title: The Hopkins Rehabilitation Engagement Rating Scale: development and psychometric properties.
abstract: 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.
  
  
  METHODS
  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.
  
  
  METHODS
  Acute inpatient rehabilitation in 3 metropolitan hospitals.
  
  
  METHODS
  A total of 206 subjects with spinal cord injury, ischemic or hemorrhagic stroke, amputation, or hip or knee replacement.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  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 (alpha=.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.
authors.affiliation: Department of Physical Medicine & Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. kbechto1@jhmi.edu
authors.forename: Kathleen B
authors.initials: KB
authors.lastname: Kortte
authors.forename: Lara D
authors.initials: LD
authors.lastname: Falk
authors.forename: Renan C
authors.initials: RC
authors.lastname: Castillo
authors.forename: Doug
authors.initials: D
authors.lastname: Johnson-Greene
authors.forename: Stephen T
authors.initials: ST
authors.lastname: Wegener
mesh_terms: D000041:Absenteeism; D000293:Adolescent; D000328:Adult; D000339:Affect; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000534:rehabilitation; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation; D019645:Arthroplasty, Replacement, Knee / Q000534:rehabilitation; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D011594:Psychometrics; D015203:Reproducibility of Results; D013119:Spinal Cord Injuries / Q000534:rehabilitation; D000071939:Stroke Rehabilitation