• The Assessment of Life Habits (LIFE-H) was developed to measure what people do in their lives on a daily basis in 12 domains/categories.
  • 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

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.

ICF Domain

Participation

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.

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.

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.

Languages

French, English, Dutch, and Malay.

Training Required

None

Availability

The Assessment of Life Habits Scale can be purchased here.

Number of studies reporting psychometric properties: 4

Interpretability

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

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), 11 male, 29 female):

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

(Noreau et al. 2004)

Reliability – Moderate to High

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

(Fougeyrollas et al. 1998; n=49; 24 children, 25 adults; cervical, thoracic and lumbar; community living; mean (SD) time since injury: 10.9 (4.7) years for children, 12.2 (8.3) years for adults)

Validity – Low to High

  • Correlations between the LIFE-H and the CHART-Physical Independence subscale are High (Spearman’s r = 0.89).
  • Correlations between the LIFE-H and the CHART-Occupation subscale are Moderate (Spearman’s r = 0.36).
  • Correlations between the LIFE-H and the CHART-Mobility subscale are Moderate (Spearman’s r = 0.33).
  • Correlations between the LIFE-H and the CHART-Social integration subscale are Low (Spearman’s r = 0.14).

(Noreau & Fougeyrollas 2000; n=482; mean age = 42 years; mean time since injury = 15 years)

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.

Reviewers

Dr. Carlos L. Cano-Herrera, Elsa Sun

Date Last Updated

31 December 2024

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. https://pubmed.ncbi.nlm.nih.gov/15204486/

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