Craig Hospital Inventory of Environmental Factors (CHIEF)

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Overview

Purpose
The CHIEF is designed to assess the frequency and magnitude of perceived physical, attitudinal, and policy barriers that keep people with disabilities from doing what they want or need to do.
Respondent
Person with a Disability
Administration Methods
  • Survey
  • Interview
Administration Modes
  • Phone
  • In-person
Item Count
50
Population
General Population

Instrument Citation(s)

Harrison-Felix, C.L., & Mellick, D.C. (2001). Craig Hospital Inventory of Environmental Factors (CHIEF).
Englewood (CO): Craig Hospital. https://craighospital.org/uploads/CraigHospital.ChiefManual.pdf PDF

Instrument Domains

DomainNumber of Items
Community Inclusion2
Employment1
Transportation1
Meaningful activity0
Resources and settings to facilitate inclusion0
Social connectedness and relationships0
Equity4
Availability4
Equitable access and resource allocation0
Transparency and consistency0
Human and Legal Rights2
Freedom from abuse and neglect1
Informed decision-making1
Optimizing the preservation of legal and human rights0
Privacy0
Supporting individuals in exercising their human and legal rights0
Service Delivery and Effectiveness5
Delivery3
Person's needs met and goals realized2
Caregiver Support0
Access to resources0
Family caregiver/natural support involvement0
Family caregiver/natural support wellbeing0
Training and skill-building0
Choice and Control0
Choice of services and supports0
Personal choices and goals0
Personal freedoms and dignity of risk0
Self-direction0
Consumer Leadership in System Development0
Evidence of meaningful caregiver involvement0
Evidence of meaningful consumer involvement0
System supports meaningful consumer involvement0
Fluctuation of Need0
Holistic Health and Functioning0
Health promotion and prevention0
Individual health and functioning0
Level of Caregiver Well-Being0
Person-Centered Planning and Coordination0
Assessment0
Coordination0
Person-centered planning0
System Performance and Accountability0
Data management and use0
Evidence-based practice0
Financing and service delivery structures0
Workforce0
Adequately compensated with benefits0
Culturally competent0
Demonstrated competencies when appropriate0
Person-centered approach to services0
Safety of and respect for the worker0
Staff Turnover0
Sufficient workforce numbers dispersion and availability0
Workforce engagement and participation0

Psychometric Citations

  • Han, C. W., Yajima, Y., et al. (2005). Validity and utility of the Craig Hospital Inventory of Environmental
    Factors for Korean community-dwelling elderly with or without stroke. Tohoku J Exp Med,
    206(1), 41-49.

    Type of Publication
    Peer review
    Instrument Language
    Korean
    Sample: Age (Mean and Range)

    Mean-71.5

    Sample: Age Group

    65+ Years

    Sample: Countries/State

    Korea

    Sample: Disability Type

    Age Related Disability

    Sample: Gender (%male)

    27%

    Sample: Race/Ethnicity (%)

    Korean

    Sample: Sampling Strategy

    Convenience Sample

    Sample: Size

    400

    Validity: Construct (Convergent and Discriminant)

    second-order CFA: GFI = .88, CFI = .88, RMSEA = .06

    Study design
    Cross-Sectional

  • Harrison-Felix, C.L., & Mellick, D.C. (2001). Craig Hospital Inventory of Environmental Factors (CHIEF).
    Englewood (CO): Craig Hospital. https://craighospital.org/uploads/CraigHospital.ChiefManual.pdf PDF

    Type of Publication
    Technical report
    Instrument Language
    English
    Sample: Age (Mean and Range)

    Not Reported

    Sample: Age Group

    Not Reported

    Sample: Countries/State

    United States

    Sample: Disability Type

    Traumatic Brain Injury, Physical Disability

    Sample: Gender (%male)

    Not Reported

    Sample: Race/Ethnicity (%)

    Not Reported

    Sample: Sampling Strategy

    Convenience Sample

    Sample: Size

    409

    Reliability: Inter-rater

    Inter-rater interclass correlation coefficient for the overall survey (ICC = .618)

    Reliability: Test-retest

    test-retest interclass correlation coefficient for the overall survey (ICC = .926)

    Validity: Construct (Convergent and Discriminant)

    Differentiated scores for different disability groups

    Study design
    Cross-Sectional

  • Whiteneck, G.G., Harrison-Felix, C.L., et al. (2004). Quantifying environmental factors: a measure of
    physical, attitudinal, service, productivity, and policy barriers. Archives of physical medicine and
    rehabilitation, 85(8), 1324-1335.

    Type of Publication
    Peer review
    Instrument Language
    English
    Sample: Age (Mean and Range)

    44 Years

    Sample: Age Group

    18-64 Years

    Sample: Countries/State

    United States, Colorado

    Sample: Disability Type

    Not Reported

    Sample: Gender (%male)

    50%

    Sample: Race/Ethnicity (%)

    Not Reported

    Sample: Sampling Strategy

    Systematic Sample

    Sample: Size

    2269

    Reliability: Internal Consistency

    Cronbach alpha for the total scale (ɑ= 0.86);
    Cronbach alpha for Physical and structural barriers subscale (ɑ= .65);
    Cronbach alpha for Policy barriers (ɑ= .62);
    Cronbach alpha for Work and school barriers subscale (ɑ= .63);
    Cronbach alpha for Attitude and support barriers subscale (ɑ= .74);
    Cronbach alpha for Services and assistance barriers (ɑ= .71)

    Validity: Construct (Convergent and Discriminant)

    Exploratory factor analysis produced 5 factors that accounted for 48% of the variance.

    Discriminant validity: CHIEF scores were different between people with and without disabilities

    Study design
    Cross-Sectional