• Is a self-report measure which assesses participation and activity limitations under to the ICF model
  • It contains 9 domains, representing all 9 chapters under the Activities and Participation domain. Two subscale scores (Activity, Participation) and a total score can be obtained.

Clinical Considerations

  • The questions concern aspects of daily life in which a person could possibly experience limitations as a consequence of their health or disability

ICF Domain

Activities and Participation ▶ All 9 chapters

Administration

  • Self-report measurement

Number of Items

32 items

Equipment

None

Scoring

  • Items scored 0-3.

    Subscale and total scores are sums of item scores transformed to a 0-100 scale.

    Higher scores indicate greater participation.

Languages

English.

Training Required

Does not require advanced training.

Availability

Currently unavailable.

# of studies reporting psychometric properties: 3

Interpretability

  • Higher scores indicate greater participation
  • Typical values: Mean (SD) Scores:
    • Total = 69.6 (13.0)
    • Activities = 66.1 (12.7)
    • Participation = 73.9 (15.1)

(van der Zee et al. 2014; n=157, 104 males; 59.2% paraplegia, 69.4% motor complete; mean (SD) time post-SCI = 25.3 (26.8) years)

MCID: not established for SCI
SEM: not established for SCI. However, in patients with various other neuromuscular conditions = 4.4
(van der Zee et al. 2010; n=47; 15 males; various diagnoses; mean (SD) age 50.6 (11.8))

MDC: not established for SCI. However, in patients with various other neuromuscular conditions = 12.1
(van der Zee et al. 2010; n=47; 15 males; various diagnoses; mean (SD) age 50.6 (11.8))

Reliability

High Test-retest Reliability:

  • Total: ICC = 0.88 – 0.94

(van der Zee et al. 2010; n=47; 15 males; various diagnoses; mean (SD) age 50.6 (11.8))
(Post et al. 2008; n=275 (13% SCI); mean (SD) age: 40.4 (15.8) years; 65.9% males; 58.8% employed or in full-time education; mean (SD) duration: 2.2 (0.9) years)

High Internal Consistency:

  • Total Cronbach’s alpha = 0.92 – 0.96

(van der Zee et al. 2014; n=157, 104 males; 59.2% paraplegia, 69.4% motor complete; mean (SD) time post-SCI = 25.3 (26.8) years)
(Post et al. 2008; n=275 (13% SCI); mean (SD) age: 40.4 (15.8) years; 65.9% males; 58.8% employed or in full-time education; mean (SD) duration: 2.2 (0.9) years)

Validity

  • High correlation with World Health Organization Disability Assessment Schedule II (WHODAS II):
    • IMPACT-S Total: r = -0.78 to -0.88
    • IMPACT-S Activities: r = -0.70
    • IMPACT-S Participation: r = -0.77
  • Low to High correlation with Utrecht Scale for Evaluation of Rehabilitation (USER) participation subscale:
    • IMPACT-S Total:
      USER-Participation Frequency: r = 0.32
      USER-Participation Restriction: r = 0.73
      USER-Participation Satisfaction: r = 0.38
    • IMPACT-S Activities:
      USER-Participation Frequency: r = 0.30
      USER-Participation Restriction: r = 0.67
      USER-Participation Satisfaction: r = 0.28
    • IMPACT-S Participation:
      USER-Participation Frequency: r = 0.34
      USER-Participation Restriction: r = 0.74
      USER-Participation Satisfaction: r = 0.47

(Post et al. 2008; n=275 (13% SCI); mean (SD) age: 40.4 (15.8) years; 65.9% males; 58.8% employed or in full-time education; mean (SD) duration: 2.2 (0.9) years)
(van der Zee et al. 2014; n=157, 104 males; 59.2% paraplegia, 69.4% motor complete; mean (SD) time post-SCI = 25.3 (26.8) years)

Responsiveness

  • Effect Size:
    Between admission and discharge: 0.32 [0.29*] Discharge to follow-up: -0.14
  • Standard Response Mean:
    Admission to discharge: 0.40 [0.37*] Discharge to follow-up: -0.21
    *N=87 subgroup containing SCI participants

    (van der Zee et al. 2011; n=395; 211 males; various neuromuscular conditions, < 22% with SCI; mean (SD) age 52.1 (13.6))

Floor/Ceiling Effect

Not established in SCI

Reviewers

Dr. Carlos L. Cano-Herrera, Tyra Chu

Date Last Updated

31 December 2024

Post MW, van der zee CH, Hennink J, Schafrat CG, Visser-meily JM, van Berlekom SB. Validity of the utrecht scale for evaluation of rehabilitation-participation. Disabil Rehabil. 2012;34(6):478-85.
http://www.ncbi.nlm.nih.gov/pubmed/21978031

van der Zee CH, Kap A, Rambaran mishre R, Schouten EJ, Post MW. Responsiveness of four participation measures to changes during and after outpatient rehabilitation. J Rehabil Med. 2011;43(11):1003-9.
http://www.ncbi.nlm.nih.gov/pubmed/22031346

van der Zee CH, Post MW, Brinkhof MW, Wagenaar RC. Comparison of the Utrecht Scale for Evaluation of Rehabilitation-Participation with the ICF Measure of Participation and Activities Screener and the WHO Disability Assessment Schedule II in persons with spinal cord injury. Arch Phys Med Rehabil. 2014;95(1):87-93.
http://www.ncbi.nlm.nih.gov/pubmed/24008052

van der Zee CH, Priesterbach AR, van der Dussen L, et al. Reproducibility of three self-report participation measures: The ICF Measure of Participation and Activities Screener, the Participation Scale, and the Utrecht Scale for Evaluation of Rehabilitation-Participation. J Rehabil Med. 2010;42(8):752-7.
http://www.ncbi.nlm.nih.gov/pubmed/20809057