Measures of Workplace Inclusion: A Systematic Review Using the COSMIN Methodology


Purpose To systematically assess the measurement properties and the quality of the evidence for measures of inclusion or exclusion at work. Methods Comprehensive searches of five electronic databases were conducted up to February 2019. Eligible studies aimed to develop a measure of workplace inclusion or exclusion or assessed at least one measurement property. Pairs of reviewers independently screened articles and assessed risk of bias. Methodological quality was appraised with the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist. A best-evidence synthesis approach guided the analysis. For each measurement property, evidence quality was rated as high, moderate, low, or very low and results were classified as sufficient, insufficient, or inconsistent. Results The titles and abstracts of 14,380 articles were screened, with 151 full-text articles reviewed for eligibility. Of these, 27 studies were identified, 10 of which were measure development studies. Included measures were the Workplace Ostracism Scale, Ostracism Interventionary Behaviour Scale, Workplace Culture Survey, Workplace Exclusion Scale, Perceived Group Inclusion Scale, Organizational Cultural Intelligence Scale, Inclusion–Exclusion Scale, Climate for Inclusion Scale, Workplace Social Inclusion Scale and the Inclusion-Diversity Scale. Most workplace inclusion instruments were not examined for some form of validity or reliability and evidence for responsiveness was absent. The quality of the evidence for content validity was low for 30% of studies and very low for 70% of studies. Conclusion Future research should focus on comprehensive evaluations of the psychometric properties of existing measures, with an emphasis on content validity, measurement error, reliability and responsiveness.

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This study was funded in part by the Canadian Institutes of Health Research-Social Sciences and Humanities Research Council (CIHR-SSHRC) Partnership Grant (01561-000 and 895-2018-4002) awarded to Sally Lindsay and the Kimel Family Fund through the Holland Bloorview Kids Rehabilitation Hospital.

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Mana Rezai and Sally Lindsay contributed to the study conception and design. All authors contributed to the literature search and data extraction. Analyses were primarily performed by Mana Rezai, and Kendall Kolne. The first draft of the manuscript was written by Mana Rezai and all authors commented on subsequent versions of the manuscript. All authors read and approved the final manuscript.

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Correspondence to Mana Rezai.

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Rezai, M., Kolne, K., Bui, S. et al. Measures of Workplace Inclusion: A Systematic Review Using the COSMIN Methodology. J Occup Rehabil 30, 420–454 (2020).

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  • Work
  • Discrimination
  • Social participation
  • Psychometrics
  • Systematic review