To examine the validity and reliability of a modified reintegration to normal living index mrnl index with a sample of communitydwelling adults with mixed diagnoses. Measuring the effectiveness of interventions is accepted as being central to good practice. Like quality of life, it is important to measure when therapeutic goals cannot include a cure but are directed at controlling the disease process or fostering compensation for impairment. The reintegration to normal living index rnli is an 11item scale that was validated to measure rnl. Crosscultural adaptation and validation of the reintegration. Reintegration to normal living index rnli is a generic 11item questionnairebased instrument that measures the degree to. Chinese version of the reintegration to normal living index. Selfreport questionnaire that assesses an individuals satisfaction with performance in life. Reintegration to normal living index rnli is a generic 11item questionnaire based instrument that measures the degree to which individuals. Development and validation of the chinese version of. Reintegration to normal living rnl index spinal cord injury. To determine the validity construct, concurrent of the reintegration to normal.
Construct validity was tested on 76 patients by examining correlations between the modified rnli and related scales. Good practice requires that the psychometric proper. Like the original rnli 15, the rlnic has 2 subscales, with the first 8 items representing daily functioning and the remaining 3 perception of self. Validation of the reintegration to normal living indexin a population. Retest reliability of the reintegration to normal living. Reintegration to normal living index rnli by heather. It consists of 11 questions with a visual analogue scale vas response 10 cm line with anchor points ranging from does not describe my situation to fully describes my situation. Each individual was asked to rate each of the 11 items on a 4point scale. Validation of the reintegration to normal living index for communitydwelling persons with chronic spinal cord injury. Despite our best intentions in capturing the essence around the discussion on reintegration, we may have not portrayed everything, including some significant practices, and we look forward to receiving additional contributions so that we can be as holistic and comprehensive as possible, while keeping this document a living one.
Pdf on jun 1, 2014, jeanmarc bugnicourt and others published. This questionnaire comprises 11 items covering physical, social, and psychological dimensions of daily living. Jan 22, 20 determinants of satisfaction with community reintegration in older adults with chronic stroke. Reintegration to normal living rnl index spinal cord. Fortythree 54% patients were cognitively impaired, 47 52% had restrictions in reintegration, and 30 32% endorsed symptoms of depression. Jul 12, 2019 this is a generic tool developed in canada for assessing perceived reintegration to normal living community reintegration after an incapacitating illness. Reintegration to normal living rnl is about the ability of an individual to reform hisher physiopsychosocial characteristics into a harmonious whole so as to resume living a welladjusted life after an incapacitating illness or trauma 5. Sci edge outcome measures for entrylevel education.
The instrument can be used to evaluate the degree to which the patient has been able to return to a normal life. Older adults scored significantly lower on rnli at 18 to 24 months if they had few social interactions, cognitive impairment, or lower prefracture functional status. Assessing the impact of caregiver outcomes on function and. During followup, greater independence in activities. The psychometric properties of the chinese versionreintegration to normal living index crnli for identifying participation restriction among communitydwelling frail older people. Use and psychometric properties of the reintegration to normal. Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. Fortyfive percent of the study participants increased the number of hours spent per week in meaningful activity outside the. Reintegration to normal living was defined by the scale authors as the reorganization of physical, psychological, and social characteristics of an individual into a. The psychometric properties of the chinese versionreintegration. Reintegration to normal living index rnli is a generic 11item questionnairebased instrument that measures the degree to which individuals.
The psychometric properties of the chinese version. These skills are considered more complex than the basic activities of daily living as measured by the katz index of adls see try this. Most of the available community reintegration measures were developed and validated in developed countries and might therefore not be suitable for use in developing countries. Reliability was examined using testretest on 26 stroke patients. Both the total score sum points all 11 items and the adjusted score total score110 100 can be calculated. The minimal detectable difference of the index score was 14. Many individuals with late effects of polio have difficulties participating in daily activities. The chinese version of the reintegration to normal living index had good internal consistency cronbachs. The purpose of this study was to psychometrically test the validity and reliability of the reintegration to normal living index rnli as a measure of community reintegration in a population of communitydwelling people living with spinal cord injury plwsci in south africa. Reintegration to normal living index how is reintegration. Reintegration to normal living rnl is about the ability of an individual to reform hisher physiopsychosocial characteristics into a harmonious whole so as to resume living a welladjusted life after an incapacitating illness or trauma. Reintegration to normal living as a proxy to quality of life. The reintegration to normal living index score was significantly lower in the stroke group than in controls p pdf download. Reliability and validity of a postal version of the.
One promising participation measure from a subjective standpoint that is brief, has a low administrative burden, and has the potential for routine use in the clinical setting is the reintegration to normal living rnl index. The reintegration to normal living index rnli assesses the consequences of a health conditiondisease upon the resumption of normal life daneski et al 2003. Reintegration to normal living was defined by the authors as the reorganization of physical, psychological, and social characteristics of an individual into a. Psychometric validation of the reintegration to normal living. The reintegration to normal living index rnli was developed to assess, quantitatively, the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities e. It is a descriptive and evaluative tool that can be administered as an interview or can be filled in by the clients on. Objective to determine the validity construct, concurrent of the reintegration to normal living rnl index for measurement of community participation in adults with chronic spinal cord injury sci. Of these, 79, 91, and 93 patients completed the montreal cognitive assessment, reintegration to normal living index, and patient health questionnaire2, respectively. It allows the patients to determine the extent to which the statement in question applies to their specific situation. Predictors of reintegration to normal living in older adults.
The rnli has not, however, been tested in south africa. Reintegration to normal living index rehabmeasures database. Each of these items is accompanied by a visual analog scale vas anchored by phrases reflecting whether the statement describes the situation of the patient. It consists of 11 questions with a visual analogue scale vas response 10 cm line with anchor points ranging from does not describe my situation. Dynamic gait index functional gait assessment multidimensional pain inventory, sci version penn spasm frequency scale reintegration to normal living index satisfaction with life scale medical council short form36 sickness impact profile spinal cord injury independence measure. Measurement properties of a modified reintegration to. The participants reintegration to normal living was evaluated 3 months later n86 with the reintegration to normal living index. Journal of rehabilitation medicine abstract development. Rnl abbreviation stands for reintegration to normal living index. The reintegration to normal living index postal rnlip was developed from the rnli for use by mail in people with chronic stroke. Its psychometric properties remain unknown when used to measure participation restriction under the world health organizations international classification of functioning, disability, and health. Factors associated with reintegration to normal living after.
Functional independence measure, bakas caregiving outcomes scale, reintegration to normal living index across admission, discharge, and followup. Motor function was assessed using the motor assessment scale mas, psd by the hamilton depression scale, and community reintegration by the reintegration to normal living index rnli. This is a self administered outcome measure that takes up 10 minutes to complete. The reintegration to normal living index score was significantly lower in the stroke group than in controls p index, namely, daily functioning and perception of self. A change for the worst in caregivers was associated with improvements in functioning between admission and discharge p reintegration to normal living index rnli, and the secondary outcome was caregiver burden. Its psychometric properties remain unknown when used to measure participation restriction under the world health organizations international classification of functioning, disability, and health whoicf framework. Worksheet document there are 11 items in the reintegration to normal living index. Reintegration to normal living as a proxy to quality of life, j chron dis, 406.
Development and validation of the chinese version of the reintegration to normal living index for use with stroke patients. Reliability and validity of a postal version of the reintegration to. This study was aimed at crossculturally adapting and validating the original english visual analogue scale version of the reintegration to normal living index rnli into. The specific objectives of each of the studies are listed below.
The reintegration to normal living index rnli was developed to measure reintegration to normal living after major traumasillnesses. There was no difference in montreal cognitive assessment. Journal of rehabilitation medicine development and. Rnli abbreviation stands for reintegration to normal living index. Validation of the reintegration to normal living index for. Development and validation of the chinese version of the.
Pdf validation of the reintegration to normal living index. Nov 30, 2004 community reintegration was assessed by the reintegration to normal living index rnl. The reintegration to normal living index rnli overview. Dynamic gait index functional gait assessment multidimensional pain inventory, sci version penn spasm frequency scale reintegration to normal living index satisfaction with life scale medical council short form36 sickness impact profile spinal cord injury independence measure walking index for spinal cord injury ii world health organization. Pdf use and psychometric properties of the reintegration to.
Reliability and validity of the turkish reintegration to. The reintegration to normal living index rnli is a global assessment of the quality of life qol of people persons with disabilities. This page presents the best available information on how outcome measures for stroke might be classified and selected for use, based upon their measurement qualities. Pain presence, pain impact and pain intensity were assessed using single item likherttype scales. From multivariate regression analyses, functional independence. There are 11 items in the reintegration to normal living index. Mar 22, 2019 many individuals with late effects of polio have difficulties participating in daily activities. Predictors of reintegration to normal living in older. To adapt the reintegration to normal living index rnli for postal use with stroke patients. The lawton instrumental activities of daily living iadl. Crosscultural adaptation and validation of the reintegration to normal living index into igbo language among individuals with mobility disability emmanuel chiebuka okoye, 1 stella onyinye oyedum, 1 christopher olusanjo akosile, 1 ifeoma uchenna onwuakagba, 1 peter olanrewaju ibikunle, 1 uchenna prosper okonkwo, 2 and ifeoma adaigwe okeke 1. Wooddaughnee et al developed the reintegration to normal living index rnli to evaluate the global function status of a patient during rehabilitation.
Reintegration to normal living index rnli stroke engine. The phrasing of each item was modified and a rating scale of agree or disagree was used rather than a vas. The concept of reintegration is closely allied to functional performance. To determine the validity construct, concurrent of the reintegration to normal living rnl index for measurement of community participation in adults with chronic spinal cord injury sci. Factors associated with reintegration to normal living. It is a descriptive and evaluative tool that can be administered as an interview or can be filled in by the clients on their own or can even be administered by proxy. What is the abbreviation for reintegration to normal living index. Reintegration to normal living index how is reintegration to normal living index abbreviated. Pdf reintegration to normal living after stroke researchgate. This is a generic tool developed in canada for assessing perceived reintegration to normal living community reintegration after an incapacitating illness.
Jan 31, 2017 the reintegration to normal living index rnli was developed to measure reintegration to normal living after major traumasillnesses. The reintegration to normal living rnl index assesses global function in individuals after incapacitating illness or severe trauma wooddauphinee et al. A reintegration to normal living rnl index has been developed. Objective to determine the validity construct, concurrent of the reintegration to normal living rnl index for measurement of community participation in adults. The rnl index, which was developed in the rehabilitation community, is used to assess patients reintegration into normal social activities, including recreation, movement in the community, and interaction in family or other relationships. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.
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