Community Integration Questionnaire (CIQ)

Download Clinical Summary PDF

Tool Description

  • Originally designed as a measurement of community integration for individuals with traumatic brain injury (Willer et al, 1994).
  • Has three subscales:

1) Home Integration (e.g. Who does the grocery shopping at home? Who does the normal everyday housework?)
2) Social Integration (e.g. Who looks after your personal finances?)
3) Productive Activities (e.g. Do you work/volunteer? How often?).

  • Scores for these domains are generated based on the frequency of engaging in roles and activities, and responses are weighted according to level of independence in performing roles and activities. The CIQ has recently been validated for use with SCI populations (Gontkovsky et al. 2009).

ICF Domain:

Participation.

Number of Items:

15

Brief Instructions for Administration & Scoring

Administration:

  • Self-report measure that can be completed via a computer, on the phone, by mail, or in person.
  • May be completed in less than 15 minutes.

Equipment: None.

Scoring:

  • Subscales (Home Integration, Social Integration and Productivity) are summed to yield a total score for community integration ranging from 0-29, with higher scores indicating a greater degree of community integration.
  • Most items are scored on a 3 point scale from 0-2, 1 item is scored from 0-4 and 1 item is scored from 0-5.
  • Higher scores indicate higher levels of community integration (Willer et al, 1994).
  • Individual domain scores of the CIQ allow the clinician to determine where individuals are succeeding or struggling in re-integration after injury.
  • Published data for the SCI population is available for comparison (see the Interpretability section of the Study Details sheet).

Interpretability

MCID: not established for SCI
SEM: not established for SCI
MDC: not established for SCI

Typical Values

  • Mean (SD) Score:
    Home integration = 3.5 (2.6)
    Social integration = 6.7 (2.5)
    Productive activity = 1.0 (1.6)
    Total score = 11.2 (5.0)
    (Gontkovsky et al. 2009; n=28, 21 males; 25 traumatic SCI, mixed injury types, chronic)

Languages:

Appears to only be available in English.

Training Required:

No training is required to administer or score the CIQ.

Availability:

The original scale and scoring guide is available from Barry Willer of State University of New York. A copy of the CIQ can be found in Willer et al. 1994 and online at: http://tbims.org/combi/ciq/ciqrat.html 

Clinical Considerations

  • Originally developed by 14 experts due to recognition that community integration is a priority during rehabilitation after a traumatic brain injury.
  • Scores on the CIQ indicate the level of community integration. Low scores would suggest a need for strategies to help with community integration.
  • Additional evaluations may be warranted to assess the subjective aspects of community integration, such as a person’s desire to engage in activities and how satisfied a person is with the activities they are engaged in.
  • The three domains of the CIQ parallel the Craig Handicap Assessment Reporting Technique – Short Form (CHART-SF), a common measure of community integration in the SCI population. If the individual is unable to answer the questions, a person close to the individual can complete the questionnaire on his/her behalf.
  • Respondent burden is minimal especially given the several ways to complete the questionnaire.
  • The CIQ has now been validated for use in the chronic spinal cord injured population.
  • Administration and scoring are done via established standardized procedures.

Measurement Property Summary

# of studies reporting psychometric properties: 3

Reliability:

Low to High Internal Consistency:

Total Score: α = 0.71-0.75

Home integration: α = 0.79-0.81

Social integration: α = 0.62-0.63

Productive activity: α = 0.50-0.51

(Kratz et al. 2015; measured at 1 month and 12 months, mixed injury types; time 1: n=727, 399 males, mean time since injury (SD) = 16.52(12.67) years; time 2: n=494, 301 males; mean time since injury (SD) = 16.15(11.98) years)

Validity:

  • Correlation of the CIQ is High with the Craig Handicap Assessment and Reporting Technique (CHART)- Short Form total score (Pearson’s r=0.79).
  • The greatest degree of association was found between the Social Integration subscales of each of the CIQ and CHART measures (Pearson’s r=0.77).

(Gontkovsky et al. 2009; n=28, 21 males; 25 traumatic SCI, mixed injury types, chronic)

 

Low to Moderate correlation with Spinal Cord Lesion Coping Strategies Questionnaire subscales (SCL CSQ):

SCL CSQ – Acceptance: Correlation = 0.289

SCL CSQ – Fighting spirit: Correlation = 0.326

SCL CSQ – Social reliance: Correlation = 0.272

(Saffari, et al. 2015; CIQ Iranian version, n=220, 164 males, mixed injury types, mean time since injury (SD) = 50.96 (35.05) months)

Responsiveness:

There has been 1 study reporting values for the responsiveness of the CIQ in SCI.

Floor/ceiling effect:

Patients at ceiling (time 1, time 2):
Total Score: 0, 5%
Home integration: 6.4, 7.7%
Social integration: 1.6, 2.0%
Productive integration: 25, 27.1%

Patients at floor (time 1, time 2):
Total Score: 0.2%
Home integration: 1.2, 1.3%
Social integration: 0.6%
Productive integration: 8.1, 8.6%
(Kratz et al. 2015; measured at 1 month and 12 months, mixed injury types; time 1: n=727, 399 males, mean time since injury (SD) = 16.52(12.67) years; time 2: n=494, 301 males; mean time since injury (SD) = 16.15(11.98) years)

Reviewers

Dr. Ben Mortenson, John Zhu, Jeremy Mak, Matthew Querée

Date Last Updated:

Nov 1, 2016

Download the measure

Download Worksheet:
The original scale and scoring guide is available from Barry Willer of State University of New York. A copy of the CIQ can be found in Willer et al. 1994 and online at http://tbims.org/combi/ciq/ciqrat.html.

Video

n/a

Scoring

Scores for these domains are generated based on the frequency of engaging in roles and activities, and responses are weighted according to level of independence in performing roles and activities.

  • Subscales (Home Integration, Social Integration and Productivity) are summed to yield a total score for community integration ranging from 0-29, with higher scores indicating a greater degree of community integration.
  • Most items are scored on a 3 point scale from 0-2, 1 item is scored from 0-4 and 1 item is scored from 0-5.
  • Higher scores indicate higher levels of community integration (Willer et al, 1994).

 

Equipment Needed

None

CIQ:

Gontkovsky ST, Russum P, Stokic DS. Comparison of the CIQ and CHART short form in assessing community integration in individuals with chronic spinal cord injury: A pilot study. NeuroRehabilitation 2009; 24:185-192.
http://www.ncbi.nlm.nih.gov/pubmed/19339757

Kratz AL, Chadd E, Jensen MP, Kehn M, Kroll T. An examination of the psychometric properties of the community integration questionnaire (CIQ) in spinal cord injury. J Spinal Cord Med. 2015;38(4):446-55.
http://www.ncbi.nlm.nih.gov/pubmed/24621050

Saffari M, Pakpour AH, Yaghobidoot M, Al zaben F, Koenige HG. Cross-cultural adaptation of the spinal cord lesion-related coping strategies questionnaire for use in Iran. Injury. 2015;46(8):1539-44.
http://www.ncbi.nlm.nih.gov/pubmed/26003680

Willer B, Ottenbacher KJ, Coad ML. The Community Integration Questionnaire: A comparative Examination. Am. J. Phys. Med. Rehabil. 1994 103-110.
http://www.ncbi.nlm.nih.gov/pubmed/8148099