Craig Hospital Inventory of Environmental Factors (CHIEF)

Posted on: March 7, 2016 | By: kchildress | Filed under: Craig Hospital Inventory of Environmental Factors (CHIEF)

No additional updates to the CHIEF outcome measure at this time.

Source: Furtado SRC, Sampaio RF, Kirkwood RN, Vaz DV, Mancini MC. Moderating effect of the environment in the relationship between mobility and school participation in children and adolescents with cerebral palsy. Braz J Phys Ther. 2015 July-Aug; 19(4):311-319.

The purpose of this study was to discover the relationship between environmental factors in regards to children and adolescents diagnosed with Cerebral Palsy (CP) and the relationship between mobility and school participation. There were a total of 99 children ranging in age from 6-18 years old, with their parents/caregivers assistance throughout the study. The participants varied in mobility, some participants ambulated with orthoses while others did not, the study also included children who used a wheel chair for longer distances. The participants were recruited from a children’s rehabilitation center in Brazil. The study used three different instruments to determine the relationship of mobility and school participation, they included, Gross Motor Function Classification System (GMFCS), School Function Assessment (SFA) and the Craig Hospital Inventory of Environmental Factors (CHIEF). The CHIEF outcome measure was completed by the child’s parent/caregiver.

It should be noted that the results of this study may present different outcomes in mobility and participation due to environmental factors in the US as compared to Brazil due to the programs and public transportation available to those residing in the US. According to the CHIEF sub-scale, transportation was the biggest barrier for participation; attitudes/assistance were the least restrictive barrier to participation. Due to the classification of mobility defined in this study by GMFCS, the variation of participation was congruent with the mobility classification. In conclusion, “the hypothesis advocated by the ICF conceptual model that environmental factors significantly affect the relationship between functioning components was not supported by the present study.”

 

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