Italian Version of the Pittsburgh Rehabilitation Participation Scale: Psychometric Analysis of Validity and Reliability

Patient’s active participation in therapy is a key component of successful rehabilitation. In fact, low participation has been shown to be a prognostic factor of poor outcome; however, participation is rarely assessed in clinical settings. The Pittsburgh Rehabilitation Participation Scale (PRPS) is...

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Main Authors: Marco Iosa, Giovanni Galeoto, Daniela De Bartolo, Valentina Russo, Ilaria Ruotolo, Grazia Fernanda Spitoni, Irene Ciancarelli, Marco Tramontano, Gabriella Antonucci, Stefano Paolucci, Giovanni Morone
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/11/5/626
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author Marco Iosa
Giovanni Galeoto
Daniela De Bartolo
Valentina Russo
Ilaria Ruotolo
Grazia Fernanda Spitoni
Irene Ciancarelli
Marco Tramontano
Gabriella Antonucci
Stefano Paolucci
Giovanni Morone
author_facet Marco Iosa
Giovanni Galeoto
Daniela De Bartolo
Valentina Russo
Ilaria Ruotolo
Grazia Fernanda Spitoni
Irene Ciancarelli
Marco Tramontano
Gabriella Antonucci
Stefano Paolucci
Giovanni Morone
author_sort Marco Iosa
collection DOAJ
description Patient’s active participation in therapy is a key component of successful rehabilitation. In fact, low participation has been shown to be a prognostic factor of poor outcome; however, participation is rarely assessed in clinical settings. The Pittsburgh Rehabilitation Participation Scale (PRPS) is a validated, quick, and accurate measure of participation, relying on clinicians’ observation, and not requiring any self-report by patients. The aim of this study was to validate an Italian version of the PRPS. Following forward and back-translation of PRPS into Italian, the translated version was validated in a total of 640 therapy sessions, related to a cohort of 32 patients admitted to an Italian hospital. It was tested for concurrent validity, finding significant correlations with Barthel Index (<i>R</i> > 0.58, <i>p</i> < 0.001) and SF-36 Physical and Mental Health (<i>R</i> > 0.4, <i>p</i> < 0.02), for predictive validity, finding significant correlation with the effectiveness of rehabilitation (<i>R</i> = 0.358, <i>p</i> = 0.045), and for inter-rater and intra-rater reliability, computing an Intra-class correlation coefficient (ICC = 0.926 and 0.756, respectively). These psychometric properties results were similar to those of the original version of this scale. The proposed PRPS can be helpful for Italian clinicians in the assessment of patient’s participation during rehabilitation.
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spelling doaj.art-0047f447b5b94810984e6fdb5b04ab4c2023-11-21T19:34:19ZengMDPI AGBrain Sciences2076-34252021-05-0111562610.3390/brainsci11050626Italian Version of the Pittsburgh Rehabilitation Participation Scale: Psychometric Analysis of Validity and ReliabilityMarco Iosa0Giovanni Galeoto1Daniela De Bartolo2Valentina Russo3Ilaria Ruotolo4Grazia Fernanda Spitoni5Irene Ciancarelli6Marco Tramontano7Gabriella Antonucci8Stefano Paolucci9Giovanni Morone10Department of Psychology, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Human Neurosciences, Sapienza University of Rome, 00185 Rome ItalyDepartment of Psychology, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Psychology, Sapienza University of Rome, 00185 Rome, ItalyDepartment of Human Neurosciences, Sapienza University of Rome, 00185 Rome ItalyIRCCS Fondazione Santa Lucia, 00179 Rome, ItalyDepartment of Life, Health and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, ItalyIRCCS Fondazione Santa Lucia, 00179 Rome, ItalyDepartment of Psychology, Sapienza University of Rome, 00185 Rome, ItalyIRCCS Fondazione Santa Lucia, 00179 Rome, ItalyIRCCS Fondazione Santa Lucia, 00179 Rome, ItalyPatient’s active participation in therapy is a key component of successful rehabilitation. In fact, low participation has been shown to be a prognostic factor of poor outcome; however, participation is rarely assessed in clinical settings. The Pittsburgh Rehabilitation Participation Scale (PRPS) is a validated, quick, and accurate measure of participation, relying on clinicians’ observation, and not requiring any self-report by patients. The aim of this study was to validate an Italian version of the PRPS. Following forward and back-translation of PRPS into Italian, the translated version was validated in a total of 640 therapy sessions, related to a cohort of 32 patients admitted to an Italian hospital. It was tested for concurrent validity, finding significant correlations with Barthel Index (<i>R</i> > 0.58, <i>p</i> < 0.001) and SF-36 Physical and Mental Health (<i>R</i> > 0.4, <i>p</i> < 0.02), for predictive validity, finding significant correlation with the effectiveness of rehabilitation (<i>R</i> = 0.358, <i>p</i> = 0.045), and for inter-rater and intra-rater reliability, computing an Intra-class correlation coefficient (ICC = 0.926 and 0.756, respectively). These psychometric properties results were similar to those of the original version of this scale. The proposed PRPS can be helpful for Italian clinicians in the assessment of patient’s participation during rehabilitation.https://www.mdpi.com/2076-3425/11/5/626rehabilitationneurorehabilitationparticipationcompliancestrokepsychometry
spellingShingle Marco Iosa
Giovanni Galeoto
Daniela De Bartolo
Valentina Russo
Ilaria Ruotolo
Grazia Fernanda Spitoni
Irene Ciancarelli
Marco Tramontano
Gabriella Antonucci
Stefano Paolucci
Giovanni Morone
Italian Version of the Pittsburgh Rehabilitation Participation Scale: Psychometric Analysis of Validity and Reliability
Brain Sciences
rehabilitation
neurorehabilitation
participation
compliance
stroke
psychometry
title Italian Version of the Pittsburgh Rehabilitation Participation Scale: Psychometric Analysis of Validity and Reliability
title_full Italian Version of the Pittsburgh Rehabilitation Participation Scale: Psychometric Analysis of Validity and Reliability
title_fullStr Italian Version of the Pittsburgh Rehabilitation Participation Scale: Psychometric Analysis of Validity and Reliability
title_full_unstemmed Italian Version of the Pittsburgh Rehabilitation Participation Scale: Psychometric Analysis of Validity and Reliability
title_short Italian Version of the Pittsburgh Rehabilitation Participation Scale: Psychometric Analysis of Validity and Reliability
title_sort italian version of the pittsburgh rehabilitation participation scale psychometric analysis of validity and reliability
topic rehabilitation
neurorehabilitation
participation
compliance
stroke
psychometry
url https://www.mdpi.com/2076-3425/11/5/626
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