Quantifying handicap: a new measure of long-term rehabilitation outcomes.
Quantifying handicap: a new measure of long-term rehabilitation outcomes.
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量化障碍：长期康复结果的新衡量标准。
DOI：
10.5555/uri:pii:000399939290185y
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发表时间：
1992
影响因子：
4.3
通讯作者：
Richardson Gn
中科院分区：
文献类型：
--
作者：
G. Whiteneck;S. Charlifue;K. Gerhart;Overholser Jd;Richardson Gn
根据世界卫生组织(WHO)的说法，当个人无法履行预期的社会角色时，就存在残疾。虽然改善残疾是康复的主要目标之一，但它在这一领域的有效性没有得到很好的衡量，也没有经验证明。因此，克雷格残疾评估和报告技术(图表)旨在量化个人的残疾程度。CHART使用世界卫生组织确定和描述的残疾维度，使用可测量的行为术语将这些人与健全的社会成员的规范进行比较。重测、代理和独立评分者已建立了量表的效度和信度。Rasch分析已经验证了图表缩放和评分程序。此外，还描述了一组342例脊髓损伤患者的初步应用。除了证明该工具在评估残疾或社会劣势程度方面的有效性外，这一应用程序通过记录康复结果，展示了图表在项目评估中的潜在用处。
According to the World Health Organization (WHO), handicaps exist when individuals are unable to fulfill expected social roles. Although ameliorating handicaps is one of the prime goals of rehabilitation, its effectiveness in this area is poorly measured and has not been documented empirically. Therefore, the Craig Handicap Assessment and Reporting Technique (CHART) was designed to quantify the extent of handicap in individuals. Using dimensions of handicap identified and described by the WHO, CHART uses measurable, behavioral terms to compare such individuals with the norms of able-bodied members of society. Test-retest, proxies, and independent raters have established the validity and reliability of CHART. Rasch analysis has verified the CHART scaling and scoring procedures. In addition, an initial application of CHART, with a group of 342 spinal cord injured individuals, is described. Beyond demonstrating the instrument's effectiveness in assessing the extent of handicap or social disadvantage, this application, by documenting rehabilitation outcomes, demonstrates the potential usefulness of CHART for program evaluation.