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Published in: Quality of Life Research 8/2019

Open Access 01-08-2019

A qualitative study investigating the meaning of participation to improve the measurement of this construct

Authors: Astrid de Wind, Allard J. van der Beek, Edwin J. Boezeman, Rosalie Swenneker, Johannes R. Anema, Angela G. E. M. de Boer, Heleen Beckerman, Jan L. Hoving, Karen Nieuwenhuijsen, Micky Scharn, Mariska Stam, Caroline B. Terwee, Monique H. W. Frings-Dresen, Sietske J. Tamminga

Published in: Quality of Life Research | Issue 8/2019

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Abstract

Purpose

The purpose of this study was to improve the measurement of participation. Research questions were as follows: (1) What constitutes participation according to adults? (2) Do they mention participation subdomains that are not covered in the Patient-Reported Outcomes Measurement Information System (PROMIS) item bank “Ability to Participate in Social Roles and Activities”?

Methods

Semi-structured interviews were conducted with 46 adults from the general population. Interviews were thematically analysed using the International Classification of Functioning, Disability and Health (ICF) as conceptual framework. Thereafter, assigned codes were compared to PROMIS item bank.

Results

Participants mentioned a variety of participation subdomains that were meaningful to them, such as socializing and employment. All subdomains could be classified into the ICF. The following subdomains were not covered by the PROMIS item bank: acquisition of necessities, education life, economic life, community life, and religion and spirituality. Also a distinction between remunerative (i.e. paid) and non-remunerative (i.e. unpaid) employment, and domestic life was missing. Several ICF sub-codes were not mentioned, such as ceremonies.

Conclusions

Many participation subdomains were mentioned to be meaningful. As several of these subdomains are not covered in the PROMIS item bank, it may benefit from extension with new (patient-)reported subdomains of participation.
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Metadata
Title
A qualitative study investigating the meaning of participation to improve the measurement of this construct
Authors
Astrid de Wind
Allard J. van der Beek
Edwin J. Boezeman
Rosalie Swenneker
Johannes R. Anema
Angela G. E. M. de Boer
Heleen Beckerman
Jan L. Hoving
Karen Nieuwenhuijsen
Micky Scharn
Mariska Stam
Caroline B. Terwee
Monique H. W. Frings-Dresen
Sietske J. Tamminga
Publication date
01-08-2019
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 8/2019
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02179-9

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