A rating instrument for the evaluation of in-patient rehabilitation programmes in China. Results of reliability and validity testing.
To objectively evaluate in-patient rehabilitation programmes in China, we developed a new rating scale: the Inpatient Psychiatric Rehabilitation Outcome Scale (IPROS). The scale has five subscales: performance in occupational therapy, daily activities, socialisation, personal hygiene, and level of interest in external events. Evaluators (physicians or nurses) observe patients for one week before coding items on a five-point scale. Comparison of four independent evaluators' results for 32 schizophrenic patients assessed on two separate occasions indicated that the inter-rater and test-retest reliability for the overall IPROS score and for the five subscale scores was excellent (all ICC values > or = 0.973). Validity was evaluated by comparing IPROS results with those of five other independently assessed clinical measures for 101 chronic schizophrenic patients before and after a six-month rehabilitation programme; concurrent validity and longitudinal validity were satisfactory (correlation coefficients 0.37-0.81, all P values < 0.01).
Li
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G
Community Services Department, Shashi City Veterans Psychiatric Hospital, Hubei, PRC.
Hu
X
X
Jin
D
D
Tian
W
W
Phillips
M R
MR
D000203:Activities of Daily Living / Q000523:psychology; D000328:Adult; D003431:Cross-Cultural Comparison; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D009788:Occupational Therapy; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D011594:Psychometrics; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D012951:Socialization