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Assessing Participation in Adolescents With Cerebral Palsy: Comparison of Life-Habits and USER-Participation.


ABSTRACT: To explore and compare the contents and scores of the Assessment of Life Habits (Life-H) with the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) in adolescents with cerebral palsy. Youth versions of both instruments were used for (1) content comparison and (2) analyses of relations between both instruments, based on cross-sectional data. Clinic. Participants were adolescents with cerebral palsy, aged 12-18 years; Gross Motor Function Classification System I-V; N=45. Not applicable. Assessment of Life Habits (Life-H) with USER-Participation. Both instruments measure independence in participation, called accomplishment (Life-H) and restrictions (USER-Participation), and satisfaction with participation. Life-H provides a profile of 6 domain scores and the USER-Participation a total score per dimension. Compared with the USER-Participation, the Life-H contains more specific items, more items not-applicable to many participants and more ceiling effects. Total scores on the accomplishment/restrictions and satisfaction scales between both instruments showed strong correlation coefficients (0.87 and 0.67, respectively). Correlations between domain scores were stronger within the accomplishment/restrictions scales (range 0.37-0.88) compared with the satisfaction scales (range 0.22-0.68). Compared with the USER-Participation, the Life-H takes more effort to complete but provides a more comprehensive assessment of participation. Participation accomplishment/restrictions scores were more similar between the instruments compared with satisfaction scores. Researchers and clinicians should carefully compare participation instruments in selecting one that matches their purpose.

SUBMITTER: van Alphen GJ 

PROVIDER: S-EPMC9761302 | biostudies-literature | 2022 Dec

REPOSITORIES: biostudies-literature

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Assessing Participation in Adolescents With Cerebral Palsy: Comparison of Life-Habits and USER-Participation.

van Alphen Gerjanne J GJ   Ketelaar Marjolijn M   Voorman Jeanine M JM   Scholten Eline W M EWM   Post Marcel W M MWM  

Archives of rehabilitation research and clinical translation 20221025 4


<h4>Objective</h4>To explore and compare the contents and scores of the Assessment of Life Habits (Life-H) with the Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-Participation) in adolescents with cerebral palsy.<h4>Design</h4>Youth versions of both instruments were used for (1) content comparison and (2) analyses of relations between both instruments, based on cross-sectional data.<h4>Setting</h4>Clinic.<h4>Participants</h4>Participants were adolescents with cerebral palsy,  ...[more]

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