Abstract
Objective: This study determined the sensitivity to change of the Enfranchisement scale of the Community Participation Indicators in people with stroke. Data sources: We analyzed data from two studies of participants with stroke: an intervention study and an observational study. Main measures: The Enfranchisement Scale contains two subscales: the Importance subscale (feeling valued by and contributing to the community; range: 14–70) and the Control subscale (choice and control: range: 13–64). Data analysis: Assessments were administered 6 months apart. We calculated minimum detectable change and minimal clinically important difference. Results: The Control subscale analysis included 121 participants with a mean age of 61.2 and mild-moderate disability (Functional Independence Measure, mean = 97.9, SD = 24.7). On the Control subscale, participants had a mean baseline score of 51.4 (SD = 10.4), and little mean change (1.3) but with large variation in change scores (SD = 11.5). We found a minimum detectable change of 9 and a minimum clinically important difference of 6. The Importance subscale analysis included 116 participants with a mean age of 60.7 and mild-moderate disability (Functional Independence Measure, mean = 98.9, SD = 24.5). On the Importance subscale, participants had a mean baseline score of 44.1 (SD = 12.7), and again demonstrated little mean change (1.08) but with large variation in change scores (SD = 12.6). We found a minimum detectable change of 11 and a minimum clinically important difference 7. Conclusions: The Control subscale required 9 points of change, and the Importance subscale required 11 points of change, to achieve statistically and clinically meaningful changes, suggesting adequate sensitivity to change.
Original language | English (US) |
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Pages (from-to) | 251-262 |
Number of pages | 12 |
Journal | Clinical Rehabilitation |
Volume | 36 |
Issue number | 2 |
DOIs | |
State | Published - Feb 2022 |
Funding
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Institute of Disability, Independent Living, and Rehabilitation Research (H133B080031), the Peter Jay Sharp Foundation (Clinical Trial Registration Number NCT02876783), and the University of Pittsburgh School of Health and Rehabilitation Sciences Dissertation Fund.
Keywords
- Community participation
- measurement
- stroke
ASJC Scopus subject areas
- Rehabilitation
- Physical Therapy, Sports Therapy and Rehabilitation