Quality of Life Concepts

Secondary Health Conditions

Impediments to Community Integration (ICI)

Description: This is a condition-specific tool that assesses how bowel dysfunction impedes on community participation (community integration) following spinal cord injury (SCI).

Format: 16 statements reflecting 3 identified general areas of life: 1. Leisure activities, 2. Socializing with friends and family, and 3. Feeling bad about oneself.

Scoring: Respondents are asked to rate how much a specific activity was affected by their current bowel dysfunction on a scale from 1 (not at all) to 10 (very much).

Administration and Burden: Approximately 10 minutes.

Psychometrics for SCI: Reliability scores for each sub-scale were found to be acceptable (primary relationships, α = .89; feelings about self, α = .88; home environment, α = .71).  

Languages: English

QoL Concept: The ICI measures the impact of bowel dysfunction on Participation in relation to three areas. This corresponds to Boxes C (achievements) and E (subjective evaluations and reactions) on Dijker’s Model.

Permissions/Where to Obtain: Public Domain; The ICI can be obtained in this journal article:

Roach MJ, Frost FS, Creasey G. Social and personal consequences of acquired bowel dysfunction for persons with spinal cord injury. J Spinal Cord Med 2000; 23: 263-269.

CLICK ON THE LISTED SECONDARY HEALTH CONDITIONS ON THE LEFT TO READ HOW THE ICI HAS BEEN USED WITH A PARTICULAR CONDITION

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