[Stance toward psychosomatic rehabilitation: development of a patient-questionnaire].
BACKGROUND
The transition from home to psychosomatic rehabilitation is problematic for many patients. They show little treatment motivation because of insufficient information and fear of stigmatization. Pre-treatment seeks to reduce these problems. The patient-questionnaire for stance toward psychosomatic rehabilitation was developed and tested for performance criteria.


METHODS
A German statutory pension insurance scheme sample of psychosomatic rehabilitation patients (n=317) were recruited for testing psychosometric attributes and were questioned before and after pre-treatment. To determine whether the questionnaire can show clinically relevant changes, 124 patients with pre-information were compared with 88 patients without intervention. Additionally, clinically relevant changes for patients without knowledge of psychosomatic rehabilitation (n=70) were analyzed.


CONCLUSIONS
Factor analysis shows a three factor solution with ten items. The discriminatory power was good. High reliability was found for two factors and lower reliability for one factor. The patient-questionnaire for stance toward psychosomatic rehabilitation contains three scales: "knowledge", "confidence", and "motivation", and can be characterized as a reliable and economic instrument. After pre-treatment a general improvement was observed regarding patients' stance toward psychosomatic rehabilitation. The analyses result in significantly higher mean for patients with pre-treatment. Patients without previous information showed less "confidence" and "motivation". Pre-treatment can have a positive impact on the stance toward psychosomatic rehabilitation.
Zentrum für Klinische Psychologie und Rehabilitation der Universität Bremen, 28359 Bremen. nkar@uni-bremen.de
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N
Karpinski
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Lange
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F
Petermann
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A
Hessel
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Lampe
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M
Best
D005260:Female; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D018802:Patient-Centered Care / Q000639:trends*; D011594:Psychometrics / Q000379:methods*; D011602:Psychophysiologic Disorders / Q000175:diagnosis* / Q000534:rehabilitation*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires