TY - JOUR
T1 - The Pittsburgh Rehabilitation Participation Scale
T2 - Reliability and validity of a clinician-rated measure of participation in acute rehabilitation
AU - Lenze, Eric J.
AU - Munin, Michael C.
AU - Quear, Tanya
AU - Dew, Mary Amanda
AU - Rogers, Joan C.
AU - Begley, Amy E.
AU - Reynolds, Charles F.
N1 - Funding Information:
Supported by the National Institute for Mental Health (grant nos. K23 MH64196, P30 MH52247).
PY - 2004/3
Y1 - 2004/3
N2 - Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, Reynolds CF III. The Pittsburgh Rehabilitation Participation Scale: reliability and validity of a clinician-rated measure of participation in acute rehabilitation. Arch Phys Med Rehabil 2004:85:380-4. Objective To demonstrate interrater reliability and predictive validity of the Pittsburgh Rehabilitation Participation Scale (PRPS), a clinician-rated 6-point Likert-type item measuring patient participation in inpatient rehabilitation sessions. Design Prospective measurement of patient participation in physical and occupational therapy sessions during inpatient rehabilitation. Setting University-based, freestanding acute rehabilitation hospital. Participants Two hundred forty-two inpatients, primarily elderly, with a variety of impairment diagnoses (eg, stroke), who were admitted for inpatient rehabilitation. Interventions Not applicable. Main outcome measures Change in the 13 motor items from the FIM™ instrument, from admission to discharge. Results The PRPS had high interrater reliability (intraclass correlation coefficient [ICC]=.91 for occupational therapists; ICC=.96 for physical therapists). The subjects had mean PRPS scores ± standard deviation of 4.73±0.76. Mean PRPS scores predicted rehabilitation outcome (N=242, r=.32, P<.0001), as measured by change in motor FIM. The strength of this association did not change in a multivariate model that controlled for age, gender, race, impairment group, medical comorbidity count, length of stay, and admission FIM. Conclusions Patient participation during acute inpatient rehabilitation can be easily and reliably measured, and PRPS scores predict functional outcome. The PRPS may have applicability in clinical and research outcome measurement.
AB - Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, Reynolds CF III. The Pittsburgh Rehabilitation Participation Scale: reliability and validity of a clinician-rated measure of participation in acute rehabilitation. Arch Phys Med Rehabil 2004:85:380-4. Objective To demonstrate interrater reliability and predictive validity of the Pittsburgh Rehabilitation Participation Scale (PRPS), a clinician-rated 6-point Likert-type item measuring patient participation in inpatient rehabilitation sessions. Design Prospective measurement of patient participation in physical and occupational therapy sessions during inpatient rehabilitation. Setting University-based, freestanding acute rehabilitation hospital. Participants Two hundred forty-two inpatients, primarily elderly, with a variety of impairment diagnoses (eg, stroke), who were admitted for inpatient rehabilitation. Interventions Not applicable. Main outcome measures Change in the 13 motor items from the FIM™ instrument, from admission to discharge. Results The PRPS had high interrater reliability (intraclass correlation coefficient [ICC]=.91 for occupational therapists; ICC=.96 for physical therapists). The subjects had mean PRPS scores ± standard deviation of 4.73±0.76. Mean PRPS scores predicted rehabilitation outcome (N=242, r=.32, P<.0001), as measured by change in motor FIM. The strength of this association did not change in a multivariate model that controlled for age, gender, race, impairment group, medical comorbidity count, length of stay, and admission FIM. Conclusions Patient participation during acute inpatient rehabilitation can be easily and reliably measured, and PRPS scores predict functional outcome. The PRPS may have applicability in clinical and research outcome measurement.
KW - Motivation
KW - Patient participation
KW - Rehabilitation
KW - Treatment outcome
UR - http://www.scopus.com/inward/record.url?scp=1842561654&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2003.06.001
DO - 10.1016/j.apmr.2003.06.001
M3 - Article
C2 - 15031821
AN - SCOPUS:1842561654
VL - 85
SP - 380
EP - 384
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 3
ER -