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Latent factors in measures of rehabilitation outcomes after traumatic brain injury


Autor/in:

Corrigan, John D.; Bogner, Jennifer


Herausgeber/in:

Rosenthal, Mitchell; Mayer, Nathaniel H.


Quelle:

The Journal of Head Trauma Rehabilitation, 2004, Volume 19 (Number 6), Seite 445-458, Hagerstown, Maryland: Lippincott Williams & Wilkins, ISSN: 0885-9701 (Print); 1550-509X (Online)


Jahr:

2004



Abstract:


Objectives:

To determine whether there is a latent structure among measures used to evaluate rehabilitation outcomes for persons with traumatic brain injury and if the construct of participation is discernible within this structure.

Design:

Exploratory factor analyses of 2 cross-sectional cohorts of rehabilitation patients who sustained a traumatic brain injury up to 5 years prior to assessment.

Primary measures:

Community Integration Questionnaire (CIQ), Craig Handicap Assessment and Reporting Technique (CHART), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and the Satisfaction With Life Scale (SWLS).

Results:

Both factor analyses suggested a latent structure composed of 3 factors that were interpreted as representing the Activities and Participation dimensions of the World Health Organization's International Classification of Functioning, Disability and Health (ICF), and a third representing Subjective Well-Being. Low to moderate correlations were found between factors.

Conclusions:

The World Health Organization's ICF excludes subjective well-being; however the factor analyses indicate that it is a distinct domain not incorporated into Activities and Participation. The SF-36, CIQ, and CHART can, in combination, evaluate all 3 domains, but not alone. The SF-36 appears to be sensitive to the affective, but not the cognitive, aspect of Subjective Well-Being. A measure of life satisfaction would be a useful supplement to traditional measures of rehabilitation outcome.


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Dokumentart:


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Bezugsmöglichkeit:


The Journal of Head Trauma Rehabilitation
Homepage: https://journals.lww.com/headtraumarehab/pages/default.aspx

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Referenznummer:

R/ZA6467


Informationsstand: 27.06.2011

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