Dissertation
Relationship between community integration questionnaire (CIQ) scores and outcome in outpatient brain injury rehabilitation
Doctor of Philosophy (Ph.D.), Drexel University
1998
DOI:
https://doi.org/10.17918/00009733
Abstract
The Community Integration Questionnaire (CIQ) has been developed for measurement of involvement in community activities, and has been used widely in brain injury rehabilitation settings. It is a self-report, multiple choice format questionnaire, with three subscales measuring home integration, social integration, and productive activity. The CIQ has been shown to discriminate between individuals with and without brain injury as well as among people with brain injury living in different situations. Standardized normative data is lacking, however, and sociodemographic concerns have been raised with regard to CIQ scores. Gender differences have been most consistent, with females performing higher than males on the subscale measuring home integration. The importance of obtaining retrospective pre-injury measures for relative comparison has been emphasized, due to the potential for individual differences even in the absence of a disability. No previous longitudinal studies have been published to compare CIQ change scores as a within-subject variable, in which each subject serves as his or her own control. The present study included 22 adults with acquired brain injury, referred for an outpatient brain injury rehabilitation evaluation. Pre-injury estimates of CIQ scores were calculated from available information regarding level of functioning just prior to the time of injury. The CIQ was administered to all subjects at the time of initial evaluation (pre-treatment) and again at the time of discharge from the program (post-treatment). All subjects received rehabilitation services through the Drucker Brain Injury Center/Community Re-Entry Program at MossRehab Hospital in Philadelphia, PA. Data were collected utilizing a retrospective chart review technique. Absolute and change scores were calculated for pre-injury, pre-treatment, and post-treatment periods. Analyses revealed significant decline in total CIQ score from pre-injury to pre-treatment, as well as significant improvement in total CIQ score from pre-treatment to post-treatment. Findings were significant for total and productive activity change scores according to whether the projected outcome had been achieved. Patterns of change were examined according to category of projected outcome. Sociodemographic, injury and rehabilitation variables were analyzed, with inconsistent results. The CIQ appears to be most sensitive to changes in productive activity after brain injury and subsequent rehabilitation with a vocational emphasis.
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Details
- Title
- Relationship between community integration questionnaire (CIQ) scores and outcome in outpatient brain injury rehabilitation
- Creators
- Stephanie J. Wingate
- Contributors
- Anthony Philip Glascock (Advisor) - Drexel University, Drexel University (1970-)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Philosophy (Ph.D.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- x, 72 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- College of Arts and Sciences; Drexel University
- Other Identifier
- 991021888952004721