The instrument was designed to be administered by interview, either
in person or by telephone. It is possible to use the instrument
as a mailed or self-administered questionnaire, although some valuable
data potentially would be lost in the absence of interaction with
an interviewer providing consistent prompts.
It takes approximately 15 minutes to administer.
It can be administered to a proxy in the absence of the primary
It can be used with individuals having a range of physical or cognitive
There is no set time period for administering the CHART; however,
it is recommended that multiple measurements be taken over the course
of a person's lifetime to assess changes with adaptation to the
disability and to gain insight into changes in handicap which may
occur over time.
of the domains or subscales of the CHART have a maximum score of
100 points, which is considered at the level of performance typical
of the average non-disabled person. Achieving the maximum score
indicates that roles within the domain are fulfilled at a level
equivalent to that of the norm: an able-bodied person. Subscale
scores have routinely been added together to obtain a CHART total
score, reflecting overall handicap level. High subscale and total
scores (100 and 500, respectively) indicate less handicap, or higher
social and community participation.
asset of the CHART is that it produces an index of handicap. There
are a number of ways for a person with a disability to demonstrate
the absence of handicap, and the scoring procedures of the CHART
give credit to these various behaviors. However, the instrument
is designed to measure handicap, not to identify the characteristics
shared by 'super-achievers.' Therefore, although it is possible
to score more than 100 on most of the sub-scales, a maximum of 100
points has been allowed, as a score of 100 would indicate no handicap
in that dimension.
is recognized that value judgments are critical to the actual scoring
of many items. These value judgments reflect the expectations of
society for non-disabled persons, and a pilot test of the CHART
on non-disabled persons was used to calibrate the scoring. The vast
majority of non-disabled persons received a score of 100 on each
Influencing CHART Scores
are a variety of pre-morbid or post-rehabilitation factors that
might explain CHART scores which deviate from the scores of other
persons with similar impairments and disabilities. It has been suggested
in the literature that certain pre-morbid behaviors, attitudes,
and prior life experiences have been found to be correlates of successful
rehabilitation outcomes. In addition to pre-existing individual
characteristics, post-rehabilitation constraints and limitations
may influence CHART scores. These factors include such things as
family interference, alcohol or drug use, and awareness of vocational
options. While CHART does not isolate any of these causes, it measures
the combined consequences to the individual from these various factors.
Scoring Guidelines and Instructions
following guidelines provide detailed instructions on how to compute
each CHART dimension score and the total CHART score. It is very
simple to calculate these scores manually; however, you may choose
to utilize your own computerized data analysis systems. Following
the description of the scoring procedures, a series of suggestions
and conventions are listed to assist in the interpretation and coding
of responses from the CHART.
guidelines and instructions are available as a document in Adobe's
Portable Document Format (PDF).
CHART scoring. (69k)
is PDF and How do I use PDF Files?)
Regarding Individual CHART Items
see the FAQ section.