title: The Pittsburgh Rehabilitation Participation Scale: reliability and validity of a clinician-rated measure of participation in acute rehabilitation.
abstract: 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.
authors.affiliation: Intervention Research Center in Late-Life Mood Disorders, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. lenzeej@msx.upmc.edu
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Lenze
authors.forename: Michael C
authors.initials: MC
authors.lastname: Munin
authors.forename: Tanya
authors.initials: T
authors.lastname: Quear
authors.forename: Mary Amanda
authors.initials: MA
authors.lastname: Dew
authors.forename: Joan C
authors.initials: JC
authors.lastname: Rogers
authors.forename: Amy E
authors.initials: AE
authors.lastname: Begley
authors.forename: Charles F
authors.initials: CF
authors.lastname: Reynolds
mesh_terms: 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