Measures of workplace inclusion: A systematic review using the COSMIN methodology
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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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A systematic review of workplace inclusion measures found substantial variation in how inclusion and exclusion are operationalized, which limits comparability across studies.
“A systematic review of workplace inclusion measures found substantial variation in how inclusion and exclusion are operationalized, which limits comparability across studies (Rezai et al., 2020).”
From Inclusive Workplaces and Performance: An Integrative Review of Diversity and Employee Outcomes (2026) · cites this paper as Rezai et al., 2020
The review’s Table 2 discussion reports no consensus on the constructs or domains of workplace inclusion or exclusion: each measure captured a different conceptualization, with more than 25 distinct constructs identified. That supports substantial variation in operationalization. The passages do not expressly say this variation limits comparability across studies, so that consequence is not fully supported by our copy. (LLM, conf=0.82)
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COSMIN Risk of Bias checklist for systematic reviews of Patient-Reported Outcome Measures
Mokkink, L. B., de Vet, H. C. W., Prinsen, C. A. C., Patrick, D. L., Alonso, J., Bouter, L. M., & Terwee, C. B. (2018) · Quality of Life Research · doi:10.1007/s11136-017-1765-4 · Cited by 2,479 · see citing works
Precarious Employment: Understanding an Emerging Social Determinant of Health
Benach, J., Vives, A., Amable, M., Vanroelen, C., Tarafa, G., & Muntaner, C. (2014) · Annual Review of Public Health · doi:10.1146/annurev-publhealth-032013-182500 · Cited by 1,354 · see citing works
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Lindsay, S., Cagliostro, E., Albarico, M., Mortaji, N., & Karon, L. (2018) · Journal of Occupational Rehabilitation · doi:10.1007/s10926-018-9756-z · Cited by 298 · see citing works
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How to Measure Inclusion in Higher Education: An Inclusive Rating
Jaegler, A. (2022) · Sustainability · doi:10.3390/su14148278 · Cited by 19 · see citing works
Inclusive Workplaces and Performance: An Integrative Review of Diversity and Employee Outcomes
Abudawood, B. B. (2026) · Journal of Business and Management Studies · doi:10.32996/jbms.2026.8.10.3
“Although these constructs are theoretically related, they are not interchangeable, and measurement heterogeneity complicates direct comparison (Rezai et al., 2020).”
- Authors
- Rezai, M., Kolne, K., Bui, S., & Lindsay, S.
- Affiliations
- Holland Bloorview Kids Rehabilitation Hospital (CA)
- University of Toronto (CA)
- Corresponding author
- Rezai, Mana
- Venue
- Journal of Occupational Rehabilitation
- Published
- 2020-01-14
- Volume
- 30
- Issue
- 3
- Pages
- 420-454
- ISSN
- 1053-0487 (ISSN-L)
- 1573-3688
- OpenAlex
- W3000356446
- Cited by
- 49
- References
- 3
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 12 · 2023: 7 · 2022: 10 · 2021: 6
- FWCI
- 1.12
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Occupational Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- Funders
- CIHR-SSHRC (01561-000, 895-2018-4002)
- Kimel Family Fund
- Topics
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Social Sciences › Sociology and Political Science › Workplace Violence and Bullying
- Keywords
- workplace inclusion, workplace exclusion, ostracism, psychometric properties, measurement properties, content validity, reliability statistics, responsiveness, organizational culture, scale development, COSMIN checklist
- MeSH terms
- Humans, Interpersonal Relations, Psychometrics, Surveys and Questionnaires, Reproducibility of Results, Workplace, Checklist
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