Assessment of Life Habits Scale (LIFE-H)

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Tool Description

  • Developed to assess life habits and handicap situations, which are concepts related to social participation.  Life habits are defined as “those habits that ensure the survival and development of a person in society throughout his or her life” and they include activities ranging from ADL’s to social roles. A handicap situation is “a disruption in the accomplishment of a person’s life habits, taking into account age, sex and socio-cultural identity, resulting from impairments, disabilities or environmental factors”.
  • The LIFE-H includes 12 categories:

1) Nutrition
2) Fitness
3) Personal care
4) Communication
5) Housing
6) Mobility
7) Responsibilities
8) Interpersonal relationships
9) Community life
10) Education
11) Employment
12) Recreation.

ICF Domain:

Participation

Number of Items:

Long form - 242 items; Short form - 77 items.

The long form can be used as a whole or as sub-sections and the short form is a general measure of handicap.

Brief Instructions for Administration & Scoring

Administration:

  • Self or clinician-administered.
  • The response categories consider the level of difficulty (5 point ordinal scale) and the type of assistance (4 point ordinal scale) required to do each life habit.
  • Satisfaction for each item is reported using a 5-point scale (1=very dissatisfied to 5=very satisfied).
  • The long form requires 40 to 120 minutes to complete (depending on which sections are used) and the short form takes between 30 to 60 minutes.

Equipment: None

Scoring:

  • The level of difficulty and the types of assistance are combined and weighted to derive an accomplishment score: (Σ Scores x 10)/(number of applicable life habits x 9).
  • Total scores for each life habit category range from 0-10.

Interpretability

MCID: not established
SEM and MDC: not established for the SCI population, but for an older population with disabilities (n=40, mean (SD) age: 76.5 (8.6), 11M/29F):

LIFE-H categories:

SEM:

MDC:

Personal care

0.47

1.30

Nutrition

0.70

1.93

Housing

0.56

1.56

Mobility

1.03

2.85

Communication

0.55

1.52

Fitness

1.34

3.71

Daily activities subscore

0.24

0.67

Responsibility

0.40

1.10

Community life

0.78

2.17

Recreation

2.15

5.95

Interpersonal relationships

--

--

Social roles subscore

0.49

1.36

Total score

0.25

0.68

Reference: Noreau, L., Desrosiers, J., et al. (2004). "Measuring social participation: reliability of the LIFE-H in older adults with disabilities." Disabil Rehabil 26(6): 346-352

  • Data from various SCI studies can provide some basis for comparison (see references and Interpretability section in Study Details sheet).

Languages:

French, English and Dutch.

Training Required:

No special training is required to administer or score the LIFE-H.

Availability:

Must be purchased from the International Network on the Disability Creation Process (INDCP) at http://ripph.qc.ca/en/assessment-tools/introduction/ordering-information.

Clinical Considerations

  • The LIFE-H is a conceptually strong tool that incorporates the interaction of the individual and their environment, and thus, overlaps with the International Classification of Functioning (ICF).  Participation is based on the individual’s perspective of performance rather than describing it from a societal perspective.
  • Input was obtained from rehabilitation experts and individuals with SCI (children and adults) so items on this measure should be acceptable to individuals with SCI.

Measurement Property Summary

# of studies reporting psychometric properties: 4

Reliability:

  • Test-retest reliability is:
    • High for the LIFE-H Short Form for adults (ICC=0.83)
    • Moderate for the LIFE-H Short form for children (ICC=0.67)
    • Moderate for the LIFE-H total for adults (ICC=0.74)
    • Moderate for the LIFE-H total for children (ICC=0.73).

[Fougeyrollas et al. 1998, Dumont et al. 2003]

Validity:

  • Correlation of the LIFE-H is:
    • High with the CHART-Physical Independence subscale (Spearman’s r=0.89)
    • Moderate with the CHART-Occupation subscale (Spearman’s r=0.36)
    • Moderate with the CHART-Mobility subscale (Spearman’s r=0.33)
    • Low with the CHART-Social integration subscale (Spearman’s r=0.14).

[Fougeyrollas et al. 1998, Noreau et al. 1998, Dumont et al. 2003]

Responsiveness:

No values were reported for the responsiveness of the LIFE-H for the SCI population.

Floor/ceiling effect:

No values were reported for the presence of floor/ceiling effects in the LIFE-H for the SCI population.

Reviewer

Dr. Ben Mortenson, Kyle Diab, John Zhu

Date Last Updated:

Nov 1, 2016

Download the measure

Download Worksheet:
Must be purchased from the International Network on the Disability Creation Process (INDCP) at http://ripph.qc.ca/en/assessment-tools/introduction/ordering-information.

Video

n/a

Scoring

n/a

Equipment Needed

LIFE-H:

Dumont C, Bertrand R, Fougeyrollas P, Gervais M. Rasch modeling and the measurement of social participation. J Appl Meas 2003;4:309-325.
http://www.ncbi.nlm.nih.gov/pubmed/14523252

Fougeyrollas P, Noreau L, Bergeron H, Cloutier R, Dion SA, St-Michel G. Social consequences of long term impairments and disabilities: conceptual approach and assessment of handicap. Int J of Rehab Res 1998;21:127-141.
http://www.ncbi.nlm.nih.gov/pubmed/9924676

Noreau L, Fougeyrollas P, Vincent C. The LIFE-H: Assessment of the quality of social participation. Technology and Disability 2002;14:113-118.

Noreau L, Fougeyrollas P. Long-term consequences of Spinal Cord Injury on social participation: The Occurrence of Handicap Situations. Disabil Rehabil 2000;22:170-180.
http://www.ncbi.nlm.nih.gov/pubmed/10798305

Noreau, L., Desrosiers, J., et al. (2004). "Measuring social participation: reliability of the LIFE-H in older adults with disabilities." Disabil Rehabil 26(6): 346-352.