Abstract

Objective: To examine the construct validity of the Participation Measure-3 Domains, 4 Dimensions (PM-3D4D), a multidimensional participation measure developed for use in rehabilitation practice. Design: Cross-sectional study. Setting: Outpatient rehabilitation programs. Participants: Rehabilitation patients (N=556; mean age, 61.4±23.6y; 47.1% women). Interventions: Not applicable. Main Outcome Measures: The PM-3D4D is a 19-item measure designed to evaluate participation in 3 domains-Productivity, Social, and Community-across 4 dimensions-Diversity, Frequency, Desire for change, and Difficulty. Intercorrelations among the 4 dimensions of the PM-3D4D and correlations between the PM-3D4D and 3 legacy instruments-Participation Assessment with Recombined Tools-Objective, Participation Measure for Post-Acute Care, and Satisfaction With Life Scale-were examined to establish the convergent and divergent validity of the PM-3D4D. Known-group validity was evaluated by comparing PM-3D4D scores across age groups and groups of people classified by functional level. Results: The Diversity scale of the PM-3D4D was strongly correlated with the Frequency scale (Spearman correlation coefficient, r s = 83-.96 across the 3 domains), and these 2 scales showed moderate to strong correlations with the Difficulty scale (r s = 42-.70) but weak (r s=-.4 to 0) and insignificant correlations with the Desire for change scale. The Frequency and Difficulty scales of the PM-3D4D showed moderate to strong correlations with the Participation Assessment with Recombined Tools-Objective and Participation Measure for Post-Acute Care (r s = 41-.82), respectively, and the Desire for change scale had weak correlations with the Satisfaction With Life Scale (r s=-.32 to -.18). Significant differences in PM-3D4D scores were found by age and functional level. Conclusions: Findings of this study support the construct validity of the PM-3D4D, providing evidence for using the PM-3D4D to assess rehabilitation patients' participation performance and helping practitioners identify intervention priorities to improve patients' participation outcomes.

Original languageEnglish
JournalArchives of Physical Medicine and Rehabilitation
DOIs
Publication statusAccepted/In press - 2017

Fingerprint

Subacute Care
Rehabilitation
Patient Participation
Outpatients
Age Groups
Cross-Sectional Studies
Outcome Assessment (Health Care)

Keywords

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

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

@article{5759a41792f84a248d4d97f033289a34,
title = "Validation of the Participation Measure-3 Domains, 4 Dimensions (PM-3D4D)",
abstract = "Objective: To examine the construct validity of the Participation Measure-3 Domains, 4 Dimensions (PM-3D4D), a multidimensional participation measure developed for use in rehabilitation practice. Design: Cross-sectional study. Setting: Outpatient rehabilitation programs. Participants: Rehabilitation patients (N=556; mean age, 61.4±23.6y; 47.1{\%} women). Interventions: Not applicable. Main Outcome Measures: The PM-3D4D is a 19-item measure designed to evaluate participation in 3 domains-Productivity, Social, and Community-across 4 dimensions-Diversity, Frequency, Desire for change, and Difficulty. Intercorrelations among the 4 dimensions of the PM-3D4D and correlations between the PM-3D4D and 3 legacy instruments-Participation Assessment with Recombined Tools-Objective, Participation Measure for Post-Acute Care, and Satisfaction With Life Scale-were examined to establish the convergent and divergent validity of the PM-3D4D. Known-group validity was evaluated by comparing PM-3D4D scores across age groups and groups of people classified by functional level. Results: The Diversity scale of the PM-3D4D was strongly correlated with the Frequency scale (Spearman correlation coefficient, r s = 83-.96 across the 3 domains), and these 2 scales showed moderate to strong correlations with the Difficulty scale (r s = 42-.70) but weak (r s=-.4 to 0) and insignificant correlations with the Desire for change scale. The Frequency and Difficulty scales of the PM-3D4D showed moderate to strong correlations with the Participation Assessment with Recombined Tools-Objective and Participation Measure for Post-Acute Care (r s = 41-.82), respectively, and the Desire for change scale had weak correlations with the Satisfaction With Life Scale (r s=-.32 to -.18). Significant differences in PM-3D4D scores were found by age and functional level. Conclusions: Findings of this study support the construct validity of the PM-3D4D, providing evidence for using the PM-3D4D to assess rehabilitation patients' participation performance and helping practitioners identify intervention priorities to improve patients' participation outcomes.",
keywords = "Outpatients, Patient outcome assessment, Psychometrics, Rehabilitation, Social participation",
author = "Chang, {Feng Hang} and Chang, {Kwang Hwa} and Liou, {Tsan Hon} and Whiteneck, {Gale G.}",
year = "2017",
doi = "10.1016/j.apmr.2017.05.027",
language = "English",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",

}

TY - JOUR

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

AU - Chang, Feng Hang

AU - Chang, Kwang Hwa

AU - Liou, Tsan Hon

AU - Whiteneck, Gale G.

PY - 2017

Y1 - 2017

N2 - Objective: To examine the construct validity of the Participation Measure-3 Domains, 4 Dimensions (PM-3D4D), a multidimensional participation measure developed for use in rehabilitation practice. Design: Cross-sectional study. Setting: Outpatient rehabilitation programs. Participants: Rehabilitation patients (N=556; mean age, 61.4±23.6y; 47.1% women). Interventions: Not applicable. Main Outcome Measures: The PM-3D4D is a 19-item measure designed to evaluate participation in 3 domains-Productivity, Social, and Community-across 4 dimensions-Diversity, Frequency, Desire for change, and Difficulty. Intercorrelations among the 4 dimensions of the PM-3D4D and correlations between the PM-3D4D and 3 legacy instruments-Participation Assessment with Recombined Tools-Objective, Participation Measure for Post-Acute Care, and Satisfaction With Life Scale-were examined to establish the convergent and divergent validity of the PM-3D4D. Known-group validity was evaluated by comparing PM-3D4D scores across age groups and groups of people classified by functional level. Results: The Diversity scale of the PM-3D4D was strongly correlated with the Frequency scale (Spearman correlation coefficient, r s = 83-.96 across the 3 domains), and these 2 scales showed moderate to strong correlations with the Difficulty scale (r s = 42-.70) but weak (r s=-.4 to 0) and insignificant correlations with the Desire for change scale. The Frequency and Difficulty scales of the PM-3D4D showed moderate to strong correlations with the Participation Assessment with Recombined Tools-Objective and Participation Measure for Post-Acute Care (r s = 41-.82), respectively, and the Desire for change scale had weak correlations with the Satisfaction With Life Scale (r s=-.32 to -.18). Significant differences in PM-3D4D scores were found by age and functional level. Conclusions: Findings of this study support the construct validity of the PM-3D4D, providing evidence for using the PM-3D4D to assess rehabilitation patients' participation performance and helping practitioners identify intervention priorities to improve patients' participation outcomes.

AB - Objective: To examine the construct validity of the Participation Measure-3 Domains, 4 Dimensions (PM-3D4D), a multidimensional participation measure developed for use in rehabilitation practice. Design: Cross-sectional study. Setting: Outpatient rehabilitation programs. Participants: Rehabilitation patients (N=556; mean age, 61.4±23.6y; 47.1% women). Interventions: Not applicable. Main Outcome Measures: The PM-3D4D is a 19-item measure designed to evaluate participation in 3 domains-Productivity, Social, and Community-across 4 dimensions-Diversity, Frequency, Desire for change, and Difficulty. Intercorrelations among the 4 dimensions of the PM-3D4D and correlations between the PM-3D4D and 3 legacy instruments-Participation Assessment with Recombined Tools-Objective, Participation Measure for Post-Acute Care, and Satisfaction With Life Scale-were examined to establish the convergent and divergent validity of the PM-3D4D. Known-group validity was evaluated by comparing PM-3D4D scores across age groups and groups of people classified by functional level. Results: The Diversity scale of the PM-3D4D was strongly correlated with the Frequency scale (Spearman correlation coefficient, r s = 83-.96 across the 3 domains), and these 2 scales showed moderate to strong correlations with the Difficulty scale (r s = 42-.70) but weak (r s=-.4 to 0) and insignificant correlations with the Desire for change scale. The Frequency and Difficulty scales of the PM-3D4D showed moderate to strong correlations with the Participation Assessment with Recombined Tools-Objective and Participation Measure for Post-Acute Care (r s = 41-.82), respectively, and the Desire for change scale had weak correlations with the Satisfaction With Life Scale (r s=-.32 to -.18). Significant differences in PM-3D4D scores were found by age and functional level. Conclusions: Findings of this study support the construct validity of the PM-3D4D, providing evidence for using the PM-3D4D to assess rehabilitation patients' participation performance and helping practitioners identify intervention priorities to improve patients' participation outcomes.

KW - Outpatients

KW - Patient outcome assessment

KW - Psychometrics

KW - Rehabilitation

KW - Social participation

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U2 - 10.1016/j.apmr.2017.05.027

DO - 10.1016/j.apmr.2017.05.027

M3 - Article

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

ER -