Study design: Consensus decision-making process. Objectives: The objective of this study was to develop an International Spinal Cord Injury (SCI) Activities and Participation (A&P) Basic Data Set. Setting: International working group. Methods: A committee of experts was established to select and define A&P data elements to be included in this data set. A draft data set was developed and posted on the International Spinal Cord Society (ISCoS) and American Spinal Injury Association websites and was also disseminated among appropriate organizations for review. Suggested revisions were considered, and a final version of the A&P Data Set was completed. Results: Consensus was reached to define A&P and to incorporate both performance and satisfaction ratings. Items that were considered core to each A&P domain were selected from two existing questionnaires. Four items measuring activities were selected from the Spinal Cord Independence Measure III to provide basic data on task execution in activities of daily living. Eight items were selected from the Craig Handicap Assessment and Reporting Technique to provide basic data on the frequency of participation. An additional rating of satisfaction on a three-point scale for each item completes the total of 24 A&P variables.
INTRODUCTIONSpinal cord injury (SCI) affects all body functions below the level of the neurological lesion, and people with SCI may therefore experience a wide range of impairments in body functions, activities and participation and quality of life. 1,2 The typical spectrum of activity limitations and participation restrictions relates to mobility such as transfers and locomotion, self-care activities such as bathing, dressing and toileting, difficulties in regaining employment, maintaining social relationships, participating in leisure activities and being active members of the community. 3,4 The social, economical and psychological consequences for an individual with SCI are significant and usually lifelong and are the result of a complex interaction of factors, including, but not limited to, acute neurological recovery, medical intervention and support from rehabilitation and social reintegration services. 3 To facilitate comparisons regarding injuries, treatments and outcomes between individuals with SCI, treatment centers and countries,