Williams, Renee May2006-07-282006-07-2819971997http://hdl.handle.net/10012/127The Community Clinic Program (CCP) of the Ontario Workers' Compensation Board emphasizes early intervention consisting of physical conditioning and back education for injured workers ith low back pain (LBP). The main goal of the CCP is to return injured workers to their preaccident state of health. While CCPs assess clients' physical conditioning, there is little consistency across clinics in measurement techniques. Return to work is used as a proxy measure that clients have made a complete recovery. The ability to evaluate the effectiveness of the CCP has been hampered by a lack of valid, reliable, and clinically meaningful outcome measures. This study developed and psychometrically tested two instruments -- the FACS and the RADL -- with the input of both CCP clinicians and clients. This study used the International Classification of Impairments, Disabilities, and Handicaps to distinguish and relate impairments, disabilities, and handicaps influenced by LBP. The FACS was based on the disability component, as well as Bandura's theory, while the RADL was based on the handicap component. The Dictionary of Occupational Titles was used to identify movements and postures potentially affected by LBP. The three phases involved pilot testing, test-retest reliability, and validation using 104 clients from seven different CCPs. The FAC S and the RADL both showed high internal consistency, test-retest reliability, responsiveness to change, and convergent and discriminant validity with the Roland SIP disability measure. The 15-item FACS and the 12-item RADL can each be completed in less than 10 minutes, the instructions are understandable, and the content is meaningful to clients and clinicians. Both scales can be used for clinical and research purposes.application/pdf16488963 bytesapplication/pdfenCopyright: 1997, Williams, Renee May. All rights reserved.Harvested from Collections CanadaDoctoral Thesis