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Rehab Measures: Community Integration Questionnaire II

Link to instrument

Community Integration Questionnaire II 

Title of Assessment

Community Integration Questionnaire II 

Acronym

CIQ-II

Instrument Reviewer(s)

Initially reviewed by the Rehabilitation Measures Team; Updated by Anna de Joya, PT, DSc, NCS, Sue Saliga, PT, DHSc, CEEAA, and the TBI EDGE task force of the Neurology Section of the APTA in 2012.

Summary Date

1/20/2013 

Purpose

Like the original CIQ, the CIQ-2 is designed to assess Activities of Daily Living (ADL) across several domains.

Description

CIQ-2 items address “aspects of everyday life”. Items assess "the facts - about how things actually are". Responses describe frequency, level, or type of community activity and/or status/role.
 
Each CIQ-2 question is supplemented with 3 additional questions that include:
  • How satisfied or dissatisfied are you with an activity?
  • Would like this to change?
  • How important would this change be to you?

Area of Assessment

Activities of Daily Living; Life Participation 

Body Part

Not Applicable 

ICF Domain

Activity; Participation 

Domain

ADL; Motor 

Assessment Type

Patient Reported Outcomes 

Length of Test

06 to 30 Minutes 

Time to Administer

20 to 30 minutes

Number of Items

48 

Equipment Required

None

Training Required

None

Type of training required

Reading an Article/Manual 

Cost

Free 

Actual Cost

Free

Age Range

Adult: 18-64 years; Elderly adult: 65+ 

Administration Mode

Paper/Pencil 

Diagnosis

Acquired Brain Injury; Arthritis; Cardiac Conditions; Cerebral Palsy; Chronic Obstructive Pulmonary Disease; Concussion; Fibromyalgia; Geriatrics; Hip fracture; Hip Fracture; Knee Dysfunction; Lower Limb Amputation; Movement Disorders; Multiple Sclerosis; Neck Injury; Pain; Parkinson’s Disease; Peripheral Neuropathy; Pulmonary Disease; Spinal Cord Injury; Stroke; Traumatic Brain Injury; Vestibular Disorders 

Populations Tested

Applicable to any diagnosis that affects daily living

Standard Error of Measurement (SEM)

Not Established

Minimal Detectable Change (MDC)

Not Established

Minimally Clinically Important Difference (MCID)

Not Established

Cut-Off Scores

Not Established

Normative Data

Acute TBI: (Johnston et al, 2005; n = 162; moderate to severe TBI; 90% assessed 1 month after discharge from rehab; mean age = 44.8 (17.6) years)

  • Functional/instrumental activities (24 items; mean across items)
    • 1 Month: Satisfaction = 2.0, Desire to change = 18.6%
    • 12 Month Satisfaction 2.5, Desire to change = 9.9%
  • Social/recreational items (24 items; mean outcome measurements)
    • 1 Month: Satisfaction = 2.1, Desire to change = 20.9%
    • 12 Month Satisfaction 2.5, Desire to change = 12.9%

Test-retest Reliability

Not Established

Interrater/Intrarater Reliability

Not Established

Internal Consistency

Not Established

Criterion Validity (Predictive/Concurrent)

Acute TBI: (Johnston et al, 2005) Correlations between community activities and satisfaction with those activities:
  • Functional/instrumental activities
    • 1 month median correlation = 0.17 (Correlations are Kendall's tau)
    • 12 month median correlation = 0.21 (Correlations are Kendall's tau)
  • Social/recreational items
    • 1 month median correlation = 0.18 (Correlations are Kendall's tau)
    • 12 month median correlation = 0.21 (Correlations are Kendall's tau)
  • Some CIQ-2 activities have low or little relation to satisfaction of individuals with TBI

Construct Validity (Convergent/Discriminant)

Not Established

Content Validity

Acute TBI: (Whiteneck et al, 2011; n = 400;mean age = 36.6 (17.0) years; assessed 1 to 15 years post injury) Participation Assessment with Recombined Tools–Objective = (PART-O)
  • Excellent relationship between the PART-O and CIQ-2 total score (r = 0.83)
  • Excellent relationship between the PART-O and the CIQ-2 Social Integration subscale  r = 0.79
  • Excellent relationship between the PART-O and the CIQ-2 Productivity subscale r = 0.62
  • Adequate relationship between the PART-O and the CIQ-2 Home Integration r = 0.52

Face Validity

Not Statistically Assessed

Floor/Ceiling Effects

Not Established

Responsiveness

Not Established

Professional Association Recommendations

Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association’s Multiple Sclerosis Taskforce (MSEDGE), Parkinson’s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (VEDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.

 

For detailed information about how recommendations were made, please visit:  http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations

 

Abbreviations:

HR

Highly Recommend

R

Recommend

LS / UR

Reasonable to use, but limited study in target group  / Unable to Recommend

NR

Not Recommended

 

Recommendations based on level of care in which the assessment is taken:

 

Acute Care

Inpatient Rehabilitation

Skilled Nursing Facility

Outpatient

Rehabilitation

Home Health

TBI EDGE

NR

NR

NR

NR

NR

 

Recommendations for use based on ambulatory status after brain injury:

 

Completely Independent

Mildly dependant

Moderately Dependant

Severely Dependant

TBI EDGE

N/A

N/A

N/A

N/A

 

Recommendations for entry-level physical therapy education and use in research:

 

Students should learn to administer this tool? (Y/N)

Students should be exposed to tool? (Y/N)

Appropriate for use in intervention research studies? (Y/N)

Is additional research warranted for this tool (Y/N)

TBI EDGE

No

No

No

Not reported

Considerations

Not Established
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Bibliography

Johnston, M. V., Goverover, Y., et al. (2005). "Community activities and individuals' satisfaction with them: quality of life in the first year after traumatic brain injury." Archives of physical medicine and rehabilitation 86(4): 735-745. Find it on PubMed

Whiteneck, G. G., Dijkers, M. P., et al. (2011). "Development of the Participation Assessment With Recombined Tools-Objective for Use After Traumatic Brain Injury." Arch Phys Med Rehabil. Find it on PubMed

Year published

1999 

Instrument in PDF Format

Yes 
Approval Status Approved 
 
Attachments
Created at 3/15/2011 3:21 PM  by Jason Raad 
Last modified at 12/12/2016 9:05 AM  by Jason Raad