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Open Access Metric Properties of the Utrecht Scale for Evaluation of Rehabilitation-Participation (User-Participation) in Persons with Spinal Cord Injury Living in Switzerland

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Objective: To examine the metric properties of the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) in persons with spinal cord injury in Switzerland from a classical and item response theory perspective.

Design: Cross-sectional survey.

Subjects: Persons with spinal cord injury living in the Swiss community (n = 1,549).

Methods: Score distributions and internal consistency were evaluated using Classical Test Theory. The Restrictions and Satisfaction scales were subjected to Rasch analysis. Anchored analyses were performed to account appropriately for items with structural missing.

Results: Internal consistency was good for the Restrictions (α = 0.90) and Satisfaction scales (α = 0.90), but not for the Frequency scale (α = 0.65). Rasch analyses showed acceptable model fit for the Restrictions and Satisfaction scales after collapsing response categories of some items and merging some items into testlets. Differential item functioning was small. Anchoring allowed inclusion of the item work/education in the Restrictions scale and work/education and/or partner relationship in the Satisfaction scale.

Conclusion: The Restrictions and Satisfaction scales of the USER-Participation showed satisfactory metric properties. The Frequency scale showed fewer optimal properties, but nonetheless provides important additional information regarding participation. Conversion tables were performed to transform USER-Participation raw scores into a 0–100 interval scale using Rasch-based ability estimates for use in epidemiological studies.

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Keywords: DISABILITY EVALUATION; PSYCHOMETRICS; RASCH ANALYSIS; SOCIAL PARTICIPATION; SPINAL CORD INJURY; VALIDATION STUDIES

Document Type: Research Article

Publication date: February 1, 2016

More about this publication?
  • Journal of Rehabilitation Medicine is the international peer-reviewed journal published in English, with at least 10 issues published per year.

    Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.

    The journal is read by a wide group of healthcare professionals including specialists in rehabilitation medicine, neurology, clinical neurophysiology, general medicine, psychologists, physiotherapists, occupational therapists and social workers.

    Contributions from all parts of the world and from different professions in rehabilitation are welcome.

    ISI Impact Factor 2009: 1.882.

    Owned by Foundation of Rehabilitation Information.

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