Translation and Initial Validation of the Chinese (Cantonese) Version of Community Integration Measure for Use in Patients with Chronic Stroke

Abstract

Objectives. To (1) translate and culturally adapt the English version Community Integration Measure into Chinese (Cantonese), (2) report the results of initial validation of the Chinese (Cantonese) version of CIM (CIM-C) including the content validity, internal consistency, test-retest reliability, and factor structure of CIM-C for use in stroke survivors in a Chinese community setting, and (3) investigate the level of community integration of stroke survivors living in Hong Kong. Design. Cross-sectional study. Setting. University-based rehabilitation centre. Participants. 62 (n = 62) subjects with chronic stroke. Methods. The CIM-C was produced after forward-backward translation, expert panel review, and pretesting. 25 (n = 25) of the same subjects were reassessed after a 1-week interval. Results. The items of the CIM-C demonstrated high internal consistency with a Cronbach's α of 0.84. The CIM-C showed good test-retest reliability with an intraclass correlation coefficient (ICC) of 0.84 (95% confidence interval, 0.64–0.93). A 3-factor structure of the CIM-C including “relationship and engagement,” “sense of knowing,” and “independent living,” was consistent with the original theoretical model. Hong Kong stroke survivors revealed a high level of community integration as measured by the CIM-C (mean (SD): 43.48 (5.79)). Conclusions. The CIM-C is a valid and reliable measure for clinical use.

Effectiveness of a combination of cognitive behavioral therapy and task-oriented balance training in reducing the fear of falling in patients with chronic stroke: study protocol for a randomized controlled trial

“…Community reintegration will be measured using the Chinese version of the Community Integration Measure (CIM-C) [ 52 ]. The CIM-C consists of ten items on a five-point scale representing the respondents’ self-reported sense of community reintegration.…”

“…The CIM-C consists of ten items on a five-point scale representing the respondents’ self-reported sense of community reintegration. The CIM has been used for patients with various chronic illnesses, such as acquired brain injury [ 53 ] and stroke [ 52 ].…”

Reliability and concurrent validity of standardized walking obstacle course test in people with stroke

“…The CIM was conducted through an individual face-to-face interview. High test-retest reliability (ICC = 0.84), good internal consistency (Cronbach's alpha = 0.84) and content validity were established in people with chronic stroke (16).…”

“…The CIM measures the level of community integration (16). As ability to negotiate obstacles is expected to affect the level of community integration, the CIM was included as one of the outcome measures.…”

Sideways walk test: Reliability and association with lower limb motor function after stroke

“…The CIM-C instrument is a questionnaire assessing community integration, designed for individuals with stroke living in Hong Kong (25). The instrument has 10 items, with each item soliciting a rating on a 5-point scale, giving the total score from 10 to 50.…”