Participation Survey of Mobility Limited People

Last Updated

January 21, 2013

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Purpose

The PARTS/M is composed of 2 measures: one of participation and one of environmental barriers and facilitators to participation.

Link to Instrument

Instrument Details

Acronym PARTS/M

Area of Assessment

Activities of Daily Living
Functional Mobility
Life Participation

Assessment Type

Patient Reported Outcomes

Administration Mode

Paper & Pencil

Cost

Free

Diagnosis/Conditions

Cerebral Palsy
Multiple Sclerosis
Spinal Cord Injury
Stroke Recovery

Movement and Gait Disorders

The PARTS/M is a self-report instrument used to assess participation in major life activities among people with mobility impairments and limitations.
Key Item Sub Domains:
1) Self-care (i.e., dressing, bathing, bladder care, bowel care, meals)
2) Mobility (i.e., moving within the home, leaving home, vacations)
3) Domestic life (i.e., working inside the home, exterior maintenance)
4) Interpersonal (i.e., parenting, intimacy)
5) Major life areas (i.e., employment, volunteering, money management)
6) Community, social, and civic life (i.e., community and religious acts)
Each activity is evaluated on 4 participation components:
1) Temporal—frequency and time taken
2) Evaluative— choice, satisfaction, importance
3) Health-related
4) Supportive—human and environmental

Number of Items

135

20-90 minutes

20 to 40 minutes for web based version, 60 to 90 minutes for the hard copy version

Required Training

Reading an Article/Manual

Adolescent

13 - 17

years

Adult

18 - 64

years

Instrument Reviewers

Initially reviewed by the Rehabilitation Measures Team; Updated with references from the TBI population 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

Participation

Measurement Domain

Activities of Daily Living

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

The PARTS/M does NOT include items that assess:

Level of independence
ControlAutonomy
Desirability
Needs
Time taken to prepare to do an activity
Management of people providing help
Quality of assistive technologies

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

Test/Retest Reliability

People with Mobility Impairments: (Gray et al, 2006; n = 371; mean age = 51.5 (range 17-92) years; test-retest reliability assessed 6 to 8 weeks after the first survey)

Temporal questions for all 20 activities:

Excellent test re-test "Frequency" (r = 0.80)
Excellent test re-test "Time in participation" (r = 0.81)

PARTS/M Internal Consistency and Test-Retest Reliabilities:
Domain	Strength	Pearson r
Self-care	Excellent	.91
Dressing	Excellent	.81
Bathing	Excellent	.84
Bladder care	Excellent	.84
Bowel care	Excellent	.85
Meals	Adequate	.79
Mobility	Excellent	.91
Move inside home	Adequate	.70
Leave home	Excellent	.82
Vacations	Excellent	.81
Domestic life	Excellent	.83
Work inside home	Excellent	.80
Exterior maintenance	Adequate	.76
Interpersonal interactions and relationships domain	Adequate	.77
Parenting	Adequate	.75
Intimacy	Adequate	.76
Major life areas	Adequate	.77
Employment	Adequate	.79
Volunteering	Adequate	.73
Money management	Poor	.69
Community, social, and civic life	Excellent	.82
Community acts	Adequate	.76
Religious acts	Adequate	.77
Socializing	Adequate	.75
Leisure acts	Poor	.63
Active recreation	Adequate	.71

Internal Consistency

People with Mobility Impairments: (Gray et al, 2006; n = 604; mean age = 51.5 (range 17-92) years)

Temporal questions for all 20 activities:

Poor internal consistency for "Frequency" (alpha = 0.64)
Adequate internal consistency "Time in participation" (alpha = 0.70)

PARTS/M Internal Consistency and Test-Retest Reliabilities:
Domain	Strength	Cronbach alpha
Self-care domain	Excellent	.92
Dressing	Poor	.61
Bathing	Poor	.66
Bladder care	Adequate	.71
Bowel care	Adequate	.75
Meals	Poor	.58
Mobility domain	Adequate	.72
Move inside home	Poor	.57
Leave home	Poor	.40
Vacations	Poor	.54
Domestic life domain	Adequate	.72
Work inside home	Poor	.54
Exterior maintenance	Poor	.45
Interpersonal interactions and relationships domain	Adequate	.71
Parenting	Poor	.58
Intimacy	Poor	.48
Major life areas domain	Excellent	.81
Employment	Poor	.46
Volunteering	Poor	.59
Money management	Poor	.56
Community, social, and civic life domain	Excellent	.85
Community acts	Poor	.53
Religious acts	Poor	.50
Socializing	Poor	.48
Leisure acts	Poor	.43
Active recreation	Poor	.42

Construct Validity

People with Mobility Impairments: (Gray et al, 2006)

Excellent canonical correlation between PARTS/M and the The Reintegration to Normal Living (RNL) scale (r = 0.7, p < 0.001)

Content Validity

Items on the PARTS/M were developed using interviews with 15 Subject Mater Experts. These interviews were augmented the input of 15 focus groups.

Face Validity

Items were generated using the International Classification of Functioning, Disability and Health (ICF) as a conceptual framework.

Bibliography

Gray, D. B. and Hendershot, G. E. (2000). "The ICIDH-2: developments for a new era of outcomes research." Archives of physical medicine and rehabilitation 81(12; SUPP/2): 10-14. Find it on PubMed

Gray, D. B., Hollingsworth, H. H., et al. (2006). "PARTS/M: Psychometric properties of a measure of participation for people with mobility impairments and limitations." Archives of physical medicine and rehabilitation 87(2): 189-197. Find it on PubMed