Article| Volume 85, ISSUE 3, P380-384, March 2004

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The Pittsburgh Rehabilitation Participation Scale: reliability and validity of a clinician-rated measure of participation in acute rehabilitation 1


      Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, Reynolds CF III. The Pittsburgh Rehabilitation Participation Scale: reliability and validity of a clinician-rated measure of participation in acute rehabilitation. Arch Phys Med Rehabil 2004:85:380–4.


      To demonstrate interrater reliability and predictive validity of the Pittsburgh Rehabilitation Participation Scale (PRPS), a clinician-rated 6-point Likert-type item measuring patient participation in inpatient rehabilitation sessions.


      Prospective measurement of patient participation in physical and occupational therapy sessions during inpatient rehabilitation.


      University-based, freestanding acute rehabilitation hospital.


      Two hundred forty-two inpatients, primarily elderly, with a variety of impairment diagnoses (eg, stroke), who were admitted for inpatient rehabilitation.


      Not applicable.

      Main outcome measures

      Change in the 13 motor items from the FIM™ instrument, from admission to discharge.


      The PRPS had high interrater reliability (intraclass correlation coefficient [ICC]=.91 for occupational therapists; ICC=.96 for physical therapists). The subjects had mean PRPS scores ± standard deviation of 4.73±0.76. Mean PRPS scores predicted rehabilitation outcome (N=242, r=.32, P<.0001), as measured by change in motor FIM. The strength of this association did not change in a multivariate model that controlled for age, gender, race, impairment group, medical comorbidity count, length of stay, and admission FIM.


      Patient participation during acute inpatient rehabilitation can be easily and reliably measured, and PRPS scores predict functional outcome. The PRPS may have applicability in clinical and research outcome measurement.


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        • Maclean N.
        • Pound P.
        A critical review of the concept of patient motivation in the literature on physical rehabilitation.
        Soc Sci Med. 2000; 50: 495-506
        • Resnick B.
        • Zimmerman S.I.
        • Magaziner J.
        • Adelman A.
        Use of the Apathy Evaluation Scale as a measure of motivation in elderly people.
        Rehabil Nurs. 1998; 23: 141-147
        • Resnick B.
        Efficacy beliefs in geriatric rehabilitation.
        J Gerontol Nurs. 1998; 24: 34-44
        • Feinstein A.
        Mood and motivation in rehabilitation.
        in: Stuss D.T. Winocur G. Cognitive neurorehabilitation. Cambridge Univ Pr, New York1999: 230-239
        • King P.
        • Barrowclough C.
        Rating the motivation of elderly patients on a rehabilitation ward.
        Clin Rehabil. 1989; 3: 289-291
        • Maclean N.
        • Pound P.
        • Wolfe C.
        • Rudd A.
        The concept of patient motivation.
        Stroke. 2002; 33: 444-448
        • Linacre J.M.
        • Heinemann A.W.
        • Wright B.D.
        • Granger C.V.
        • Hamilton B.B.
        The structure and stability of the functional independence measure.
        Arch Phys Med Rehabil. 1994; 75: 127-132
        • Ottenbacher K.J.
        • Hsu Y.
        • Granger C.V.
        • Fiedler R.C.
        The reliability of the functional independence measure.
        Arch Phys Med Rehabil. 1996; 77: 1226-1232
        • Dorra H.H.
        • Lenze E.J.
        • Kim Y.
        • et al.
        Clinically relevant behaviors in elderly hip fracture inpatients.
        Int J Psychiatry Med. 2002; 32: 249-259
        • Fleiss J.L.
        The measurement of interrater agreement. Statistical methods for rates and proportions. 2nd ed. John Wiley & Sons, New York1981
        • Andresen E.M.
        Criteria for assessing the tools of disability outcomes research.
        Arch Phys Med Rehabil. 2000; 81: S15-S20
        • MacNeill S.E.
        • Lichtenberg P.A.
        Predictors for functional outcome in older rehabilitation patients.
        Rehab Psychol. 1998; 43: 246-257
        • Magaziner J.
        • Simonsick E.M.
        • Kashner T.M.
        • Hebel J.R.
        • Kenzora J.E.
        Predictors of functional recovery one year following hospital discharge for hip fracture.
        J Gerontol. 1990; 45: M101-M107
        • Mossey J.M.
        • Knott K.
        • Craik R.
        The effects of persistent depressive symptoms on hip fracture recovery.
        J Gerontol. 1990; 45: M163-M168
        • Mast B.T.
        • MacNeill S.E.
        • Lichtenberg P.A.
        Geropsychological problems in medical rehabilitation.
        J Gerontol A Biol Sci Med Sci. 1999; 54: M607-M612
        • Schwartz J.A.
        • Speed N.M.
        • Brunberg J.A.
        • Brewer T.L.
        • Brown M.
        • Greden J.F.
        Depression in stroke rehabilitation.
        Biol Psychiatry. 1993; 33: 694-699
        • Holmes J.
        • House A.
        Psychiatric illness predicts poor outcome after surgery for hip fracture.
        Psychol Med. 2000; 30: 921-929
        • Lenze E.J.
        • Munin M.C.
        • Dew M.A.
        • Rogers J.C.
        • Mulsant B.H.
        • Reynolds C.F.
        Depression, cognitive impairments, and functional recovery in elderly rehabilitating hip fracture inpatients. 2002 (Paper presented at: the American Association for Geriatric Psychiatry Annual Meeting: Mar; Orlando (FL))