Social consequences of long term impairments and disabilities: conceptual approach and assessment of handicap
Social consequences of long term impairments and disabilities: conceptual approach and assessment of handicap
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DOI：
10.1097/00004356-199806000-00002
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发表时间：
1998-06-01
影响因子：
1.7
通讯作者：
St-Michel, G
中科院分区：
文献类型：
--
作者：
Fougeyrollas, P;Noreau, L;St-Michel, G
目的：提出一个根据世界卫生组织模式改编的残疾概念模式，并利用生活习惯和残疾状况概念的衡量工具（LIFE-H）进行一项试点研究。设计：内容效度和重测信度研究。设置：一般社区。参会人员：一个由12名康复专家组成的小组进行内容效度研究，49名脊髓疾病患者（成人和儿童）进行信度研究。结果测量：一个人的生活习惯（日常生活活动和社会角色）。结果：LIFE-H问卷旨在评估残疾人日常生活中观察到的残疾情况。专家们得出结论，LIFE-H项目涵盖了一个人的大部分生活习惯（ADL和社会角色），可用于确定残疾情况的出现。儿童和成人样本的LIFE-H总分显示出良好的可靠性水平（ICC分别为0.73和0.74）。就个别而言，大多数生活习惯类别显示出中等至高的可靠性水平（ICC大于或等于0.50），而少数生活习惯类别，如人际关系或营养，显示出较低的可靠性水平。结论：LIFE-H的开发满足了确定残疾人生活习惯中断的需要。(C)1998 Lippincott-Raven出版社。
Objectives: to present a conceptual model of disablement adapted from the WHO model and to conduct a pilot study with a measurement tool (LIFE-H) of the concepts of life habits and handicap situations. Design: content validity and test-retest reliability study. Setting: General community. Participants: A panel of 12 experts of rehabilitation for the process of content validity and 49 individuals with spinal cord disorders (adults and children) for the reliability study. Outcomes measures: a person's life habits (activities of daily living and social roles). Results: The LIFE-H questionnaire was designed to assess the handicap situations observed in daily life of individuals with disability. The experts concluded that the LIFE-H items covered most of a person's life habits (ADL and social roles) and that it could be used to determine the appearance of handicap situations. The LIFE-H total score showed a good level of reliability for the children and the adult samples (ICC = 0.73 and 0.74, respectively). Taken individually, a majority of life habit categories have shown a moderate to high reliability level (ICC greater than or equal to 0.50) while a few life habit categories such as the interpersonal relationship or nutrition showed a lower reliability level. Conclusion: The development of LIFE-H allows fulfilment of the need to determine the disruptions in life habits of persons with disabilities. (C) 1998 Lippincott-Raven Publishers.