Feng-Hang Chang1,2, Wendy J Coster3, Mark S Salzer4, Eugene Brusilovskiy4, Pengsheng Ni2, Alan M Jette2. 1. a Graduate Institute of Injury Prevention and Control, Taipei Medical University , Taipei , Taiwan . 2. b Health and Disability Research Institute, Boston University School of Public Health , Boston , MA , USA . 3. c Department of Occupational Therapy , Boston University College of Health and Rehabilitation Sciences, Sargent College , Boston , MA , USA , and. 4. d Department of Rehabilitation Sciences , Temple University College of Health Professions and Social Work , Philadelphia , PA , USA.
Abstract
PURPOSE: The aims of this study were to (1) construct a multidimensional measure of participation (the Community Participation Domains Measure (CPDM)) based on a conceptual model of participation and (2) test the construct validity of the CPDM in adults with serious mental illnesses (SMI). METHODS: The sample consisted of 235 adults with SMI who completed the Temple University Community Participation Measure (TUCP), Community Participation Indicators (CPIs), Colorado Symptom Index (CSI), along with other scales. A conceptual model, descriptive analysis and expert reviews were employed to select a subset of items to include in the measure. Confirmatory factor analysis (CFA) and Rasch analysis were used to test the item and model fit for each scale. RESULTS: Based on the conceptual model, the items of the CPDM were divided into three domains: Productive Activities, Social Participation and Recreation/Leisure. This 3-factor model showed good model-fit (CFI = 0.940, TLI = 0.933, RMSEA = 0.048) in CFA and good item-fit in Rasch analysis. CONCLUSIONS: The CPDM is a validated measure that can be used to assess levels of participation in adults with SMI. IMPLICATIONS FOR REHABILITATION: Participation is an important goal and rehabilitation outcome indicator for individuals with serious mental illnesses (SMI). Participation is a multidimensional concept, which includes three distinct domains: Productive Activities, Social Participation and Community Activities. The Community Participation Domains Measure (CPDM) is a valid measure that can be used to assess the multidimensional construct of participation in adults with SMI.
PURPOSE: The aims of this study were to (1) construct a multidimensional measure of participation (the Community Participation Domains Measure (CPDM)) based on a conceptual model of participation and (2) test the construct validity of the CPDM in adults with serious mental illnesses (SMI). METHODS: The sample consisted of 235 adults with SMI who completed the Temple University Community Participation Measure (TUCP), Community Participation Indicators (CPIs), Colorado Symptom Index (CSI), along with other scales. A conceptual model, descriptive analysis and expert reviews were employed to select a subset of items to include in the measure. Confirmatory factor analysis (CFA) and Rasch analysis were used to test the item and model fit for each scale. RESULTS: Based on the conceptual model, the items of the CPDM were divided into three domains: Productive Activities, Social Participation and Recreation/Leisure. This 3-factor model showed good model-fit (CFI = 0.940, TLI = 0.933, RMSEA = 0.048) in CFA and good item-fit in Rasch analysis. CONCLUSIONS: The CPDM is a validated measure that can be used to assess levels of participation in adults with SMI. IMPLICATIONS FOR REHABILITATION: Participation is an important goal and rehabilitation outcome indicator for individuals with serious mental illnesses (SMI). Participation is a multidimensional concept, which includes three distinct domains: Productive Activities, Social Participation and Community Activities. The Community Participation Domains Measure (CPDM) is a valid measure that can be used to assess the multidimensional construct of participation in adults with SMI.
Authors: Feng-Hang Chang; Christine A Helfrich; Wendy J Coster; E Sally Rogers Journal: Int J Environ Res Public Health Date: 2015-09-10 Impact factor: 3.390