COSMIN database

A comparative review of contemporary participation measures' psychometric properties and content coverage

Magasi, S. and Post, M. W.
OBJECTIVES: To provide a review of contemporary participation measures' conceptual foundations, psychometric properties and linkage to the International Classification of Functioning, Disability and Health (ICF).

DATA SOURCES: Major medical databases, including PubMed, Medline, PsychInfo, and CINAHL.

STUDY SELECTION: Articles that described the psychometric properties of generic measures of adult participation published in English between 1998 and 2008 were included.

DATA EXTRACTION: Two reviewers independently reviewed each measure using recognized quality criteria for health questionnaires. Individual items were linked to the ICF using established linking rules.

DATA SYNTHESIS: Eight measures met the inclusion criteria: Impact on Participation and Autonomy, ICF Measure of Participation and Activities, Keele Assessment of Participation, Assessment of Life Habits, Participation Profile, Participation Survey/Mobility, Participation Scale, and the Participation Measure for Post-Acute Care. The selected measures were based primarily on the ICF and demonstrated moderate to good validity and reliability, but psychometric information was often incomplete. The most commonly addressed ICF domains were mobility; domestic life; social interactions; major life domains; and community, social, and civic life.

CONCLUSIONS: This review provides tools--a detailed review of individual participation measures, a comparative table of the measures' psychometric properties, and ICF linkages-and a set of 3 guiding questions to help users select appropriate participation measures.
Arch Phys Med Rehabil
1532-821X (Electronic)
Publication year:
Functional status:
Cognitive/mental functioning
Physical functioning
Role functioning
Social functioning
Adults (18-65)
Seniors (65+)
Certain conditions originating in the perinatal period and related symptoms
Certain infections and parasitic diseases and related symptoms
Congenital malformations, deformations and chromosomal abnormalities and related symptoms
Diseases of and symptoms related to the blood and blood-forming organs and certain disorders involving the immune mechanism
Diseases of and symptoms related to the circulatory system
Diseases of and symptoms related to the digestive system
Diseases of and symptoms related to the ear and mastoid process
Diseases of and symptoms related to the eye and adnexa
Diseases of and symptoms related to the genitourinary system
Diseases of and symptoms related to the musculoskeletal system and connective tissue
Diseases of and symptoms related to the nervous system
Diseases of and symptoms related to the respiratory system
Diseases of and symptoms related to the skin and subcutaneous tissue
Endocrine, nutritional and metabolic diseases and related symptoms
External causes of morbidity and mortality
Injury, poisoning and certain other consequences of external causes
Mental and behavioural disorders and related symptoms
Neoplasms and related symptoms
Pregnancy, childbirth and puerperium and related symptom
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
2 - Interviews
IMPACT-S - ICF Measure of Activity and Participation-Screener
IPA - Impact on Participation and Autonomy   [see: ZUYD (NL)]
KAP - Keele Assessment of Participation
LIFE-H - Assessment of Life Habits   [see: ZUYD (NL)]
PAR-PRO - Participation Profile
PARTS/M - Participation Survey/Mobility
PM-PAC - Participation Measure-Post Acute Care
P-Scale - Participation Scale   [see: ZUYD (NL)]