1 Department of Health and Welfare, Arcada University of Applied Sciences, Helsinki, Finland.
2 South-Eastern Finland University of Applied Sciences, Mikkeli, Finland.
Clin Rehabil. 2018 Nov;32(11):1540-1550. doi: 10.1177/0269215518784334. Epub 2018 Jun 27.
: To assess the psychometric properties and feasibility of the Finnish translation of the measure of processes of care for adults (MPOC-A) when used in an inpatient rehabilitation setting.
: A feasibility study.
: Inpatient rehabilitation settings.
: A total of 858 people with severe neurological disabilities, musculoskeletal problems, and mental disorders were recruited to the study.
: The MPOC-A questionnaire is a self-administered questionnaire consisting of 34 items in five-factorial domains. The construct validity of the translated questionnaire was evaluated using confirmatory factor analysis. To compare the fit of the model to the fit of the independent null-model Comparative Fit Index was used. Internal consistency for the total scale and subscales was calculated using Cronbach's alpha reliability coefficient.
: A total of 554 people, mean age 52 years (SD = 9), participated in the study. Most of the responders had musculoskeletal problems ( n = 328, 57%). The respondents rated the client-centeredness in rehabilitation service as moderate ( m = 5.40, SD = 0.81). The five-factor and the one-factor model fitted the data well according to all three indices. Internal consistency showed high reliability between the one-factor and five-factor models for all except one domain (0.49-0.93). The mean for Person Infit for the people with neurological disabilities was higher than for the other two groups ( m = 1.77, SD = 1.32) indicating less predictable response patterns in this group.
: The results confirm the appropriate psychometric properties of the Finnish version of the MPOC-A, especially for people with musculoskeletal problems and those with mental health disorders.
评估成人护理过程测量工具（MPOC-A）芬兰语译本在住院康复环境中的心理测量特性和可行性。
可行性研究。
住院康复环境。
共招募了 858 名患有严重神经残疾、肌肉骨骼问题和精神障碍的人参加这项研究。
MPOC-A 问卷是一种自我管理问卷，由五个因素领域的 34 个项目组成。使用验证性因素分析评估翻译问卷的结构有效性。使用独立的零模型比较拟合指数比较模型的拟合程度。使用 Cronbach's alpha 可靠性系数计算总尺度和子尺度的内部一致性。
共有 554 人，平均年龄 52 岁（标准差=9）参与了研究。大多数应答者有肌肉骨骼问题（n=328，57%）。受访者对康复服务的以客户为中心程度的评价为中等（m=5.40，SD=0.81）。根据所有三个指标，五因素和单因素模型都很好地拟合了数据。除一个领域外（0.49-0.93），单因素和五因素模型之间的内部一致性显示出较高的可靠性。神经残疾患者的个体适合度平均值高于其他两组（m=1.77，SD=1.32），表明该组的反应模式不太可预测。
研究结果证实了 MPOC-A 芬兰语译本的适当心理测量特性，特别是对于肌肉骨骼问题患者和精神健康障碍患者。
