The Hopkins Rehabilitation Engagement Rating Scale: Development and Psychometric Properties
Presented in part to the Rehabilitation Psychology Conference, April 2005, 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.
aDepartment of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD
bDepartment of Psychology, University of Maryland, Baltimore, MD
cJohns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Reprint 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
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.
ABSTRACT