Participation restrictions in patients with psychiatric and/or cognitive disabilities: preliminary results for an ICF-derived assessment tool.
Identifieur interne : 001281 ( Main/Exploration ); précédent : 001280; suivant : 001282Participation restrictions in patients with psychiatric and/or cognitive disabilities: preliminary results for an ICF-derived assessment tool.
Auteurs : C. Belio [France] ; A. Prouteau [France] ; M. Koleck [France] ; Y. Saada [France] ; K. Merceron [France] ; E. Dayre [France] ; J M Destaillats [France] ; C. Barral [France] ; J M Mazaux [France]Source :
- Annals of physical and rehabilitation medicine [ 1877-0665 ] ; 2014.
Descripteurs français
- KwdFr :
- Activités de loisirs (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Autosoins (MeSH), Classification internationale du fonctionnement, du handicap et de la santé (MeSH), Cognition (MeSH), Concept du soi (MeSH), Emploi (MeSH), Femelle (MeSH), Humains (MeSH), Jeune adulte (MeSH), Lésions encéphaliques (psychologie), Mâle (MeSH), Participation sociale (MeSH), Psychologie des schizophrènes (MeSH), Psychométrie (MeSH), Relations interpersonnelles (MeSH), Soutien social (MeSH), Échelles d'évaluation en psychiatrie (MeSH).
- MESH :
- psychologie : Lésions encéphaliques.
- Activités de loisirs, Adulte, Adulte d'âge moyen, Autosoins, Classification internationale du fonctionnement, du handicap et de la santé, Cognition, Concept du soi, Emploi, Femelle, Humains, Jeune adulte, Mâle, Participation sociale, Psychologie des schizophrènes, Psychométrie, Relations interpersonnelles, Soutien social, Échelles d'évaluation en psychiatrie.
English descriptors
- KwdEn :
- Adult (MeSH), Brain Injuries (psychology), Cognition (MeSH), Employment (MeSH), Female (MeSH), Humans (MeSH), International Classification of Functioning, Disability and Health (MeSH), Interpersonal Relations (MeSH), Leisure Activities (MeSH), Male (MeSH), Middle Aged (MeSH), Psychiatric Status Rating Scales (MeSH), Psychometrics (MeSH), Schizophrenic Psychology (MeSH), Self Care (MeSH), Self Concept (MeSH), Social Participation (MeSH), Social Support (MeSH), Young Adult (MeSH).
- MESH :
- psychology : Brain Injuries.
- Adult, Cognition, Employment, Female, Humans, International Classification of Functioning, Disability and Health, Interpersonal Relations, Leisure Activities, Male, Middle Aged, Psychiatric Status Rating Scales, Psychometrics, Schizophrenic Psychology, Self Care, Self Concept, Social Participation, Social Support, Young Adult.
Abstract
UNLABELLED
Participation in community life is a major challenge for most people with psychiatric and/or cognitive disabilities. Current assessments of participation lack a theoretical basis. However, the new International Classification of Functioning, Disability and Health (ICF) provides a relevant framework.
AIMS
The present study used an ICF-derived assessment tool to activity limitations and participation restrictions in two groups of participants with disabilities linked to schizophrenia or traumatic brain injury respectively.
METHODS
Twenty-six items (related to six ICF sections) were selected by reviewing the literature and gathering the clinician's opinions and representatives of patient associations. These items, yielded an ordinal rating of activity limitations, participation restrictions and contextual factors (social support, attitudes and, systems & politics). Special attention was paid to contextual and environmental factors. The final checklist (called the Grid for Measurements of Activity and Participation, G-MAP) was administered to 16 participants with traumatic brain injury (the TBI group) and 15 participants with schizophrenic disorders (the SD group). Psychometric assessments of cognition and, neurobehavioural, psychological and psychosocial functioning were also performed.
RESULTS
The internal consistencies for activity limitations (Cronbach's alpha coefficient=0.89) and participation restriction (Cronbach's alpha coefficient=0.89) were satisfactory. We did not observe any significant differences between the two groups in terms of the psychometric test results. The G-MAP scores demonstrated that the two groups were confronted with the same limitations in self care, domestic life, leisure and community life (i.e., the intergroup differences were not statistically significant in Mann-Whitney tests). However, interpersonal relationships and economic and social productivity appeared to be more severely limited in the SD group than in the TBI group. Similarly, participation restrictions in domestic life, interpersonal relationships and economic and social productivity were more severe in the SD group than in the TBI group.
CONCLUSION
G-MAP is a useful, feasible, relevant tool for performing a detailed, individualized assessment of participation restrictions in people with psychiatric and/or cognitive disabilities.
DOI: 10.1016/j.rehab.2013.11.005
PubMed: 24364986
Affiliations:
- France
- Aquitaine, Nouvelle-Aquitaine, Poitou-Charentes, Région Bretagne
- Bordeaux, Jonzac, Rennes
- Université Bordeaux II
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Electronic address: christian.belio@chu-bordeaux.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Prouteau, A" sort="Prouteau, A" uniqKey="Prouteau A" first="A" last="Prouteau">A. Prouteau</name><affiliation wicri:level="4"><nlm:affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France; Centre hospitalier de Jonzac, 17500 Jonzac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France; Centre hospitalier de Jonzac, 17500 Jonzac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Poitou-Charentes</region><settlement type="city">Jonzac</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Koleck, M" sort="Koleck, M" uniqKey="Koleck M" first="M" last="Koleck">M. 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Saada</name><affiliation wicri:level="4"><nlm:affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Merceron, K" sort="Merceron, K" uniqKey="Merceron K" first="K" last="Merceron">K. Merceron</name><affiliation wicri:level="4"><nlm:affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Dayre, E" sort="Dayre, E" uniqKey="Dayre E" first="E" last="Dayre">E. Dayre</name><affiliation wicri:level="4"><nlm:affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Destaillats, J M" sort="Destaillats, J M" uniqKey="Destaillats J" first="J M" last="Destaillats">J M Destaillats</name><affiliation wicri:level="4"><nlm:affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France; Centre hospitalier de Jonzac, 17500 Jonzac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France; Centre hospitalier de Jonzac, 17500 Jonzac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Poitou-Charentes</region><settlement type="city">Jonzac</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Barral, C" sort="Barral, C" uniqKey="Barral C" first="C" last="Barral">C. Barral</name><affiliation wicri:level="3"><nlm:affiliation>EHESP MSSH, 35043 Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EHESP MSSH, 35043 Rennes</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Mazaux, J M" sort="Mazaux, J M" uniqKey="Mazaux J" first="J M" last="Mazaux">J M Mazaux</name><affiliation wicri:level="4"><nlm:affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:24364986</idno><idno type="pmid">24364986</idno><idno type="doi">10.1016/j.rehab.2013.11.005</idno><idno type="wicri:Area/Main/Corpus">001317</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001317</idno><idno type="wicri:Area/Main/Curation">001317</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001317</idno><idno type="wicri:Area/Main/Exploration">001317</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Participation restrictions in patients with psychiatric and/or cognitive disabilities: preliminary results for an ICF-derived assessment tool.</title><author><name sortKey="Belio, C" sort="Belio, C" uniqKey="Belio C" first="C" last="Belio">C. Belio</name><affiliation wicri:level="4"><nlm:affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France. Electronic address: christian.belio@chu-bordeaux.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Prouteau, A" sort="Prouteau, A" uniqKey="Prouteau A" first="A" last="Prouteau">A. Prouteau</name><affiliation wicri:level="4"><nlm:affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France; Centre hospitalier de Jonzac, 17500 Jonzac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France; Centre hospitalier de Jonzac, 17500 Jonzac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Poitou-Charentes</region><settlement type="city">Jonzac</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Koleck, M" sort="Koleck, M" uniqKey="Koleck M" first="M" last="Koleck">M. Koleck</name><affiliation wicri:level="4"><nlm:affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Saada, Y" sort="Saada, Y" uniqKey="Saada Y" first="Y" last="Saada">Y. Saada</name><affiliation wicri:level="4"><nlm:affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Merceron, K" sort="Merceron, K" uniqKey="Merceron K" first="K" last="Merceron">K. Merceron</name><affiliation wicri:level="4"><nlm:affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Dayre, E" sort="Dayre, E" uniqKey="Dayre E" first="E" last="Dayre">E. Dayre</name><affiliation wicri:level="4"><nlm:affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Destaillats, J M" sort="Destaillats, J M" uniqKey="Destaillats J" first="J M" last="Destaillats">J M Destaillats</name><affiliation wicri:level="4"><nlm:affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France; Centre hospitalier de Jonzac, 17500 Jonzac, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France; Centre hospitalier de Jonzac, 17500 Jonzac</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Poitou-Charentes</region><settlement type="city">Jonzac</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author><author><name sortKey="Barral, C" sort="Barral, C" uniqKey="Barral C" first="C" last="Barral">C. Barral</name><affiliation wicri:level="3"><nlm:affiliation>EHESP MSSH, 35043 Rennes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EHESP MSSH, 35043 Rennes</wicri:regionArea><placeName><region type="region" nuts="2">Région Bretagne</region><settlement type="city">Rennes</settlement></placeName></affiliation></author><author><name sortKey="Mazaux, J M" sort="Mazaux, J M" uniqKey="Mazaux J" first="J M" last="Mazaux">J M Mazaux</name><affiliation wicri:level="4"><nlm:affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex</wicri:regionArea><placeName><region type="region" nuts="2">Nouvelle-Aquitaine</region><region type="old region" nuts="2">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName><orgName type="university">Université Bordeaux II</orgName></affiliation></author></analytic><series><title level="j">Annals of physical and rehabilitation medicine</title><idno type="eISSN">1877-0665</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Brain Injuries (psychology)</term><term>Cognition (MeSH)</term><term>Employment (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>International Classification of Functioning, Disability and Health (MeSH)</term><term>Interpersonal Relations (MeSH)</term><term>Leisure Activities (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Psychiatric Status Rating Scales (MeSH)</term><term>Psychometrics (MeSH)</term><term>Schizophrenic Psychology (MeSH)</term><term>Self Care (MeSH)</term><term>Self Concept (MeSH)</term><term>Social Participation (MeSH)</term><term>Social Support (MeSH)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de loisirs (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Autosoins (MeSH)</term><term>Classification internationale du fonctionnement, du handicap et de la santé (MeSH)</term><term>Cognition (MeSH)</term><term>Concept du soi (MeSH)</term><term>Emploi (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Lésions encéphaliques (psychologie)</term><term>Mâle (MeSH)</term><term>Participation sociale (MeSH)</term><term>Psychologie des schizophrènes (MeSH)</term><term>Psychométrie (MeSH)</term><term>Relations interpersonnelles (MeSH)</term><term>Soutien social (MeSH)</term><term>Échelles d'évaluation en psychiatrie (MeSH)</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Lésions encéphaliques</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Brain Injuries</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Cognition</term><term>Employment</term><term>Female</term><term>Humans</term><term>International Classification of Functioning, Disability and Health</term><term>Interpersonal Relations</term><term>Leisure Activities</term><term>Male</term><term>Middle Aged</term><term>Psychiatric Status Rating Scales</term><term>Psychometrics</term><term>Schizophrenic Psychology</term><term>Self Care</term><term>Self Concept</term><term>Social Participation</term><term>Social Support</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de loisirs</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Classification internationale du fonctionnement, du handicap et de la santé</term><term>Cognition</term><term>Concept du soi</term><term>Emploi</term><term>Femelle</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Participation sociale</term><term>Psychologie des schizophrènes</term><term>Psychométrie</term><term>Relations interpersonnelles</term><term>Soutien social</term><term>Échelles d'évaluation en psychiatrie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>UNLABELLED</b></p><p>Participation in community life is a major challenge for most people with psychiatric and/or cognitive disabilities. Current assessments of participation lack a theoretical basis. However, the new International Classification of Functioning, Disability and Health (ICF) provides a relevant framework.</p></div><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>The present study used an ICF-derived assessment tool to activity limitations and participation restrictions in two groups of participants with disabilities linked to schizophrenia or traumatic brain injury respectively.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Twenty-six items (related to six ICF sections) were selected by reviewing the literature and gathering the clinician's opinions and representatives of patient associations. These items, yielded an ordinal rating of activity limitations, participation restrictions and contextual factors (social support, attitudes and, systems & politics). Special attention was paid to contextual and environmental factors. The final checklist (called the Grid for Measurements of Activity and Participation, G-MAP) was administered to 16 participants with traumatic brain injury (the TBI group) and 15 participants with schizophrenic disorders (the SD group). Psychometric assessments of cognition and, neurobehavioural, psychological and psychosocial functioning were also performed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The internal consistencies for activity limitations (Cronbach's alpha coefficient=0.89) and participation restriction (Cronbach's alpha coefficient=0.89) were satisfactory. We did not observe any significant differences between the two groups in terms of the psychometric test results. The G-MAP scores demonstrated that the two groups were confronted with the same limitations in self care, domestic life, leisure and community life (i.e., the intergroup differences were not statistically significant in Mann-Whitney tests). However, interpersonal relationships and economic and social productivity appeared to be more severely limited in the SD group than in the TBI group. Similarly, participation restrictions in domestic life, interpersonal relationships and economic and social productivity were more severe in the SD group than in the TBI group.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>G-MAP is a useful, feasible, relevant tool for performing a detailed, individualized assessment of participation restrictions in people with psychiatric and/or cognitive disabilities.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24364986</PMID><DateCompleted><Year>2015</Year><Month>04</Month><Day>13</Day></DateCompleted><DateRevised><Year>2014</Year><Month>03</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1877-0665</ISSN><JournalIssue CitedMedium="Internet"><Volume>57</Volume><Issue>2</Issue><PubDate><Year>2014</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Annals of physical and rehabilitation medicine</Title><ISOAbbreviation>Ann Phys Rehabil Med</ISOAbbreviation></Journal><ArticleTitle>Participation restrictions in patients with psychiatric and/or cognitive disabilities: preliminary results for an ICF-derived assessment tool.</ArticleTitle><Pagination><MedlinePgn>114-37</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.rehab.2013.11.005</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1877-0657(13)01334-1</ELocationID><Abstract><AbstractText Label="UNLABELLED">Participation in community life is a major challenge for most people with psychiatric and/or cognitive disabilities. Current assessments of participation lack a theoretical basis. However, the new International Classification of Functioning, Disability and Health (ICF) provides a relevant framework.</AbstractText><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">The present study used an ICF-derived assessment tool to activity limitations and participation restrictions in two groups of participants with disabilities linked to schizophrenia or traumatic brain injury respectively.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Twenty-six items (related to six ICF sections) were selected by reviewing the literature and gathering the clinician's opinions and representatives of patient associations. These items, yielded an ordinal rating of activity limitations, participation restrictions and contextual factors (social support, attitudes and, systems & politics). Special attention was paid to contextual and environmental factors. The final checklist (called the Grid for Measurements of Activity and Participation, G-MAP) was administered to 16 participants with traumatic brain injury (the TBI group) and 15 participants with schizophrenic disorders (the SD group). Psychometric assessments of cognition and, neurobehavioural, psychological and psychosocial functioning were also performed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The internal consistencies for activity limitations (Cronbach's alpha coefficient=0.89) and participation restriction (Cronbach's alpha coefficient=0.89) were satisfactory. We did not observe any significant differences between the two groups in terms of the psychometric test results. The G-MAP scores demonstrated that the two groups were confronted with the same limitations in self care, domestic life, leisure and community life (i.e., the intergroup differences were not statistically significant in Mann-Whitney tests). However, interpersonal relationships and economic and social productivity appeared to be more severely limited in the SD group than in the TBI group. Similarly, participation restrictions in domestic life, interpersonal relationships and economic and social productivity were more severe in the SD group than in the TBI group.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">G-MAP is a useful, feasible, relevant tool for performing a detailed, individualized assessment of participation restrictions in people with psychiatric and/or cognitive disabilities.</AbstractText><CopyrightInformation>Copyright © 2013 Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Belio</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France. Electronic address: christian.belio@chu-bordeaux.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prouteau</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France; Centre hospitalier de Jonzac, 17500 Jonzac, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koleck</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Saada</LastName><ForeName>Y</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Merceron</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>EA4139 santé et qualité de vie, université Bordeaux-Segalen, 33076 Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dayre</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Destaillats</LastName><ForeName>J M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France; Centre hospitalier de Jonzac, 17500 Jonzac, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barral</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>EHESP MSSH, 35043 Rennes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mazaux</LastName><ForeName>J M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>EA4136 handicap et système nerveux, institut de formation en ergothérapie, université Bordeaux-Segalen, IMS rue F.-Ferrer, 33076 Bordeaux cedex, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>12</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Ann Phys Rehabil Med</MedlineTA><NlmUniqueID>101502773</NlmUniqueID><ISSNLinking>1877-0657</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001930" MajorTopicYN="N">Brain Injuries</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003071" MajorTopicYN="N">Cognition</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004651" MajorTopicYN="N">Employment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D064702" MajorTopicYN="Y">International Classification of Functioning, Disability and Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007398" MajorTopicYN="N">Interpersonal Relations</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007899" MajorTopicYN="N">Leisure Activities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="Y">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011594" MajorTopicYN="N">Psychometrics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012565" MajorTopicYN="Y">Schizophrenic Psychology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012648" MajorTopicYN="N">Self Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="N">Self Concept</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058992" MajorTopicYN="N">Social Participation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012944" MajorTopicYN="N">Social Support</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Activity limitations</Keyword><Keyword MajorTopicYN="N">CIF</Keyword><Keyword MajorTopicYN="N">Environmental factors</Keyword><Keyword MajorTopicYN="N">Facteurs environnementaux</Keyword><Keyword MajorTopicYN="N">ICF</Keyword><Keyword MajorTopicYN="N">Participation</Keyword><Keyword MajorTopicYN="N">Participation restrictions</Keyword><Keyword MajorTopicYN="N">Schizophrenia</Keyword><Keyword MajorTopicYN="N">Schizophrénie</Keyword><Keyword MajorTopicYN="N">Traumatic brain injury</Keyword><Keyword MajorTopicYN="N">Traumatisme crânien</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2012</Year><Month>01</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>11</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>11</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2013</Year><Month>12</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2013</Year><Month>12</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24364986</ArticleId><ArticleId IdType="pii">S1877-0657(13)01334-1</ArticleId><ArticleId IdType="doi">10.1016/j.rehab.2013.11.005</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Aquitaine</li><li>Nouvelle-Aquitaine</li><li>Poitou-Charentes</li><li>Région Bretagne</li></region><settlement><li>Bordeaux</li><li>Jonzac</li><li>Rennes</li></settlement><orgName><li>Université Bordeaux II</li></orgName></list><tree><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Belio, C" sort="Belio, C" uniqKey="Belio C" first="C" last="Belio">C. Belio</name></region><name sortKey="Barral, C" sort="Barral, C" uniqKey="Barral C" first="C" last="Barral">C. Barral</name><name sortKey="Dayre, E" sort="Dayre, E" uniqKey="Dayre E" first="E" last="Dayre">E. Dayre</name><name sortKey="Destaillats, J M" sort="Destaillats, J M" uniqKey="Destaillats J" first="J M" last="Destaillats">J M Destaillats</name><name sortKey="Koleck, M" sort="Koleck, M" uniqKey="Koleck M" first="M" last="Koleck">M. Koleck</name><name sortKey="Mazaux, J M" sort="Mazaux, J M" uniqKey="Mazaux J" first="J M" last="Mazaux">J M Mazaux</name><name sortKey="Merceron, K" sort="Merceron, K" uniqKey="Merceron K" first="K" last="Merceron">K. Merceron</name><name sortKey="Prouteau, A" sort="Prouteau, A" uniqKey="Prouteau A" first="A" last="Prouteau">A. Prouteau</name><name sortKey="Saada, Y" sort="Saada, Y" uniqKey="Saada Y" first="Y" last="Saada">Y. Saada</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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