Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy

Community-based rehabilitation (CBR) is a multi-sectorial community strategy for guaranteeing that people with disabilities enjoy the same rights and opportunities as all other community members. CBR is organized in a five-component matrix—namely, health, education, social, livelihood, and empowerme...

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Autores principales:	Marco Tofani, Giuseppina Esposito, Anna Berardi, Giovanni Galeoto, Silvia Iorio, Maurizio Marceca
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	disability community-based rehabilitation community-based inclusive development reliability indicators Medicine R
Acceso en línea:	https://doaj.org/article/b06ca0fdd24743e0adfa892e7eced425
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id	oai:doaj.org-article:b06ca0fdd24743e0adfa892e7eced425
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spelling	oai:doaj.org-article:b06ca0fdd24743e0adfa892e7eced4252021-11-11T16:24:19ZCommunity-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy10.3390/ijerph1821112561660-46011661-7827https://doaj.org/article/b06ca0fdd24743e0adfa892e7eced4252021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11256https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Community-based rehabilitation (CBR) is a multi-sectorial community strategy for guaranteeing that people with disabilities enjoy the same rights and opportunities as all other community members. CBR is organized in a five-component matrix—namely, health, education, social, livelihood, and empowerment. To measure the effectiveness of CBR, the World Health Organization (WHO) has developed standardized indicators. The objective of the present study is to translate and validate the CBR indicators (CBR-Is), providing preliminary evidence of their use for disability in Italy. After obtaining permission from the WHO, the CBR-Is followed a process of translation and cross-cultural adaptation according to international guidelines. An examination of internal consistency and reliability was than performed. The intra-rater reliability was estimated using the Intraclass Correlation Coefficient with a 95% confidence interval. In order to measures the differences between people with and without disabilities, an independent sample <i>t</i>-test was used for quantitative indicators. The Italian version of the CBR-Is (IT-CBR-Is) was administered to 234 people. The internal consistency showed a good value, with a Cronbach’s alpha coefficient of 0.862, and the intra-rater reliability analysis showed solid values for each domain (range: 0.723–0.882). Statistically significant differences between people with and without disabilities were found for each domain of the CBR matrix—namely, health, social, education, livelihood, and empowerment. The IT-CBR-Is are consistent and reliable measures when used to investigate disability in a community-based inclusive development perspective. National stakeholders can now have specific indicators to implement services and actions for people with disabilities.Marco TofaniGiuseppina EspositoAnna BerardiGiovanni GaleotoSilvia IorioMaurizio MarcecaMDPI AGarticledisabilitycommunity-based rehabilitationcommunity-based inclusive developmentreliabilityindicatorsMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11256, p 11256 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	disability community-based rehabilitation community-based inclusive development reliability indicators Medicine R
spellingShingle	disability community-based rehabilitation community-based inclusive development reliability indicators Medicine R Marco Tofani Giuseppina Esposito Anna Berardi Giovanni Galeoto Silvia Iorio Maurizio Marceca Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy
description	Community-based rehabilitation (CBR) is a multi-sectorial community strategy for guaranteeing that people with disabilities enjoy the same rights and opportunities as all other community members. CBR is organized in a five-component matrix—namely, health, education, social, livelihood, and empowerment. To measure the effectiveness of CBR, the World Health Organization (WHO) has developed standardized indicators. The objective of the present study is to translate and validate the CBR indicators (CBR-Is), providing preliminary evidence of their use for disability in Italy. After obtaining permission from the WHO, the CBR-Is followed a process of translation and cross-cultural adaptation according to international guidelines. An examination of internal consistency and reliability was than performed. The intra-rater reliability was estimated using the Intraclass Correlation Coefficient with a 95% confidence interval. In order to measures the differences between people with and without disabilities, an independent sample <i>t</i>-test was used for quantitative indicators. The Italian version of the CBR-Is (IT-CBR-Is) was administered to 234 people. The internal consistency showed a good value, with a Cronbach’s alpha coefficient of 0.862, and the intra-rater reliability analysis showed solid values for each domain (range: 0.723–0.882). Statistically significant differences between people with and without disabilities were found for each domain of the CBR matrix—namely, health, social, education, livelihood, and empowerment. The IT-CBR-Is are consistent and reliable measures when used to investigate disability in a community-based inclusive development perspective. National stakeholders can now have specific indicators to implement services and actions for people with disabilities.
format	article
author	Marco Tofani Giuseppina Esposito Anna Berardi Giovanni Galeoto Silvia Iorio Maurizio Marceca
author_facet	Marco Tofani Giuseppina Esposito Anna Berardi Giovanni Galeoto Silvia Iorio Maurizio Marceca
author_sort	Marco Tofani
title	Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy
title_short	Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy
title_full	Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy
title_fullStr	Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy
title_full_unstemmed	Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy
title_sort	community-based rehabilitation indicators: validation and preliminary evidence for disability in italy
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/b06ca0fdd24743e0adfa892e7eced425
work_keys_str_mv	AT marcotofani communitybasedrehabilitationindicatorsvalidationandpreliminaryevidencefordisabilityinitaly AT giuseppinaesposito communitybasedrehabilitationindicatorsvalidationandpreliminaryevidencefordisabilityinitaly AT annaberardi communitybasedrehabilitationindicatorsvalidationandpreliminaryevidencefordisabilityinitaly AT giovannigaleoto communitybasedrehabilitationindicatorsvalidationandpreliminaryevidencefordisabilityinitaly AT silviaiorio communitybasedrehabilitationindicatorsvalidationandpreliminaryevidencefordisabilityinitaly AT mauriziomarceca communitybasedrehabilitationindicatorsvalidationandpreliminaryevidencefordisabilityinitaly
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Community-Based Rehabilitation Indicators: Validation and Preliminary Evidence for Disability in Italy

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