Validation of two scales for measuring participation and perceived stigma in Chinese community-based rehabilitation programs.

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TitleValidation of two scales for measuring participation and perceived stigma in Chinese community-based rehabilitation programs.
Publication TypeJournal Article
AuthorsChung EY-H, Lam G
Abbrev. JournalHealth Qual Life Outcomes
JournalHealth and quality of life outcomes
Year of Publication2018
Volume16
Issue1
Pagination105
Publication Languageeng
Abstract

BACKGROUND: The World Health Organization has asserted the importance of enhancing participation of people with disabilities within the International Classification of Functioning, Disability and Health framework. Participation is regarded as a vital outcome in community-based rehabilitation. The actualization of the right to participate is limited by social stigma and discrimination. To date, there is no validated instrument for use in Chinese communities to measure participation restriction or self-perceived stigma. This study aimed to translate and validate the Participation Scale and the Explanatory Model Interview Catalogue (EMIC) Stigma Scale for use in Chinese communities with people with physical disabilities.

METHODS: The Chinese versions of the Participation Scale and the EMIC stigma scale were administered to 264 adults with physical disabilities. The two scales were examined separately. The reliability analysis was studied in conjunction with the construct validity. Reliability analysis was conducted to assess the internal consistency and item-total correlation. Exploratory factor analysis was conducted to investigate the latent patterns of relationships among variables. A Rasch model analysis was conducted to test the dimensionality, internal validity, item hierarchy, and scoring category structure of the two scales.

RESULTS: Both the Participation Scale and the EMIC stigma scale were confirmed to have good internal consistency and high item-total correlation. Exploratory factor analysis revealed the factor structure of the two scales, which demonstrated the fitting of a pattern of variables within the studied construct. The Participation Scale was found to be multidimensional, whereas the EMIC stigma scale was confirmed to be unidimensional. The item hierarchies of the Participation Scale and the EMIC stigma scale were discussed and were regarded as compatible with the cultural characteristics of Chinese communities.

CONCLUSION: The Chinese versions of the Participation Scale and the EMIC stigma scale were thoroughly tested in this study to demonstrate their robustness and feasibility in measuring the participation restriction and perceived stigma of people with physical disabilities in Chinese communities. This is crucial as it provides valid measurements to enable comprehensive understanding and assessment of the participation and stigma among people with physical disabilities in Chinese communities.

PubMed URL

http://www.ncbi.nlm.nih.gov/pubmed/29843809?dopt=Abstract

DOI10.1186/s12955-018-0938-3
Download PDFhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5975695/pdf/12955_2018_Article_938.pdf
PubMed Central IDPMC5975695
Grant ListSEC/RSS2016-17-011 / / Education University of Hong Kong /
2014-00-74-RGC140301 / / Tung Wah College /