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Measuring Participation Across Impairment Groups Using the Craig Handicap Assessment Reporting Technique

Walker, Nancy MS, OTR; Mellick, David MA; Brooks, C. A. MSHA; Whiteneck, Gale G. PhD

American Journal of Physical Medicine & Rehabilitation: December 2003 - Volume 82 - Issue 12 - p 936-941
doi: 10.1097/01.PHM.0000098041.42394.9A
Research Article: Outcomes
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Walker N, Mellick D, Brooks CA, Whiteneck GG: Measuring participation across impairment groups using the Craig Handicap Assessment Reporting Technique. Am J Phys Med Rehabil 2003;82:936–941.

Objective To assess the efficacy, across a range of disability groups, of the Craig Handicap Assessment and Reporting Technique (CHART), a measure of societal participation.

Design Cross-sectional analysis survey methodology. A total of 1110 community-based, nonhospitalized Coloradans with spinal cord injury, traumatic brain injury, multiple sclerosis, stroke, burn, or amputation were interviewed twice, 2 wks apart, using the CHART and a single administration of the FIM™.

Results Across all impairment groups, the intraclass correlation for the total score and the subscales of CHART-R were high. In addition, the CHART-R discriminated among the impairment categories in a direction that parallels increasing disability.

Conclusions CHART may be an appropriate measure of handicap for a range of physical or cognitive impairments.

From the Craig Hospital Research Department, Englewood, Colorado.

Supported, in part, by the Rehabilitation Research and Training Center on Functional Assessment and Evaluation of Rehabilitation Outcomes (H133B30041), which was funded by an award from the U.S. Department of Education’s National Institute on Disability and Rehabilitation Research.

FIM™ is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc.

Contents of this publication are the opinions of the authors’ and do not necessarily reflect the views of the U.S. Department of Education.

All correspondence and requests for reprints should be addressed to David Mellick, MA, Craig Hospital Research Department, 3425 South Clarkson Street, Englewood, CO 80110.

© 2003 Lippincott Williams & Wilkins, Inc.