Citation Mellick, D. (2000).
The Craig Handicap Assessment and Reporting Technique. The
Center for Outcome Measurement in Brain Injury. http://www.tbims.org/
combi/chart ( accessed
This citation is for the COMBI web material. Mr. Mellick is
not the scale author for the CHART.
Initial calibration of the CHART scoring system was based on administration
of the instrument to 88 able-bodied individuals and 100 persons
with spinal cord injury (SCI) (Whiteneck et al, 1992).
Once the norms had been established, two studies were conducted
to assess the psychometric properties of the CHART. These studies
established the CHART as a reliable and valid instrument, as well
as a well-calibrated linear scale (Whiteneck et al, 1992; Dijkers,
An initial application of the CHART was performed with a group of
342 spinal cord injured individuals. Beyond demonstrating the instrument's
effectiveness in assessing the extent of handicap or social disadvantage,
this application, by documenting rehabilitation outcomes, demonstrated
the potential usefulness of the the CHART for program evaluation
(Whiteneck et al, 1992).
The CHART was initially designed and tested as a measure of handicap
in person with physical disabilities. A study was conducted to test
the reliability of the newly developed cognitive independence subscale.
Results indicated that the cognitive subscale of the CHART was reliable
and enhanced the appropriateness of the CHART in assessing handicap
among persons having cognitive impairments (Mellick et al, 1999).
A study was done to facilitate the proper use and interpretation
of the CHART as a measure of community integration and social participation
in individuals with SCI. CHART data on 1,998 cases in the Model
SCI Systems database were analyzed. These cases provide the basis
for norms by neurologic categories on a large sample. The CHART
total score was shown to be a potentially misleading summary assessment
of handicap, and use of subscale scores is recommended (Hall et
Participant-proxy agreement across six disability groups provided
evidence in support of the inclusion of proxy data for person with
various types of disabilities (Cusick et al, in development).
While initially developed for use with persons with spinal cord
injury, the revised CHART has since been found to be an appropriate
measure of handicap that can be used with individuals having a range
of physical or cognitive impairments (Whiteneck et al, in development).