Center of Excellence for Rehabilitation Medicine, UMC Utrecht Brain Center, University Medical Center Utrecht, De Hoogstraat Rehabilitation, Utrecht, Netherlands.
Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Disabil Rehabil. 2023 Jun;45(12):2038-2045. doi: 10.1080/09638288.2022.2080289. Epub 2022 Jun 7.
To develop and explore underlying dimensions of the Self-Regulation Assessment (SeRA) and psychometric features of potential components. Further, to identify associations between the SeRA and disability-management self-efficacy, type of diagnosis, and type of rehabilitation.
Based on a previously developed model of self-regulation, expert and patient opinions, and cognitive interviews, a list of 22 items on self-regulation (the SeRA) was constructed. The SeRA was included in a cross-sectional survey among a multi-diagnostic group of 563 former rehabilitation patients. Exploratory analyses were conducted.
Respondents had a mean age of 56.5 ( 12.7) years. The largest diagnostic groups were chronic pain disorder and brain injury. Four components were found within the SeRA, labelled as "insight into own health condition," "insight into own capabilities," "apply self-regulation," and "organization of help." Cronbach's alpha was high (total scale: 0.93, subscales: range 0.85-0.89). Only scores on the first subscale showed a ceiling effect. Subscale three showed the highest correlation with a self-efficacy measure. Small differences in SeRA total scores (range 71.6-78.1) were found between different diagnostic groups.
The SeRA is a new self-regulation measure with four subscales. Further research is needed to establish the validity and reliability of the SeRA. IMPLICATIONS FOR REHABILITATIONThe Self-Regulation Assessment (SeRA) was developed to provide a comprehensive measurement of self-regulation among rehabilitation populations.The SeRA could potentially be used to identify persons with self-regulation problems at the start of rehabilitation treatment and measure outcomes of rehabilitation for self-regulation.The SeRA could potentially be used to help analyse outcomes of rehabilitation practice as well as evaluate interventions on self-regulation.
开发和探索自我调节评估（SeRA）的潜在维度和潜在组成部分的心理测量特征。此外，确定 SeRA 与残疾管理自我效能、诊断类型和康复类型之间的关联。
基于先前开发的自我调节模型、专家和患者意见以及认知访谈，构建了一个关于自我调节的 22 项清单（SeRA）。SeRA 被纳入了一项对 563 名前康复患者的多诊断组的横断面调查中。进行了探索性分析。
受访者的平均年龄为 56.5（12.7）岁。最大的诊断组是慢性疼痛障碍和脑损伤。在 SeRA 中发现了四个组成部分，分别标记为“对自身健康状况的洞察”、“对自身能力的洞察”、“应用自我调节”和“帮助组织”。克朗巴赫的阿尔法值很高（总量表：0.93，子量表：范围 0.85-0.89）。只有第一个子量表的分数显示出上限效应。子量表三与自我效能测量的相关性最高。在不同的诊断组之间，SeRA 总分（范围 71.6-78.1）存在微小差异。
SeRA 是一种新的自我调节测量工具，有四个子量表。需要进一步研究来建立 SeRA 的有效性和可靠性。
SeRA 是一种新的自我调节测量工具，有四个子量表。需要进一步研究来建立 SeRA 的有效性和可靠性。
SeRA 可以用来在康复治疗开始时识别自我调节问题的人，并测量康复治疗的自我调节结果。
SeRA 可以用来帮助分析康复实践的结果，以及评估自我调节干预措施。
