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Article

Measuring Equine-Assisted Therapy: Validation and Confirmatory Factor Analysis of an ICF-Based Standardized Assessment-Tool

1
Research Institute for Inclusion through Physical Activity and Sport, German Sport University Cologne, 50226 Frechen, Germany
2
Research Institute of Movement and Neurosciences, German Sport University Cologne, 50933 Cologne, Germany
3
Institute of Health Promotion and Clinical Movement Science, German Sport University, 50933 Cologne, Germany
*
Author to whom correspondence should be addressed.
Academic Editor: Alvaro N. Gurovich
Int. J. Environ. Res. Public Health 2022, 19(5), 2738; https://doi.org/10.3390/ijerph19052738
Received: 11 January 2022 / Revised: 22 February 2022 / Accepted: 23 February 2022 / Published: 26 February 2022
(This article belongs to the Special Issue State of Art in Applied Medicine and Rehabilitation)
The International Classification of Functioning, Disability, and Health (ICF) of the World Health Organization (WHO) was established as an international framework for monitoring rehabilitation outcomes and the impacts of health interventions since, as the term “functioning” implies, it emphasizes a person’s “lived health” in addition to their biological health status. Equine-assisted therapy (EAT) represents a holistic intervention approach that aims to improve both biomedical functioning and the patient’s lived health in relation to performing activities and participating in social situations. In this study, the psychometric properties of an ICF-based digital assessment tool for the measurement of the rehabilitation impacts of EAT were analyzed via simultaneous confirmatory factor analyses (CFA) and reliability and sensitivity tests. In total, 265 patients from equine-assisted therapy centers in Germany were included for CFA. Change sensitivity was assessed via multi-level analyses based on 876 repeated assessments by 30 therapists. Results show satisfactory model-fit statistics; McDonald’s omega (ML) showed excellent scores for the total scale (ω = 0.96) and three subscales (ω = 0.95; ω = 0.95, ω = 0.93). The tool proved itself to be change sensitive and reliable (change sensitivity p ≤ 0.001), retest r = 0.745 **, p ≤ 0.001). Overall, the developed assessment tool satisfactorily fulfills psychometric requirements and can be applied in therapeutic practice. View Full-Text
Keywords: (outcome) assessment; factor analysis; ICF; quantitative research; rehabilitation; therapy evaluation; validation (outcome) assessment; factor analysis; ICF; quantitative research; rehabilitation; therapy evaluation; validation
MDPI and ACS Style

Stolz, I.; Anneken, V.; Froböse, I. Measuring Equine-Assisted Therapy: Validation and Confirmatory Factor Analysis of an ICF-Based Standardized Assessment-Tool. Int. J. Environ. Res. Public Health 2022, 19, 2738. https://doi.org/10.3390/ijerph19052738

AMA Style

Stolz I, Anneken V, Froböse I. Measuring Equine-Assisted Therapy: Validation and Confirmatory Factor Analysis of an ICF-Based Standardized Assessment-Tool. International Journal of Environmental Research and Public Health. 2022; 19(5):2738. https://doi.org/10.3390/ijerph19052738

Chicago/Turabian Style

Stolz, Isabel, Volker Anneken, and Ingo Froböse. 2022. "Measuring Equine-Assisted Therapy: Validation and Confirmatory Factor Analysis of an ICF-Based Standardized Assessment-Tool" International Journal of Environmental Research and Public Health 19, no. 5: 2738. https://doi.org/10.3390/ijerph19052738

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