TY - JOUR
T1 - Detecting change in community participation with the Enfranchisement scale of the community participation indicators
AU - Kersey, Jessica
AU - Terhorst, Lauren
AU - Hammel, Joy
AU - Baum, Carolyn
AU - Toglia, Joan
AU - O’Dell, Michael W.
AU - Heinemann, Allen W.
AU - McCue, Michael
AU - Skidmore, Elizabeth R.
N1 - Funding Information:
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.
Publisher Copyright:
© The Author(s) 2021.
PY - 2022/2
Y1 - 2022/2
N2 - 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.
AB - 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.
KW - Community participation
KW - measurement
KW - stroke
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U2 - 10.1177/02692155211052188
DO - 10.1177/02692155211052188
M3 - Article
C2 - 34723687
AN - SCOPUS:85118386287
SN - 0269-2155
VL - 36
SP - 251
EP - 262
JO - Clinical Rehabilitation
JF - Clinical Rehabilitation
IS - 2
ER -