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Participation Survey of Mobility Limited people

Participation Survey of Mobility Limited People

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Purpose

The PARTS/M is composed of 2 measures: one of participation and one of environmental barriers and facilitators to participation.

Link to Instrument

Instrument Details

Acronym PARTS/M

Area of Assessment

Activities of Daily Living
Functional Mobility
Life Participation

Assessment Type

Patient Reported Outcomes

Administration Mode

Paper & Pencil

Cost

Free

Diagnosis/Conditions

  • Cerebral Palsy
  • Multiple Sclerosis
  • Spinal Cord Injury
  • Stroke Recovery

Key Descriptions

  • The PARTS/M is a self-report instrument used to assess participation in major life activities among people with mobility impairments and limitations.
  • Key Item Sub Domains:
    1) Self-care (i.e., dressing, bathing, bladder care, bowel care, meals)
    2) Mobility (i.e., moving within the home, leaving home, vacations)
    3) Domestic life (i.e., working inside the home, exterior maintenance)
    4) Interpersonal (i.e., parenting, intimacy)
    5) Major life areas (i.e., employment, volunteering, money management)
    6) Community, social, and civic life (i.e., community and religious acts)
  • Each activity is evaluated on 4 participation components:
    1) Temporal—frequency and time taken
    2) Evaluative— choice, satisfaction, importance
    3) Health-related
    4) Supportive—human and environmental

Number of Items

135

Time to Administer

20-90 minutes

20 to 40 minutes for web based version, 60 to 90 minutes for the hard copy version

Required Training

Reading an Article/Manual

Age Ranges

Adolescent

13 - 17

years

Adult

18 - 64

years

Instrument Reviewers

Initially reviewed by the Rehabilitation Measures Team; Updated with references from the TBI population 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.

ICF Domain

Participation

Measurement Domain

Activities of Daily Living

Professional Association Recommendation

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 (Vestibular EDGE) 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:  

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

The PARTS/M does NOT include items that assess:

  • Level of independence
  • ControlAutonomy
  • Desirability
  • Needs
  • Time taken to prepare to do an activity
  • Management of people providing help
  • Quality of assistive technologies

Do you see an error or have a suggestion for this instrument summary? Please e-mail us!

Movement and Gait Disorders

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Test/Retest Reliability

People with Mobility Impairments: (Gray et al, 2006; n = 371; mean age = 51.5 (range 17-92) years; test-retest reliability assessed 6 to 8 weeks after the first survey)

 

Temporal questions for all 20 activities:

  • Excellent test re-test "Frequency" (r = 0.80)

  • Excellent test re-test "Time in participation" (r = 0.81)

PARTS/M Internal Consistency and Test-Retest Reliabilities:

 

 

Domain

Strength

Pearson r

Self-care

Excellent

.91

Dressing

Excellent

.81

Bathing

Excellent

.84

Bladder care

Excellent

.84

Bowel care

Excellent

.85

Meals

Adequate

.79

Mobility

Excellent

.91

Move inside home

Adequate

.70

Leave home

Excellent

.82

Vacations

Excellent

.81

Domestic life

Excellent

.83

Work inside home

Excellent

.80

Exterior maintenance

Adequate

.76

Interpersonal interactions and relationships domain

Adequate

.77

Parenting

Adequate

.75

Intimacy

Adequate

.76

Major life areas

Adequate

.77

Employment

Adequate

.79

Volunteering

Adequate

.73

Money management

Poor

.69

Community, social, and civic life

Excellent

.82

Community acts

Adequate

.76

Religious acts

Adequate

.77

Socializing

Adequate

.75

Leisure acts

Poor

.63

Active recreation

Adequate

.71

Internal Consistency

People with Mobility Impairments: (Gray et al, 2006; n = 604; mean age = 51.5 (range 17-92) years)

Temporal questions for all 20 activities:

  • Poor internal consistency for "Frequency" (alpha = 0.64)

  • Adequate internal consistency "Time in participation" (alpha = 0.70) 

 

PARTS/M Internal Consistency and Test-Retest Reliabilities:

 

 

Domain

Strength

Cronbach alpha

Self-care domain

Excellent

.92

Dressing

Poor

.61

Bathing

Poor

.66

Bladder care

Adequate

.71

Bowel care

Adequate

.75

Meals

Poor

.58

Mobility domain

Adequate

.72

Move inside home

Poor

.57

Leave home

Poor

.40

Vacations

Poor

.54

Domestic life domain

Adequate

.72

Work inside home

Poor

.54

Exterior maintenance

Poor

.45

Interpersonal interactions and relationships domain

Adequate

.71

Parenting

Poor

.58

Intimacy

Poor

.48

Major life areas domain

Excellent

.81

Employment

Poor

.46

Volunteering

Poor

.59

Money management

Poor

.56

Community, social, and civic life domain

Excellent

.85

Community acts

Poor

.53

Religious acts

Poor

.50

Socializing

Poor

.48

Leisure acts

Poor

.43

Active recreation

Poor

.42

Construct Validity

People with Mobility Impairments: (Gray et al, 2006)

  • Excellent canonical correlation between PARTS/M and the The Reintegration to Normal Living (RNL) scale (r = 0.7, p < 0.001)

Content Validity

Items on the PARTS/M were developed using interviews with 15 Subject Mater Experts. These interviews were augmented the input of 15 focus groups.

Face Validity

Items were generated using the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework.

Bibliography

Gray, D. B. and Hendershot, G. E. (2000). "The ICIDH-2: developments for a new era of outcomes research." Archives of physical medicine and rehabilitation 81(12; SUPP/2): 10-14.

Gray, D. B., Hollingsworth, H. H., et al. (2006). "PARTS/M: Psychometric properties of a measure of participation for people with mobility impairments and limitations." Archives of physical medicine and rehabilitation 87(2): 189-197.