Quality of Life Concepts

Secondary Health Conditions

Craig Handicap Assessment and Reporting Technique (CHART)

Description: The CHART was developed to assess the degree of handicap experienced by persons with spinal cord injury (SCI) across 6 domains: Orientation, Physical Independence, Mobility, Occupational Functioning, Social Integration, and Economic Self-Sufficiency [1].

Format: 32 items that are combined to provide sub-scale scores.

Scoring: The scoring scale has been calibrated to yield 100 for non-disabled respondents and 0 for persons with maximal handicap. Each domain can receive a maximum score of 100. Domain scores also can be combined to form a total score.

Administration and Burden: The CHART is administered by interview, either in person or over the telephone, and takes approximately 15 minutes. It is also possible to use the instrument as a mailed or self-administered questionnaire, although some data could potentially be lost.

Psychometrics for SCI: Test-retest reliability coefficients for the different sub-scales of the CHART range between .80 and .95. Validity of the scale has been shown to be high for individuals with SCI.

Languages: The CHART has been translated from English into Spanish, Japanese, Chinese, Korean, and Italian.

QoL Concept: The CHART is a measure of handicap, which corresponds to Boxes B (societal standards and priorities) and C (achievements; activities of daily living; community reintegration) of Dijker’s Model.

Permissions/Where to Obtain: Public Domain; The CHART can be obtained at the Centre for Outcome Measurement in Brain Injury at: http://tbims.org/combi/chart/index.html.

References:

  1. Whiteneck G, Charlifue SW, Gerhart KA,olser JD, Richardson GN. Quantifying handicap: A new measure of long-term rehabilitation outcomes. Arch Phys Med Rehabil 1992;73:519-26.

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

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