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Instrument Reviewers

Initially reviewed by the Rehabilitation Measures Team in 2010; Updated with references from the chronic pain population by Julio Hernandez, SPT and Alfonso Poma, SPT in 2011; Updated by Jennifer Kahn, PT, DPT, NCS, Candy Tefertiller, PT, DPT, ATP, NCS, and the SCI EDGE task force of the Neurology Section of the APTA in 2012; Updated by Anna de Joya, PT, DSc and the TBI EDGE task force of the Neurology Section of the APTA in 2012.

Professional Association Recommendation

Recommendations for use of the instrument from the Neurology Section of the American Physical Therapy Association¡¯s Multiple Sclerosis Taskforce (MSEDGE), Parkinson¡¯s Taskforce (PD EDGE), Spinal Cord Injury Taskforce (PD EDGE), Stroke Taskforce (StrokEDGE), Traumatic Brain Injury Taskforce (TBI EDGE), and Vestibular Taskforce (Vestibular EDGE) are listed below. These recommendations were developed by a panel of research and clinical experts using a modified Delphi process.

For detailed information about how recommendations were made, please visit:  

Recommendations for use based on acuity level of the patient:

Recommendations based on level of care in which the assessment is taken:

Recommendations based on SCI AIS Classification: 

Recommendations for use based on ambulatory status after brain injury:

Recommendations based on EDSS Classification:

Recommendations for entry-level physical therapy education and use in research:

Considerations

• Chronic SCI, Questionable unidimensionality (the idea that items should contribute to the measurement of only one attribute at a time) (Geyh et al, 2010) for the LISAT-9. Unidimensionality was established when two items were deleted (the ¡°partner relations¡± and ¡°family life¡± items). 
• In a Rasch analysis, the LiSAT yielded improved psychometrics when 2 items were deleted (partner relations and family life) and the response options were condensed from 6 point to 4 point scale, very dissatisfying, dissatisfying, satisfying, and very satisfying. 
• Chronic SCI, Cross cultural validity examined via Rasch analysis. There was evidence of cross-country bias with the LiSAT-9 (Geyh et al, 2010) 
• Chronic SCI, retrospective ratings of life satisfaction before SCI were much higher than ratings of current life satisfaction in the reference population suggesting possible memory bias or idealization of life before injury (van Koppenhagen et al, 2008) 
• Questionable unidimensionality (Geyh et al, 2010) for the LISAT-9. Unidimensionality was established when two items were deleted (the ¡°partner relations¡± and ¡°family life¡± items)
• There was evidence of bias in different language versions of the LiSAT-9 (Geyh et al, 2010) 

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Bibliography

Anke, A. G. W. and Fugl-Meyer, A. R. (2003). "Life satisfaction several years after severe multiple trauma¨Ca retrospective investigation." Clinical rehabilitation 17(4): 431. 

Boonstra, A. M., Reneman, M. F., et al. (2008). "Reliability of the Life Satisfaction Questionnaire to assess patients with chronic musculoskeletal pain." International Journal of Rehabilitation Research 31(2): 181-183. 

Borg, T., Berg, P., et al. (2010). "Health-related quality of life and life satisfaction in patients following surgically treated pelvic ring fractures. A prospective observational study with two years follow-up." Injury 41(4): 400-404. 

Eriksson, G., Kottorp, A., et al. (2009). "Relationship between occupational gaps in everyday life, depressive mood and life satisfaction after acquired brain injury." Journal of Rehabilitation Medicine 41(3): 187-194.

Geyh, S., Fellinghauer, B. A. G., et al. (2010). "Cross-cultural validity of four quality of life scales in persons with spinal cord injury." Health and Quality of Life Outcomes 8: 94. 

Post, M. W., de Witte, L. P., et al. (1998). "Predictors of health status and life satisfaction in spinal cord injury." Arch Phys Med Rehabil 79(4): 395-401. 

Post, M. W., van Leeuwen, C. M., et al. (2012). "Validity of the Life Satisfaction questions, the Life Satisfaction Questionnaire, and the Satisfaction With Life Scale in persons with spinal cord injury." Arch Phys Med Rehabil 93(10): 1832-1837. 

Stalnacke, B. M. (2007). "Community integration, social support and life satisfaction in relation to symptoms 3 years after mild traumatic brain injury." Brain Inj 21(9): 933-942. 

van Koppenhagen, C. F., Post, M. W., et al. (2008). "Changes and determinants of life satisfaction after spinal cord injury: A cohort study in The Netherlands." Archives of physical medicine and rehabilitation 89(9): 1733-1740. 

van Koppenhagen, C. F., Post, M. W., et al. (2008). "Changes and determinants of life satisfaction after spinal cord injury: a cohort study in the Netherlands." Arch Phys Med Rehabil 89(9): 1733-1740.  

Visser-Meily, A., Post, M., et al. (2008). "Psychosocial functioning of spouses in the chronic phase after stroke: Improvement or deterioration between 1 and 3 years after stroke?" Patient Education and Counseling 73(1): 153-158. 

Visser, M. R., Oort, F. J., et al. (2005). "Methods to detect response shift in quality of life data: a convergent validity study." Qual Life Res 14(3): 629-639. 

Wolters Gregorio, G., Stapert, S., et al. (2011). "Coping styles within the family system in the chronic phase following acquired brain injury: its relation to families' and patients' functioning." J Rehabil Med 43(3): 190-196.