework for describing health and health-related states. Within ICF, the participation domain characterizes a person's involvement in life situations. The PM-PAC in a new participation measure based on the ICF. It was constructed to measure nine distinct domains: Mobility; Role Functioning; Employment; Education; Community, Social & Civic Life; Social Relationships; Information Exchange; Home/Personal Maintenance; and Economic Life. Items ask about limitations from the patient's perspective. Items were administered with and without attribution to "living with a disability or chronic health condition" to test whether patient reports vary with attribution. Cross-sectional data was collected from 395 patients in New England rehabilitation centers. Patients (mean age=60; female=59%) had medically complex/cardiopulmonary (n=111), neurological (n=155), non-CNS trauma (n=24), and orthopedic (n=105) diagnoses. Tests of scaling assumptions generally supported hypothesized item groupings for all domains; 96% of items had higher correlations with hypothesized scales than other scales. Internal consistency reliability (Cronbach's alpha) ranged from 0.73 to 0.92 (median=0.81). Scale profiles generally reflected underlying conditions. For example, orthopedic patients with a Rankin scale of no/slight disability had significantly fewer limitations (p<0.05) than patients with moderate to severe Rankin ratings. Neurological patients were notably impaired on Communication. Non-CNS trauma patients were notably impaired in Mobility. Patients reported more limitations to attribution questions (p<0.01). The PM-PAC is a promising tool for measuring participation in non-institutional rehabilitation settings. Attribution is likely to affect reported participation.
Learning Objectives:
Keywords: Disability, ICIDH-2
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.