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


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


METHODS
University-based, freestanding acute rehabilitation hospital.


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


METHODS
Not applicable.


METHODS
Change in the 13 motor items from the FIM trade mark instrument, from admission to discharge.


RESULTS
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.


CONCLUSIONS
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.
Lenze
Eric J
EJ
Intervention Research Center in Late-Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. lenzeej@msx.upmc.edu
Munin
Michael C
MC
Quear
Tanya
T
Dew
Mary Amanda
MA
Rogers
Joan C
JC
Begley
Amy E
AE
Reynolds
Charles F
CF
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000534:rehabilitation*; D009422:Nervous System Diseases / Q000534:rehabilitation*; D015588:Observer Variation; D009788:Occupational Therapy; D010358:Patient Participation; D026741:Physical Therapy Modalities; D011237:Predictive Value of Tests; D020127:Recovery of Function; D015203:Reproducibility of Results; D016896:Treatment Outcome