Validity of community integration questionnaire in evaluating extent of community integration of individuals with brain injury

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Validity of community integration questionnaire in evaluating extent of community integration of individuals with brain injury

 

Author: Chan, Man-tai Edward
Title: Validity of community integration questionnaire in evaluating extent of community integration of individuals with brain injury
Degree: M.Sc.
Year: 1999
Subject: Brain -- Wounds and injuries -- Patients -- Rehabilitation -- China --Hong Kong
Questionnaires -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Multi-disciplinary Studies
Dept. of Rehabilitation Sciences
Pages: xiv, 121 leaves ; 30 cm
Language: English
InnoPac Record: http://library.polyu.edu.hk/record=b1483519
URI: http://theses.lib.polyu.edu.hk/handle/200/2828
Abstract: Community integration was the ultimate goal and outcome of rehabilitation services for individuals who experienced disability. The community integration questionnaire (CIQ) was designed to assess the extent to which individuals with physical and/or cognitive disabilities participated into activities when they integrated back to their home, social and productive activities. The purpose of this study was to translate the CIQ into its Chinese version and gather evidence on its construct validity for a group of individuals with brain injuries (BI) in Hong Kong. The first part of the study evaluated the translation equivalence of CIQ (Chinese version). The relevance and representativeness of the translated items, subscales and construct of community integration were further evaluated by two panels with professionals (n = 7) and individuals with brain injuries (n = 7) respectively. Comments received from panel members considered that the majority of items and subscales were acceptable in terms of their relevance and representativeness on community integration of Hong Kong situation. Items on shopping frequency and travel out frequency were not totally agreed by some members on their relevance towards the subscales of social integration and integration into productive activities respectively in the Hong Kong situation. Part two of the study consisted of a field test in which a total of 97 individuals with BI completed the assessment. Results of item analysis suggested good item characteristics with moderate to excellent Cronbach's alpha values between 0.65 to 0.90 for the three subscales. Interitem correlation within each subscale had Pearson's r higher than 0.75 indicating satisfactory item homogeneity. Results of exploratory factor analysis further substantiated the test structure of CIQ (Chinese version) which largely resembled the three-factor structure proposed in the original CIQ. The 3-factor structure accounted for 66.13% of the total. The validation results of CIQ (Chinese version) revealed that the item 'personal finance' should be relocated to home integration subscale. Empirically, items from social integration subscale: 'shopping frequency' and 'visit friend frequency' were loaded with the items from integration to productive activities subscale as a single factor. However, from conceptual and cultural perspectives, these items from two separate subscales should be retained in their respective subscales but further elaboration was required to enhance cultural relevance. This study had gathered evidence on the construct validity of CIQ (Chinese version) and its applicability for assessing community integration of individuals with BI in Hong Kong. Further research should be directed to improve this assessment tool.

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