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

Lenze, Eric J.; Munin, Michael C.; Quear, Tanya; Dew, Mary Amanda; Rogers, Joan C.; Begley, Amy; Reynolds, Charles F.

doi:10.1016/j.apmr.2003.06.001

Cited by 166 publications

(164 citation statements)

References 14 publications

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“…11 The PRPS is a 6-point Likert-type measure with higher scores indicating better participation (1= none, 2 = poor, 3= fair, 4 = good, 5 = very good and 6 = excellent). The PRPS relies on clinicians’ observation requiring no self report data from the participants.…”

Section: Methodsmentioning

confidence: 99%

“…Previous work in over 200 patients with varying diagnoses in rehabilitation had found the PPRS to exhibit inter-rater reliability (ICC= .91–.96) and predictive validity against change in motor FIM scores. 11 It has been proposed that the PRPS may have particular utility in populations who are older, frail and in which outcomes are less universally favorable such as those with hip fracture or stroke. 11 …”

Section: Methodsmentioning

confidence: 99%

“…11 It has been proposed that the PRPS may have particular utility in populations who are older, frail and in which outcomes are less universally favorable such as those with hip fracture or stroke. 11 …”

Section: Methodsmentioning

confidence: 99%

“…9 A proposed alternative to measuring patient motivation is quantifying the observable behavior of patient participation which sometimes can be influenced by intervention. 10,11 As rehabilitation stays are shortening, it will be advantageous for clinicians to quickly and accurately assess their patients’ participation.…”

mentioning

confidence: 99%

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Patient Participation and Physical Activity During Rehabilitation and Future Functional Outcomes in Patients After Hip Fracture

Talkowski

Lenze

Munin

et al. 2009

Archives of Physical Medicine and Rehabilitation

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Objective We examined the association between physical activity recorded by Actigraphy during therapy sessions (therapy) to therapist rated patient participation and self reported future functional outcomes. We hypothesized those participants who were more active during rehab would have higher participation scores and better functional outcomes following hip fracture compared to those who were less active. Design Longitudinal study with 3 and 6 month follow-up. Setting Participants were recruited from skilled nursing (SN) and inpatient rehabilitation (IR) facilities. Participants Participants included 18 community dwelling older adults admitted to SN or IR facilities after hip fracture. Participants were included if they were ≥ 60 years of age and ambulatory with or without assistance from a device or another person. Intervention Not Applicable Main Outcome Measure Physical activity was quantified during participants’ rehab using the Actigraph accelerometer worn consecutively over 5 days. The Pittsburgh Participation Rating Scale was used to quantify patient participation during their inpatient therapy sessions. Self reported functional outcomes were measured by the Hip Fracture Functional Recovery Scale (HFRS) at baseline, 3 and 6 months following fracture. Results Participants with higher Actigraphy counts during rehab were ranked by their therapists as having excellent participation compared to those who were less active. Participants who were more active reported better functional abilities at both 3 and 6 month time points and achieved 78% and 91% recovery of self reported pre-fracture function compared to those who were less active achieving 64% and 73% recovery. Conclusion Actigraphy provides an objective measure of physical activity exhibiting predictive validity for future functional outcomes and concurrent validity against patient participation in patients after hip fracture.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Patient Participation and Physical Activity During Rehabilitation and Future Functional Outcomes in Patients After Hip Fracture

Talkowski

Lenze

Munin

et al. 2009

Archives of Physical Medicine and Rehabilitation

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“…[33][34][35][36][37][38][39] Therapists also rated patient participation using the Pittsburgh Rehabilitation Participation Scale for each therapy session. 40 The Pittsburgh Participation Scale uses a 6-point Likert scale (eg, 1Zno participation, 3Zfair participation, 6Zexcellent participation).…”

Section: Point-of-care Documentationmentioning

confidence: 99%

Rehospitalization in the First Year of Traumatic Spinal Cord Injury After Discharge From Medical Rehabilitation

DeJong

Tian

Hsieh

et al. 2013

Archives of Physical Medicine and Rehabilitation

170

135

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Effect of Enhanced Medical Rehabilitation on Functional Recovery in Older Adults Receiving Skilled Nursing Care After Acute Rehabilitation

et al. 2019

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Key Points Question Does enhanced medical rehabilitation, a technique for systematically engaging and motivating patients in their physical and occupational therapy, result in better functional outcomes? Findings In this randomized clinical trial of 229 older adults receiving physical and occupational therapy in skilled nursing facilities, those receiving enhanced medical rehabilitation showed a higher percentage of active time during therapy sessions and a 25% greater functional recovery compared with those receiving standard-of-care therapy. Meaning Systematically engaging older adults in their therapy after acute rehabilitation may result in a better functional outcome.

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

Cited by 166 publications

References 14 publications

Patient Participation and Physical Activity During Rehabilitation and Future Functional Outcomes in Patients After Hip Fracture

Patient Participation and Physical Activity During Rehabilitation and Future Functional Outcomes in Patients After Hip Fracture

Rehospitalization in the First Year of Traumatic Spinal Cord Injury After Discharge From Medical Rehabilitation

Effect of Enhanced Medical Rehabilitation on Functional Recovery in Older Adults Receiving Skilled Nursing Care After Acute Rehabilitation

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