The evaluation of rehabilitation outcomes requires
instruments that are valid and reliable, and have been psychometrically
tested in the context of a particular population. The purpose of
this study was to psychometrically test the validity and reliability of the
Reintegration to Normal Living Index (RNLI) as a measure of community
reintegration in a population of community-dwelling people living with
spinal cord injury (PLWSCI) in South Africa.
The study was a cross-sectional, involving community dwelling people
living with SCI (PLWSCI), who had been discharged from inpatient rehabilitation at for at least two years. RNLI data
collected from 160 PLWSCI were subjected to factor analysis and tested for reliability using chronbach’s alpha.
Cronbach’s alpha for the RNLI instrument was 0.97 (ICC 95% CI: 0.97 – 0.98), indicating an excellent reliability
coefficient. A single -factor structure emerged from principal components analysis, indicating that there is only
one factor structure for the RNLI in this population of PLWSCI. The content, construct, convergent and discriminate
validity of the instrument were established.
The results of this study support the reliability and factorial validity of the RNLI as a measure of community reintegration
for PLWSCI. The RNLI is therefore a valuable outcome measure and should be extended to other SCI
rehabilitation studies in South Africa.
This paper reports on part of a PhD
study conducted by DJ Mothabeng at
the University of Pretoria, supervised
by Dr CA Eksteen and Professor