The Pittsburgh Rehabilitation Participation Scale: reliability and validity of a clinician-rated measure of participation in acute rehabilitation

• Published in: Archives of physical medicine and rehabilitation Vol. 85; no. 3; pp. 380 - 384
• Main Authors: Lenze, Eric J, Munin, Michael C, Quear, Tanya, Dew, Mary Amanda, Rogers, Joan C, Begley, Amy E, Reynolds, Charles F
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.03.2004; Elsevier
• Subjects: Adult; Aged; Aged, 80 and over; Biological and medical sciences; Diseases of the osteoarticular system; Female; Humans; Length of Stay; Male; Medical sciences; Middle Aged; Motivation; Musculoskeletal Diseases - rehabilitation; Nervous System Diseases - rehabilitation; Observer Variation; Occupational Therapy; Patient Participation; Physical Therapy Modalities; Predictive Value of Tests; Recovery of Function; Rehabilitation; Reproducibility of Results; Traumas. Diseases due to physical agents; Treatment Outcome; Treatment outcome; Rehabilitation; Motivation; Patient participation; Participation; Validity; Reeducation; Acute; Orthopedics; Reliability; Traumatology
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1016/j.apmr.2003.06.001

Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, Reynolds CF III. The Pittsburgh Rehabilitation Participation Scale: reliability and validity of a clinician-rated measure of participation in acute rehabilitation. Arch Phys Med Rehabil 2004:85:380–4. 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. Prospective measurement of patient participation in physical and occupational therapy sessions during inpatient rehabilitation. University-based, freestanding acute rehabilitation hospital. Two hundred forty-two inpatients, primarily elderly, with a variety of impairment diagnoses (eg, stroke), who were admitted for inpatient rehabilitation. Not applicable. Change in the 13 motor items from the FIM™ instrument, from admission to discharge. 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. 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.