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2011 HSR&D National Meeting Abstract

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2011 National Meeting

1066 — Community Reintegration: Comparing Outcomes of Working, Homeless, and OEF/OIF Veterans

Resnik L (Providence VA), Borgia M (Brown University)

The Community Reintegration Measure for Injured Service Members (CRIS) is a recently developed outcome measure designed specifically to monitor community reintegration. The CRIS fixed form measure has three subscales: Extent of Participation (50 items), Perceived Limitation in Participation (54 items), and Participation Satisfaction (48 items). Pilot studies of CRIS psychometric properties showed that the CRIS scale demonstrated strong reliability, conceptual integrity, and construct validity. The purposes of this study were to 1) conduct further psychometric testing of the CRIS using a larger sample; and 2) compare characteristics of three groups of veterans whose community reintegration was expected to span a wide spectrum.

This was a cross sectional study of subjects. Data were collected by interviewer administered self-report questionnaires. The sample consisted of 500 veterans comprising 3 subgroups: a) 69 working veterans, b) 99 homeless veterans, and c) 332 OEF/OIF veterans. Subjects completed the three CRIS scales, the SF-36V, Quality of Life (QOL), two scales from the CHART (social integration and occupational functioning), and questions about Activities of Daily Living (ADL). Descriptive characteristics of groups were examined. Concurrent validity of measures was evaluated by Pearson Product Correlation Matrix. Known group validity was examined via ANOVAs comparing CRIS scores for subject groups and those with and without diagnoses of depression, PTSD, any mental illness, or alcohol/drug abuse.

CRIS scales were strongly correlated with SF-36 Role Physical, Social Functioning, Role Emotional and Physical Functioning, and QOL; negatively correlated with ADL difficulties; and moderately correlated with CHART scales. CRIS scores were lowest in homeless veterans and highest in working veterans (p < 0.0001). CRIS scores were lower for subjects with depression, PTSD, any mental illness, or alcohol/drug abuse (p < 0.0001).

The CRIS scale exhibited excellent concurrent and known group validity. The results suggest that the CRIS is a sound measure of community reintegration for a wide range of veterans.

Measurement of community integration is important in promoting the development of treatments that target enhanced community integration, assessing such treatments, documenting program effectiveness, and for tracking population health in terms of involvement with (versus disengagement from) adult life roles.

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