Validation of the Reintegration to Normal Living Index for Community-Dwelling Persons With Chronic Spinal Cord Injury

Abstract Hitzig SL, Romero Escobar EM, Noreau L, Craven BC. Validation of the Reintegration to Normal Living Index for community-dwelling persons with chronic spinal cord injury. Objective To determine the validity (construct, concurrent) of the Reintegration to Normal Living (RNL) Index for measurement of community participation in adults with chronic spinal cord injury (SCI). Design Cross-sectional telephone survey. Setting Rehabilitation institute. Participants Community-dwelling adult men and women (N=617) with SCI who were at least 1 year postinjury. Interventions Not applicable. Main Outcome Measures RNL Index and Satisfaction With Life Scale (SWLS). Results Reliability of the RNL Index was determined by using Cronbach α, and construct validity was established through confirmatory factor analysis (CFA). In addition, general linear models to predict RNL Index scores were conducted to establish concurrent validity. The RNL Index is a reliable measure of community participation (α=.87). CFA analyses suggested that the RNL Index loads onto a 2-factor solution and is distinct from the SWLS. Significant predictors of RNL Index score included years post-injury, impairment, ambulatory status, employment, and poor health, which yielded R2 =.26 ( P