Kortte Kathleen B, Falk Lara D, Castillo Renan C, Johnson-Greene Doug, Wegener Stephen T
Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Arch Phys Med Rehabil. 2007 Jul;88(7):877-84. doi: 10.1016/j.apmr.2007.03.030.
To conduct an initial investigation of the psychometric properties of the Hopkins Rehabilitation Engagement Rating Scale (HRERS), a 5-item, clinician-rated measure developed to quantify engagement in acute rehabilitation services.
We used a cross-sectional design to conduct correlational and multivariate analyses to establish the measure's internal consistency, interrater reliability, construct validity, and criterion validity.
Acute inpatient rehabilitation in 3 metropolitan hospitals.
A total of 206 subjects with spinal cord injury, ischemic or hemorrhagic stroke, amputation, or hip or knee replacement.
Not applicable.
The HRERS, Positive and Negative Affect Schedule, Brief Symptom Inventory, Levine's Denial of Illness Scale, Craig Handicap Assessment and Reporting Technique, and FIM instrument.
The HRERS has good internal consistency (alpha=.91) and interrater reliability (intraclass correlation coefficient, .73) and represents a unidimensional construct. It correlated negatively with symptoms of depression (r=-.24, P<.01), higher ratings of denial of illness (r=-.30, P<.001), and self-rated negative affect (r=-.23, P<.01), and correlated positively with self-rated positive affect (r=.36, P<.001) and level of functioning 3 months postdischarge (r=.22, P<.01).
The HRERS is a valid and reliable measure of rehabilitation engagement that relates to intermediate-term functional outcomes.
对霍普金斯康复参与评定量表（HRERS）的心理测量特性进行初步调查。该量表为一项由临床医生评定的包含5个条目的量表，旨在量化急性康复服务中的参与度。
我们采用横断面设计进行相关分析和多变量分析，以确定该量表的内部一致性、评定者间信度、结构效度和效标效度。
3家大都市医院的急性住院康复机构。
共有206名患有脊髓损伤、缺血性或出血性中风、截肢或髋或膝关节置换的受试者。
不适用。
HRERS、正负性情绪量表、简明症状量表、莱文氏疾病否认量表、克雷格残疾评估与报告技术以及功能独立性测量工具。
HRERS具有良好的内部一致性（α = 0.91）和评定者间信度（组内相关系数为0.73），代表一个单维结构。它与抑郁症状呈负相关（r = -0.24，P < 0.01），与更高的疾病否认评分呈负相关（r = -0.30，P < 0.001），与自评负性情绪呈负相关（r = -0.23，P < 0.01），与自评正性情绪呈正相关（r = 0.36，P < 0.001），与出院后3个月的功能水平呈正相关（r = 0.22，P < 0.01）。
HRERS是一种有效且可靠的康复参与度测量工具，与中期功能结局相关。
