Community Integration Questionnaire II

Last Updated

January 20, 2013

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Purpose

Like the original CIQ, the CIQ-2 is designed to assess ADLs across several domains.

Acronym CIQ-II

Area of Assessment

Activities of Daily Living
Life Participation

Assessment Type

Patient Reported Outcomes

Administration Mode

Paper & Pencil

Cost

Free

Diagnosis/Conditions

Arthritis + Joint Conditions
Brain Injury Recovery
Cardiac Dysfunction
Cerebral Palsy
Parkinson's Disease & Neurologic Rehabilitation
Pulmonary Disorders
Spinal Cord Injury
Stroke Recovery
Vestibular Disorders

Brain Injury

CIQ-2 items address “aspects of everyday life" and assess "the facts - about how things actually are."
Responses describe:
1) Frequency
2) Level
3) Type of community activity
4) Status/role
Each CIQ-2 question is supplemented with 3 additional questions that include:
1) How satisfied or dissatisfied are you with an activity?
2) Would like this to change?
3) How important would this change be to you?

Number of Items

20-30 minutes

Required Training

Reading an Article/Manual

Adult

18 - 64

years

Elderly Adult

65 +

years

Instrument Reviewers

Initially reviewed by the Rehabilitation Measures Team; Updated 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

Activity
Participation

Measurement Domain

Activities of Daily Living
Motor

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: http://www.neuropt.org/go/healthcare-professionals/neurology-section-outcome-measures-recommendations

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

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

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

Normative Data

Acute TBI: (Johnston et al, 2005; n = 162; moderate to severe TBI; 90% assessed 1 month after discharge from rehab; mean age = 44.8 (17.6) years)

Functional/instrumental activities (24 items; mean across items)
- 1 Month: Satisfaction = 2.0, Desire to change = 18.6%
- 12 Month Satisfaction 2.5, Desire to change = 9.9%
Social/recreational items (24 items; mean outcome measurements)
- 1 Month: Satisfaction = 2.1, Desire to change = 20.9%
- 12 Month Satisfaction 2.5, Desire to change = 12.9%

Criterion Validity (Predictive/Concurrent)

Acute TBI: (Johnston et al, 2005) Correlations between community activities and satisfaction with those activities:

Functional/instrumental activities
- 1 month median correlation = 0.17 (Correlations are Kendall's tau)
- 12 month median correlation = 0.21 (Correlations are Kendall's tau)
Social/recreational items
- 1 month median correlation = 0.18 (Correlations are Kendall's tau)
- 12 month median correlation = 0.21 (Correlations are Kendall's tau)

Some CIQ-2 activities have low or little relation to satisfaction of individuals with TBI

Content Validity

Acute TBI: (Whiteneck et al, 2011; n = 400;mean age = 36.6 (17.0) years; assessed 1 to 15 years post injury) Participation Assessment with Recombined Tools–Objective = (PART-O)

Excellent relationship between the PART-O and CIQ-2 total score (r = 0.83)
Excellent relationship between the PART-O and the CIQ-2 Social Integration subscale r = 0.79
Excellent relationship between the PART-O and the CIQ-2 Productivity subscale r = 0.62
Adequate relationship between the PART-O and the CIQ-2 Home Integration r = 0.52

Bibliography

Johnston, M. V., Goverover, Y., et al. (2005). "Community activities and individuals' satisfaction with them: quality of life in the first year after traumatic brain injury." Archives of physical medicine and rehabilitation 86(4): 735-745. Find it on PubMed

Whiteneck, G. G., Dijkers, M. P., et al. (2011). "Development of the Participation Assessment With Recombined Tools-Objective for Use After Traumatic Brain Injury." Arch Phys Med Rehabil. Find it on PubMed