Development of the Participation Measure--3 Domains, 4 Dimensions (PM-3D4D): A New Outcome Measure for Rehabilitation

Research output: Contribution to journalArticle

  • 4 Citations

Abstract

Objectives: To describe the development of a participation measure that assesses 3 domains (productivity, social, and community) and 4 dimensions (frequency, diversity, desire for change, and perceived difficulty) of participation and to evaluate the initial psychometric properties in rehabilitation outpatients. Design: A mixed-method approach included a literature review, item selection, expert reviews, cognitive interviews, and field testing with rehabilitation outpatients. Confirmatory factor analysis (CFA) and Rasch analysis were used to validate the construct validity of the difficulty dimension of the instrument. Setting: Outpatient rehabilitation programs. Participants: An expert panel consisting of 12 rehabilitation and measurement experts contributed to measurement development; 20 rehabilitation outpatients participated in cognitive interviews; and a sample of rehabilitation outpatients (N=556) (average age, 61.36±23.62y; 53% men) participated in field testing. Interventions: Not applicable. Main Outcome Measure: The Participation Measure--3 Domains, 4 Dimensions (PM-3D4D). Results: A scoring method for each dimension of the PM-3D4D was established. The instrument displayed good overall model fit in the CFA and unidimensionality across 3 domains after removing and collapsing locally dependent items identified from a principal component analysis. However, considering the poor personal reliability of the social subscale and its high correlation with the community subscale, we decided to merge the 2 subscales into 1. The combined subscale showed improved reliability and good construct validity by demonstrating a good model fit (comparative fit index, .985; Tucker-Lewis Index, .982, root mean square error of approximation, .061) and item fit. Conclusions: The PM-3D4D is a newly developed participation measure designed to assess multiple domains and dimensions of participation by rehabilitation patients. The psychometric analysis results supported the construct of the instrument and helped item revision. Further examination of the validity and reliability of the PM-3D4D will be conducted.
LanguageEnglish
Pages286-294
JournalArchives of Physical Medicine and Rehabilitation
Volume98
Issue number2
DOIs
Publication statusPublished - Feb 1 2017

Fingerprint

Rehabilitation
Outcome Assessment (Health Care)
Outpatients
Psychometrics
Statistical Factor Analysis
Interviews
Patient Participation
Principal Component Analysis
Reproducibility of Results
Research Design

Keywords

  • Outpatients
  • Patient outcome assessment
  • Psychometrics
  • Rehabilitation
  • Social participation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

@article{afb3485070cf46c7b3b065dae6dc38ba,
title = "Development of the Participation Measure--3 Domains, 4 Dimensions (PM-3D4D): A New Outcome Measure for Rehabilitation",
abstract = "Objectives: To describe the development of a participation measure that assesses 3 domains (productivity, social, and community) and 4 dimensions (frequency, diversity, desire for change, and perceived difficulty) of participation and to evaluate the initial psychometric properties in rehabilitation outpatients. Design: A mixed-method approach included a literature review, item selection, expert reviews, cognitive interviews, and field testing with rehabilitation outpatients. Confirmatory factor analysis (CFA) and Rasch analysis were used to validate the construct validity of the difficulty dimension of the instrument. Setting: Outpatient rehabilitation programs. Participants: An expert panel consisting of 12 rehabilitation and measurement experts contributed to measurement development; 20 rehabilitation outpatients participated in cognitive interviews; and a sample of rehabilitation outpatients (N=556) (average age, 61.36±23.62y; 53{\%} men) participated in field testing. Interventions: Not applicable. Main Outcome Measure: The Participation Measure--3 Domains, 4 Dimensions (PM-3D4D). Results: A scoring method for each dimension of the PM-3D4D was established. The instrument displayed good overall model fit in the CFA and unidimensionality across 3 domains after removing and collapsing locally dependent items identified from a principal component analysis. However, considering the poor personal reliability of the social subscale and its high correlation with the community subscale, we decided to merge the 2 subscales into 1. The combined subscale showed improved reliability and good construct validity by demonstrating a good model fit (comparative fit index, .985; Tucker-Lewis Index, .982, root mean square error of approximation, .061) and item fit. Conclusions: The PM-3D4D is a newly developed participation measure designed to assess multiple domains and dimensions of participation by rehabilitation patients. The psychometric analysis results supported the construct of the instrument and helped item revision. Further examination of the validity and reliability of the PM-3D4D will be conducted.",
keywords = "Outpatients, Patient outcome assessment, Psychometrics, Rehabilitation, Social participation",
author = "Feng-Hang Chang and Tsan-Hon Liou and Pengsheng Ni and Kwang-hwa Chang and Chien-Hung Lai",
year = "2017",
month = "2",
day = "1",
doi = "10.1016/j.apmr.2016.08.462",
language = "English",
volume = "98",
pages = "286--294",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Development of the Participation Measure--3 Domains, 4 Dimensions (PM-3D4D)

T2 - Archives of Physical Medicine and Rehabilitation

AU - Chang, Feng-Hang

AU - Liou, Tsan-Hon

AU - Ni, Pengsheng

AU - Chang, Kwang-hwa

AU - Lai, Chien-Hung

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Objectives: To describe the development of a participation measure that assesses 3 domains (productivity, social, and community) and 4 dimensions (frequency, diversity, desire for change, and perceived difficulty) of participation and to evaluate the initial psychometric properties in rehabilitation outpatients. Design: A mixed-method approach included a literature review, item selection, expert reviews, cognitive interviews, and field testing with rehabilitation outpatients. Confirmatory factor analysis (CFA) and Rasch analysis were used to validate the construct validity of the difficulty dimension of the instrument. Setting: Outpatient rehabilitation programs. Participants: An expert panel consisting of 12 rehabilitation and measurement experts contributed to measurement development; 20 rehabilitation outpatients participated in cognitive interviews; and a sample of rehabilitation outpatients (N=556) (average age, 61.36±23.62y; 53% men) participated in field testing. Interventions: Not applicable. Main Outcome Measure: The Participation Measure--3 Domains, 4 Dimensions (PM-3D4D). Results: A scoring method for each dimension of the PM-3D4D was established. The instrument displayed good overall model fit in the CFA and unidimensionality across 3 domains after removing and collapsing locally dependent items identified from a principal component analysis. However, considering the poor personal reliability of the social subscale and its high correlation with the community subscale, we decided to merge the 2 subscales into 1. The combined subscale showed improved reliability and good construct validity by demonstrating a good model fit (comparative fit index, .985; Tucker-Lewis Index, .982, root mean square error of approximation, .061) and item fit. Conclusions: The PM-3D4D is a newly developed participation measure designed to assess multiple domains and dimensions of participation by rehabilitation patients. The psychometric analysis results supported the construct of the instrument and helped item revision. Further examination of the validity and reliability of the PM-3D4D will be conducted.

AB - Objectives: To describe the development of a participation measure that assesses 3 domains (productivity, social, and community) and 4 dimensions (frequency, diversity, desire for change, and perceived difficulty) of participation and to evaluate the initial psychometric properties in rehabilitation outpatients. Design: A mixed-method approach included a literature review, item selection, expert reviews, cognitive interviews, and field testing with rehabilitation outpatients. Confirmatory factor analysis (CFA) and Rasch analysis were used to validate the construct validity of the difficulty dimension of the instrument. Setting: Outpatient rehabilitation programs. Participants: An expert panel consisting of 12 rehabilitation and measurement experts contributed to measurement development; 20 rehabilitation outpatients participated in cognitive interviews; and a sample of rehabilitation outpatients (N=556) (average age, 61.36±23.62y; 53% men) participated in field testing. Interventions: Not applicable. Main Outcome Measure: The Participation Measure--3 Domains, 4 Dimensions (PM-3D4D). Results: A scoring method for each dimension of the PM-3D4D was established. The instrument displayed good overall model fit in the CFA and unidimensionality across 3 domains after removing and collapsing locally dependent items identified from a principal component analysis. However, considering the poor personal reliability of the social subscale and its high correlation with the community subscale, we decided to merge the 2 subscales into 1. The combined subscale showed improved reliability and good construct validity by demonstrating a good model fit (comparative fit index, .985; Tucker-Lewis Index, .982, root mean square error of approximation, .061) and item fit. Conclusions: The PM-3D4D is a newly developed participation measure designed to assess multiple domains and dimensions of participation by rehabilitation patients. The psychometric analysis results supported the construct of the instrument and helped item revision. Further examination of the validity and reliability of the PM-3D4D will be conducted.

KW - Outpatients

KW - Patient outcome assessment

KW - Psychometrics

KW - Rehabilitation

KW - Social participation

UR - http://www.scopus.com/inward/record.url?scp=85006351501&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85006351501&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2016.08.462

DO - 10.1016/j.apmr.2016.08.462

M3 - Article

VL - 98

SP - 286

EP - 294

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 2

ER -