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Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P)
Please visit this website for more information about the instrument: Utrecht Scale for Evaluation of Rehabilitation-Participation.
Exploratory: Stroke, Unruptured Cerebral Aneurysm and Subarachnoid Hemorrhage (SAH)
Short Description of Instrument
Description: The Utrecht Scale for Evaluation of Rehabilitation-Participation (USER-P) is a self-report questionnaire used to measure participation and has been used in patients with stroke.
Consists of 3 scales:  (1) frequency of participation (objective level of participation): 11 items (2) participation restrictions experienced (subjective rating of participation): 11 items (3) satisfaction with participation (subjective rating of participation): 10 items  
Frequency scale consists of two parts: Part A (vocational activities) measures the number of hours in a regular week spent on paid work, unpaid work, education, and housekeeping Part B (leisure and social activities) measure the frequency of sports and physical exercise, going out, making day trips, leisure activities at home, visiting family or friends, receiving visits from family or friends, and contact by computer or telephone during the last 4 weeks.
Restriction scale: Items on difficulties experienced with vocational, leisure, and social activities. This scale asks patients to rate the severity of the restrictions of participation caused by the stroke.
Satisfaction scale: Items about satisfaction with vocational, leisure, and social activities.
The USER-P covers the International Classification of Functioning, Disability and Health (ICF) chapters 6 – 9.
Comments/Special Instructions
Scoring and Psychometric Properties
Scoring: The scores for the three scales are as follows:  
Frequency of participation (0 – 55):
Part A: 0 = none at all; 5 = 36 hours or more
Part B: 0 = not at all; 5 = 19 times or more
Participation restriction (0 – 33):
0 = not possible to perform; 3 = performed with difficulty
Satisfaction with participation (0 – 40)  0 = very dissatisfied; 4 = very satisfied
The scores are combined for a sum score ranging from 0 to 100, with a higher score indicating a higher level of participation, meaning a higher frequency, less restrictions experienced, and more satisfaction.

The USER-P is a valid measure to rate objective and subjective participation in persons with physical disabilities.

Post MW, van der Zee CH, Hennink J, Schafrat CG, Visser-Meily JM, van Berlekom SB. Validity of the utrecht scale for evaluation of rehabilitation-participation. Disabil Rehabil. 2012;34(6):478-485.
Van der Zee CH, Priesterbach AR, Van der Dussen L, et al. Reproducibility of three self-report participation measures: the ICF Measure of Participation and Activities Screener, the Participation Scale, and the Utrecht Scale for Evaluation of Rehabilitation-Participation. J Rehabil Med. 2010;42:752-757.
Van der Zee CH, Visser-Meily JMA, Lindeman E, Kappelle LJ, Post, MWM. Participation in the Chronic Phase of Stroke. Top Stroke Rehabil. 2015;20(1):52-61.


Document last updated June 2020