title: Hope predicts positive functional role outcomes in acute rehabilitation populations.
abstract: OBJECTIVE
  The purpose of this study was to examine the association between facilitating psychological variables and functional rehabilitation outcomes following acute medical rehabilitation.
  
  
  METHODS
  Using a longitudinal design and correlational and regression analyses, we studied 174 adults who were participating in inpatient rehabilitation for acute spinal cord dysfunction, stroke, amputation, or orthopedic surgery recovery. All participants completed the Hope Scale, Positive and Negative Affect Schedule, and Functional Independence Measure (FIM) during the first days of their inpatient stay, and then were contacted 3 months after discharge to complete the Craig Hospital Assessment and Reporting Technique (CHART) and FIM.
  
  
  RESULTS
  Hope accounted for a statistically significant amount of the variance in the prediction of functional role participation at 3 months postdischarge (as measured by the CHART) above and beyond the variance accounted for by demographic and severity variables. In contrast, positive affect was not found to contribute to the prediction of functional role participation, and neither hope nor positive affect contributed to the prediction of functional skill level (FIM).
  
  
  CONCLUSIONS
  The results indicate that positive psychological variables present during the rehabilitation stay, such as hopefulness, may contribute to the prediction of functional outcomes after discharge in rehabilitation populations. These findings suggest that incorporating interventions that enhance hope and build on the individual's psychological strengths may be useful to improve participation outcomes following acute medical rehabilitation.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine.
authors.forename: Kathleen B
authors.initials: KB
authors.lastname: Kortte
authors.affiliation: Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Stevenson
authors.affiliation: Department of Psychology, University of Maryland, Baltimore County.
authors.forename: Megan M
authors.initials: MM
authors.lastname: Hosey
authors.affiliation: Department of Health Policy and Management, Johns Hopkins University School of Public Health.
authors.forename: Renan
authors.initials: R
authors.lastname: Castillo
authors.affiliation: Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine.
authors.forename: Stephen T
authors.initials: ST
authors.lastname: Wegener
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000328:Adult; D000339:Affect; D005260:Female; D006801:Humans; D016013:Likelihood Functions; D016014:Linear Models; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009013:Morale; D012046:Rehabilitation / Q000523:psychology*; D016896:Treatment Outcome; D014481:United States