Sydney Nursing School, University of Sydney, Sydney, Australia.
Royal Rehab, Sydney, Australia.
Disabil Rehabil. 2020 Jan;42(1):122-129. doi: 10.1080/09638288.2018.1494214. Epub 2018 Sep 28.
To identify the face validity of the Client-Centred Rehabilitation Questionnaire (CCRQ) and to determine the internal consistency reliability and factorial validity of a modified CCRQ. This study was conducted in 2 phases. Phase 1 consisted of 5 focus groups to examine the face validity of the CCRQ, resulting in the development of a modified CCRQ. Phase 2 consisted of a multi-site cross sectional survey, involving 408 rehabilitation inpatients, to examine the internal consistency reliability and factorial validity of the modified CCRQ. Chronbach's coefficient alpha, composite reliability coefficients, and single factor congeneric models with maximum likelihood confirmatory factor analysis were used. Based on feedback from the focus groups the CCRQ was modified with the word 'rehabilitation' replacing 'program' throughout. The three negatively worded items had poor item-to-total correlations of <0.3. Removing these items resulted in subscale alphas of 0.74-0.86 and composite reliability coefficients of 0.66-0.87. Six of the seven sub-scales had good model fit and the other one had moderate fit following removal of the negatively worded item. This study supports the underlying structure and internal consistency of the modified CCRQ.Implications for RehabilitationPerson-centredness is an important characteristic of effective rehabilitation service delivery that warrants measurement.A modified Client-Centered Rehabilitation Questionnaire has been found to have good face validity, internal consistency reliability and construct validity in an Australian sample of inpatient rehabilitation patients.Use of a modified Client-Centered Rehabilitation Questionnaire incorporating the 7 sub-scales in the original Client-Centered Rehabilitation Questionnaire is supported for use in inpatient rehabilitation.Both sub-scale and item level responses to the modified Client-Centered Rehabilitation Questionnaire provide detailed feedback to rehabilitation service providers looking for opportunities to make their services more person-centred.
为了确定以客户为中心的康复问卷（CCRQ）的表面效度，并确定修改后的 CCRQ 的内部一致性信度和因子有效性。本研究分两个阶段进行。第一阶段包括 5 个焦点小组，以检查 CCRQ 的表面效度，从而制定了修改后的 CCRQ。第二阶段包括一项多地点横断面调查，涉及 408 名康复住院患者，以检查修改后的 CCRQ 的内部一致性信度和因子有效性。采用 Cronbach 的α系数、综合可靠性系数和最大似然验证性因子分析的单一因素同形模型。根据焦点小组的反馈，CCRQ 进行了修改，将“program”一词全部替换为“rehabilitation”。三个措辞消极的项目的项目与总分的相关性较差，<0.3。删除这些项目后，子量表的α值为 0.74-0.86，综合可靠性系数为 0.66-0.87。七个子量表中的六个具有良好的模型拟合度，另一个在删除措辞消极的项目后具有中度拟合度。本研究支持修改后的 CCRQ 的基本结构和内部一致性。对康复的启示以患者为中心是有效康复服务提供的一个重要特征，值得进行测量。在澳大利亚住院康复患者样本中，发现经过修改的以患者为中心的康复问卷具有良好的表面效度、内部一致性信度和结构效度。在住院康复中，使用修改后的包含原始以患者为中心的康复问卷的 7 个子量表的以患者为中心的康复问卷得到了支持。修改后的以患者为中心的康复问卷的子量表和项目水平的响应为寻求使服务更以患者为中心的康复服务提供者提供了详细的反馈。
