Self-administered questionnaire developed using the ICF model of human functioning and disability.
Developed using input from experienced clinicians and individuals attending an out-patient rehabilitation unit (e.g. stroke, SCI, rheumatoid arthritis, and neuromuscular conditions).
Assesses autonomy and participation as perceived by the individual.
Measures two different aspects of participation: perceived participation and the experience of problems for each aspect of participation.
The participation domains include:
1) autonomy outdoors (e.g. visiting friends, leisure time)
2) autonomy indoors (e.g. self-care)
3) family role (e.g. housework)
4) social relations
5) paid work and education.
Items should be acceptable and relevant to individuals with SCI as the IPAQ was developed using input from experienced clinicians and individuals attending an out-patient rehabilitation unit.
The perceived participation scale consists of 31 items which are assessed using a 5 point rating scale (1 = very good and 5 = very poor) and the problem scale contains 8 items which are assessed using a 3 point rating scale (0 = no problem and 2 = severe problem).
Administration requires approximately 20 minutes.
Number of Items
A participation score (range: 30-155) and a problem score (0-16) are produced by summing items in each scale.
Cardol M, Beelen A, van den Bos GA, de Jong BA, de Groot IJ, de Haan RJ. Responsiveness of the Impact on Participation and Autonomy Questionnaire. Arch Phys Med Rehabil 2002; 83:1524-1529. http://www.ncbi.nlm.nih.gov/pubmed/12422319
Cardol M, de Haan RJ, van den Bos GA, de Jong BA, de Groot IJ. The development of a handicap assessment questionnaire: the Impact on Participation and Autonomy (IPA). Clin Rehabil 1999;13:411-419. http://www.ncbi.nlm.nih.gov/pubmed/10498348
Cardol M, de Haan RJ, de Jong BA, van den Bos GA, de Groot IJ. Psychometric properties of the Impact on Participation and Autonomy Questionnaire. Arch Phys Med Rehabil 2001; 82:210-216. http://www.ncbi.nlm.nih.gov/pubmed/11239312
Cardol M, de Jong BA, van den Bos GA, Beelem A, de Groot IJ, de Haan RJ. Beyond disability: perceived participation in people with a chronic disabling condition. Clin Rehabil 2002;16:27-35. http://www.ncbi.nlm.nih.gov/pubmed/11841066
Lund ML, Nordlund A, Nygard L, Lexell J, Bernspang B. Perceptions of participation and predictors of perceived problems with participation in persons with spinal cord injury. J Rehabil Med, 2005; 37(1): 3-8. http://www.ncbi.nlm.nih.gov/pubmed/15788326
Lund ML, Nordlund A, Bernspang B, Lexell J. Perceived participation and problems in participation are determinants in life satisfaction in people with spinal cord injury. Disability & Rehabilitation, 2007; 29(18): 1417-22. http://www.ncbi.nlm.nih.gov/pubmed/17729088
Noonan VK, Kopec JA, Noreau L, Singer J, Masse LC, Dvorak MF. Comparing the reliability of five participation instruments in persons with spinal conditions. J Rehabil Med, 2010; 42: 735-43. http://www.ncbi.nlm.nih.gov/pubmed/20809055
Noonan VK, Kopec JA, Noreau L, Singer J, Masse LC, Dvorak MF. Comparing the validity of five participation instruments in persons with spinal conditions. J Rehabil Med, 2010; 42: 724-34. http://www.ncbi.nlm.nih.gov/pubmed/20809054
Sibley A, Kersten P, Ward CD, White B, Mehta R, George S. Measuring autonomy in disabled people: validation of a new scale in a UK population. Clin Rehabil, 2006; 20:793-803. http://www.ncbi.nlm.nih.gov/pubmed/17005503
Suttiwong J, Vongsirinavarat M, Vachalathiti R, Chaiyawat P. Impact on participation and autonomy questionnaire: psychometric properties of the thai version. J Phys Ther Sci. 2013;25(7):769-74. http://www.ncbi.nlm.nih.gov/pubmed/24259849