The Pittsburgh rehabilitation participation scale: Reliability and validity of a clinician-rated measure of participation in acute rehabilitation

The Pittsburgh rehabilitation participation scale: Reliability and validity of a clinician-rated measure of participation in acute rehabilitation
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DOI:
10.1016/j.apmr.2003.06.001
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发表时间:
2004-03-01
影响因子:
4.3
通讯作者:
Reynolds, CF
Reynolds, CF
中科院分区:
医学1区
文献类型:
--
作者:
Lenze, EJ;Munin, MC;Reynolds, CF

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目的:为了证明匹兹堡康复参与量表(PRPS)的评分者间可靠性和预测效度,PRPS是一个临床医生评定的6点Likert类型项目,用于测量患者在住院康复期间的参与情况。设计:前瞻性测量患者在住院康复期间参与物理和职业治疗的情况。设置:以大学为基础的独立急性康复医院。参与者:242名住院患者,主要是老年人,有各种损伤诊断(如中风),谁是住院康复入院。干预:不适用。主要结果测量:从入院到出院,在13个运动项目的变化,从ESTA(TM)仪器。结果:PRPS具有较高的评分者间可靠性(职业治疗师的组内相关系数[ICC]= 0.91;物理治疗师的ICC= 0.96)。受试者的平均PRPS评分+/-标准差为4.73+/-0.76。平均PRPS评分预测康复结果(N=242,r=.32,P
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(TM) 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