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Measuring participation across impairment groups using the Craig Handicap Assessment Reporting Technique
Nancy Walker1, David Mellick, C A Brooks
1Craig Hospital Research Department, Englewood, Colorado 80110, USA.
Objective:
To assess the efficacy, across a range of disability groups, of the Craig Handicap Assessment and Reporting Technique (CHART), a measure of societal participation.
Design:
Cross-sectional analysis survey methodology. A total of 1110 community-based, nonhospitalized Coloradans with spinal cord injury, traumatic brain injury, multiple sclerosis, stroke, burn, or amputation were interviewed twice, 2 wks apart, using the CHART and a single administration of the FIM.
Results:
Across all impairment groups, the intraclass correlation for the total score and the subscales of CHART-R were high. In addition, the CHART-R discriminated among the impairment categories in a direction that parallels increasing disability.
Conclusions:
CHART may be an appropriate measure of handicap for a range of physical or cognitive impairments.
