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Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy
Community-based rehabilitation (CBR) is a multi-sectorial community strategy for guaranteeing that people with disabilities enjoy the same rights and opportunities as all other community members. CBR is organized in a five-component matrix—namely, health, education, social, livelihood, and empowerme...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583160/ https://www.ncbi.nlm.nih.gov/pubmed/34769774 http://dx.doi.org/10.3390/ijerph182111256 |
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author | Tofani, Marco Esposito, Giuseppina Berardi, Anna Galeoto, Giovanni Iorio, Silvia Marceca, Maurizio |
author_facet | Tofani, Marco Esposito, Giuseppina Berardi, Anna Galeoto, Giovanni Iorio, Silvia Marceca, Maurizio |
author_sort | Tofani, Marco |
collection | PubMed |
description | Community-based rehabilitation (CBR) is a multi-sectorial community strategy for guaranteeing that people with disabilities enjoy the same rights and opportunities as all other community members. CBR is organized in a five-component matrix—namely, health, education, social, livelihood, and empowerment. To measure the effectiveness of CBR, the World Health Organization (WHO) has developed standardized indicators. The objective of the present study is to translate and validate the CBR indicators (CBR-Is), providing preliminary evidence of their use for disability in Italy. After obtaining permission from the WHO, the CBR-Is followed a process of translation and cross-cultural adaptation according to international guidelines. An examination of internal consistency and reliability was than performed. The intra-rater reliability was estimated using the Intraclass Correlation Coefficient with a 95% confidence interval. In order to measures the differences between people with and without disabilities, an independent sample t-test was used for quantitative indicators. The Italian version of the CBR-Is (IT-CBR-Is) was administered to 234 people. The internal consistency showed a good value, with a Cronbach’s alpha coefficient of 0.862, and the intra-rater reliability analysis showed solid values for each domain (range: 0.723–0.882). Statistically significant differences between people with and without disabilities were found for each domain of the CBR matrix—namely, health, social, education, livelihood, and empowerment. The IT-CBR-Is are consistent and reliable measures when used to investigate disability in a community-based inclusive development perspective. National stakeholders can now have specific indicators to implement services and actions for people with disabilities. |
format | Online Article Text |
id | pubmed-8583160 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-85831602021-11-12 Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy Tofani, Marco Esposito, Giuseppina Berardi, Anna Galeoto, Giovanni Iorio, Silvia Marceca, Maurizio Int J Environ Res Public Health Article Community-based rehabilitation (CBR) is a multi-sectorial community strategy for guaranteeing that people with disabilities enjoy the same rights and opportunities as all other community members. CBR is organized in a five-component matrix—namely, health, education, social, livelihood, and empowerment. To measure the effectiveness of CBR, the World Health Organization (WHO) has developed standardized indicators. The objective of the present study is to translate and validate the CBR indicators (CBR-Is), providing preliminary evidence of their use for disability in Italy. After obtaining permission from the WHO, the CBR-Is followed a process of translation and cross-cultural adaptation according to international guidelines. An examination of internal consistency and reliability was than performed. The intra-rater reliability was estimated using the Intraclass Correlation Coefficient with a 95% confidence interval. In order to measures the differences between people with and without disabilities, an independent sample t-test was used for quantitative indicators. The Italian version of the CBR-Is (IT-CBR-Is) was administered to 234 people. The internal consistency showed a good value, with a Cronbach’s alpha coefficient of 0.862, and the intra-rater reliability analysis showed solid values for each domain (range: 0.723–0.882). Statistically significant differences between people with and without disabilities were found for each domain of the CBR matrix—namely, health, social, education, livelihood, and empowerment. The IT-CBR-Is are consistent and reliable measures when used to investigate disability in a community-based inclusive development perspective. National stakeholders can now have specific indicators to implement services and actions for people with disabilities. MDPI 2021-10-26 /pmc/articles/PMC8583160/ /pubmed/34769774 http://dx.doi.org/10.3390/ijerph182111256 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Tofani, Marco Esposito, Giuseppina Berardi, Anna Galeoto, Giovanni Iorio, Silvia Marceca, Maurizio Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy |
title | Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy |
title_full | Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy |
title_fullStr | Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy |
title_full_unstemmed | Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy |
title_short | Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy |
title_sort | community-based rehabilitation indicators: validation and preliminary evidence for disability in italy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583160/ https://www.ncbi.nlm.nih.gov/pubmed/34769774 http://dx.doi.org/10.3390/ijerph182111256 |
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