The community integration questionnaire revisited: An assessment of factor structure and validity

doi:10.1016/S0003-9993(99)90034-5

Archives of Physical Medicine and Rehabilitation

Volume 80, Issue 10, October 1999, Pages 1303-1308

https://doi.org/10.1016/S0003-9993(99)90034-5 Get rights and content

Abstract

Objective: To investigate the factor structure and concurrent validity of the Community Integration Questionnaire (CIQ), using a large sample of persons with traumatic brain injury (TBI).

Design: Principal components analysis with varimax rotation was performed on CIQ items completed through interview with patients at 1 year after injury. Correlational analyses compared CIQ scores to scores on other widely used outcome measures.

Setting: Outpatient clinics affiliated with four TBI Model System rehabilitation centers funded by the National Institute on Disability and Rehabilitation Research.

Participants: Three hundred twelve patients with medically documented TBI who were enrolled in the TBI Model Systems Project. The majority of patients were Caucasian males with severe TBI.

Main Outcome Measures: CIQ; Functional Independence Measure (FIM); Functional Assessment Measure (FAM); Disability Rating Scale (DRS).

Results: Three factors emerged: Home Competency, Social Integration, and Productive Activity. The financial management item was moved from Social Integration to Home Competency, and the travel item was moved from Productive Activity to Social Integration. Each CIQ scale score showed significant correlations in the expected direction with the FIM+FAM and DRS items.

Conclusions: The results provide further evidence for the validity of the CIQ and improve the scoring system. The factor structure is clinically and theoretically meaningful. The subscale and total scores show significant relationships with other widely used measures of outcome. Future research should focus on increasing the range of questions, accounting for changes from preinjury functioning, and obtaining normative data on the new factors.

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^☆: Supported in part by grants H133A2004 and H133B40002 (TIRR), H133A970018 (SCV), H133A980026 (MCV), and H133A970021 (RIM) from the National Institute on Disability and Rehabilitation Research, United States Department of Education.

^☆☆: Presented at the annual meeting of the American Congress of Rehabilitation Medicine, November 1998, Seattle, WA.

^★: No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

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ArticleThe community integration questionnaire revisited: An assessment of factor structure and validity☆,☆☆,★

Abstract

Arch Phys Med Rehabil

Arch Phys Med Rehabil

Arch Phys Med Rehabil

Occurrence, severity, and outcomes of brain injury

J Head Trauma Rehabil

Outcomes evaluation in TBI rehabilitation. Part II: measurement tools for a nationwide data system

Arch Phys Med Rehabil

Uniform Dataset for Medical Rehabilitation

Disability rating scale for severe head trauma: coma to community

Arch Phys Med Rehabil

Functional measures after traumatic brain injury: ceiling effects of FIM, FIM+FAM, DRS, and CIQ

J Head Trauma Rehabil

Assessment of community integration following rehabilitation for traumatic brain injury

J Head Trauma Rehabil

The Community Integration Questionnaire: a comparative examination

Am J Phys Med Rehabil

Psychometric characteristics of the Community Integration Questionnaire: replication and extension

J Head Trauma Rehabil

Article
The community integration questionnaire revisited: An assessment of factor structure and validity☆,☆☆,★