Centre of Disability Studies, School of Social Sciences, University of Iceland, Reykjavik, Iceland.
Department of Occupational Therapy, School of Health Sciences, University of Akureyri, Akureyri, Iceland.
Disabil Rehabil. 2024 Jan;46(2):387-394. doi: 10.1080/09638288.2022.2160835. Epub 2023 Jan 1.
The purpose of this study was to inspect and establish the factor structure of the Icelandic Client-Centred Rehabilitation Questionnaire [CCRQ-is] and investigate the service experiences of a large and varied sample of rehabilitation users.
Altogether 499 rehabilitation users completed the questionnaire. Confirmatory and exploratory factor analysis was conducted for analysis of items. Mann-Whitney's U and Kruskal-Wallis test was used to compare subscale responses based on participants' characteristics.
Four factors explained 53,2% of the variance: Respect and attentiveness, Interaction with significant others, Responsiveness to needs and preferences and Education and enablement. Subscales showed internal consistency from 0.72-0.91 and 0.92 for the whole instrument. The subscale Respect and attentiveness represented user centred rehabilitation the most and Interaction with significant others the least. Significant differences in relation to health conditions and age were obtained on all four subscales and differences by gender on one subscale.
Our results suggest the CCRQ-is is a reliable tool that can be used with rehabilitation users with a broad range of characteristics within the Icelandic context. The extent to which the intersection of age, gender and health issues influence users' perception of services needs to be further scrutinized.
本研究旨在检验和建立冰岛以客户为中心的康复问卷（CCRQ-is）的因素结构，并调查大量不同康复使用者的服务体验。
共有 499 名康复使用者完成了问卷。采用验证性和探索性因子分析对项目进行分析。根据参与者的特征，采用曼-惠特尼 U 检验和克鲁斯卡尔-沃利斯检验比较子量表的反应。
四个因素解释了 53.2%的方差：尊重和关注、与重要他人的互动、对需求和偏好的反应以及教育和赋权。子量表的内部一致性在 0.72-0.91 和 0.92 之间，整个工具的内部一致性为 0.92。子量表“尊重和关注”最能代表以客户为中心的康复，而“与重要他人的互动”则最少。在所有四个子量表以及一个子量表上，在健康状况和年龄方面都存在显著差异，在性别方面也存在差异。
我们的结果表明，CCRQ-is 是一种可靠的工具，可以在冰岛背景下用于具有广泛特征的康复使用者。需要进一步研究年龄、性别和健康问题的交叉如何影响用户对服务的感知。
