[Psychometric Testing of a Generic Assessment Tool for the Identification of Biopsychosocial Impairments in Persons with an Approval for Medical Rehabilitation].
BACKGROUND
In Germany, different rehabilitation measures were developed for patients with problems due to their specific chronic disease. The aim of the study was to test a generic assessment tool for a valid identification of disability patterns. This tool can effectively display the demand of specific rehabilitation measures in the medical rehabilitation.


METHODS
The generic assessment tool was tested in a representative sample of individuals who have been granted a medical rehabilitation by the German Federal Pension Insurance. With this sample, we performed a cross-sectional study.


RESULTS
Full data were available for 2 530 persons. Our analyses showed good psychometric properties of the integrated instruments concerning missing rate, ceiling and floor effects, reliability and factorial validity. We could identify a 3-dimensional structure of the assessment tool according to the biopsychosocial model.


CONCLUSIONS
The presented assessment tool is suitable for the identification of biopsychosocial impairments and resources. This can help to allocate patients with chronic diseases in appropriate rehabilitation facilities and therapeutic modules.
Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité - Universitätsmedizin Berlin.
M
M
Brünger
Abteilung Rehabilitation, Deutsche Rentenversicherung Bund, Berlin.
M
M
Streibelt
Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité - Universitätsmedizin Berlin.
C
C
Schmidt
Institut für Medizinische Soziologie und Rehabilitationswissenschaft, Charité - Universitätsmedizin Berlin.
K
K
Spyra
D002908:Chronic Disease / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000145:classification / Q000523:psychology* / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods; D001523:Mental Disorders / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation*; D008875:Middle Aged; D015995:Prevalence; D011594:Psychometrics / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity