PURPOSE/OBJECTIVE Evaluate the reliability and validity of the Hopkins Rehabilitation Engagement Scale (HRERS) in a postacute rehabilitation sample. We hypothesized that HRERS items would comprise a single factor, and would demonstrate adequate internal consistency and temporal stability, and significant relationships with key constructs. Research Method and Design: Retrospective medical record review between 2016 and 2017 of older veterans (N = 107) admitted to a community living center postacute care (CLC-PAC) rehabilitation hospital unit to address targeted physical therapy rehabilitation goals. Inclusion criteria included availability of two HRERS administrations at Time 1 (admission) and Time 2 (approximately one-month follow-up or physical therapist/CLC-PAC discharge). RESULTS Across timepoints, HRERS items reflect a single factor of engagement, and the scale has good internal consistency at admission (Time 1, α = .759) and follow-up (Time 2, α = .877). The temporal stability of HRERS across ratings was r = .56 (p < .001). Increased pain rating (r = -.309, p < .01) and depressive symptoms (-.287, p < .01) at admission correlates with subsequent physical therapist (PT) engagement (HRERS Time 2). Low admission PT engagement correlates with less frequent PT attendance (r = -.242, p < .01) and greater number of consults placed during the CLC stay (r = -.222, p < .05). CONCLUSIONS/IMPLICATIONS HRERS is a reliable and valid measure of PT engagement in older CLC-PAC Veterans. Findings support the administration of the HRERS at more than one timepoint during rehabilitation to inform interventions targeting select behavioral health factors such as pain and depression. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

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霍普金斯康复参与评定量表在急性后物理治疗服务中的心理测量评估。

目的/目的 在急性后康复样本中评估霍普金斯康复参与量表 (HRERS) 的可靠性和有效性。我们假设 HRERS 项目将包含单个因素，并且将证明足够的内部一致性和时间稳定性，以及与关键构念的显着关系。研究方法和设计：对 2016 年至 2017 年期间入住社区生活中心急性期护理 (CLC-PAC) 康复医院单位的老年退伍军人 (N = 107) 进行回顾性病历审查，以实现有针对性的物理治疗康复目标。纳入标准包括在时间 1（入院）和时间 2（大约 1 个月的随访或物理治疗师/CLC-PAC 出院）时进行两次 HRERS 给药。跨时间点的结果，HRERS 项目反映了单一的参与因素，该量表在入院时（时间 1，α = .759）和随访（时间 2，α = .877）具有良好的内部一致性。HRERS 跨评级的时间稳定性为 r = .56 (p < .001)。入院时增加的疼痛等级 (r = -.309, p < .01) 和抑郁症状 (-.287, p < .01) 与随后的物理治疗师 (PT) 参与相关（HRERS 时间 2）。低入院 PT 参与与 PT 出勤频率较低 (r = -.242, p < .01) 和 CLC 住院期间咨询次数较多 (r = -.222, p < .05) 相关。结论/影响 HRERS 是衡量老年 CLC-PAC 退伍军人 PT 参与度的可靠且有效的衡量标准。研究结果支持在康复期间在多个时间点实施 HRERS，以告知针对特定行为健康因素（如疼痛和抑郁）的干预措施。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。