Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 7 , Pages 877-884, July 2007

The Hopkins Rehabilitation Engagement Rating Scale: Development and Psychometric Properties

Presented in part to the Rehabilitation Psychology Conference, April 2005, Baltimore, MD.

  • Kathleen B. Kortte, PhD

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD
    • Corresponding Author InformationReprint requests to Kathleen B. Kortte, PhD, Dept of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, 600 N Wolfe St, Phipps 174, Baltimore, MD 21205
    • ,
  • Lara D. Falk, BA

      Affiliations

    • Department of Psychology, University of Maryland, Baltimore, MD
    • ,
  • Renan C. Castillo, MS

      Affiliations

    • Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
    • ,
  • Doug Johnson-Greene, PhD

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD
    • ,
  • Stephen T. Wegener, PhD

      Affiliations

    • Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD

Abstract 

Kortte KB, Falk LD, Castillo RC, Johnson-Greene D, Wegener ST. The Hopkins Rehabilitation Engagement Rating Scale: development and psychometric properties.

Objective

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.

Design

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.

Setting

Acute inpatient rehabilitation in 3 metropolitan hospitals.

Participants

A total of 206 subjects with spinal cord injury, ischemic or hemorrhagic stroke, amputation, or hip or knee replacement.

Interventions

Not applicable.

Main Outcome Measures

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.

Results

The HRERS has good internal consistency (α=.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).

Conclusions

The HRERS is a valid and reliable measure of rehabilitation engagement that relates to intermediate-term functional outcomes.

Key Words: Patient participation, Psychometrics, Rehabilitation

 

 Supported in part by the American Association of Spinal Cord Injury Psychologists and Social Workers and the Medstar Research Institute.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is\are associated.

PII: S0003-9993(07)00256-0

doi:10.1016/j.apmr.2007.03.030

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 7 , Pages 877-884, July 2007

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