Abstract:
OBJECTIVE:To develop a self-report measure for assessment of the stage of change in patients with osteoarthritis, in order to identify patients who would benefit from a self-management programme. METHODS:According to the 'stages of change' model a questionnaire was developed with three groups of items corresponding to the precontemplation stage (Pre), the contemplation (Cont) and the action (Act) stage. Internal consistency and factor structure of this questionnaire were investigated by assessing Cronbach's alphas and by performing factor analysis. SUBJECTS AND SETTING:The questionnaire was offered to 273 patients who entered a randomized clinical trial on self-management in a general health care setting. RESULTS:Factor analysis revealed that most items corresponded to the a priori described groups, while some items were not loading on the presumed factor. In each subgroup some items were deleted, resulting in a 15-item questionnaire. After this item reduction Cronbach's alphas were 0.72 (Pre), 0.76 (Cont) and 0.79 (Act) and all factor loadings were satisfactory (above 0.35). Classification revealed some differences between parts of the total group, for example in the proportion of patients in the preparation stage (recruited by general practitioner = 33.6%; advertisement = 49.2%). CONCLUSIONS:The Stages of Change Questionnaire in Osteoarthritis, a 15-item questionnaire to assess the 'stage of change' of a patient with osteoarthritis showed good internal consistency and adequate factor structure. These findings warrant further studies on validity and applicability in a clinical context.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Heuts PH,de Bie RA,Dijkstra A,Aretz K,Vlaeyen JW,Schouten HJ,Hopman-Rock M,van Weel C,van Schayck CPdoi
10.1191/0269215505cr814oasubject
Has Abstractpub_date
2005-05-01 00:00:00pages
290-9issue
3eissn
0269-2155issn
1477-0873journal_volume
19pub_type
杂志文章abstract:OBJECTIVE:To compare day hospital to day centre rehabilitation using scales to measure mobility, activities of daily living and quality of life. DESIGN:Single blind randomized controlled trial with home assessments at baseline (twice), six weeks and three months. SETTING:Mainly rural health district. Day hospital and...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1191/0269215500cr334oa
更新日期:2000-08-01 00:00:00
abstract:OBJECTIVE:To explore the inter-observer reliability of bedside observations of stroke patients' posture using two versions of a pictorial tool. DESIGN:Three projects were conducted. The initial version of the tool was used in project 1. The modified version was used in projects 2 and 3. In each project a pair of obser...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章
doi:10.1177/026921559901300307
更新日期:1999-06-01 00:00:00
abstract:OBJECTIVES:To examine gender, diagnosis, age, reasons for feeding, nutritional status, complications, outcome and duration of feeding in patients who have required a percutaneous endoscopic gastrostomy (PEG) for nutritional support at a district rehabilitation unit in the six years since the service was established. To...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215502cr476oa
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVE:To compare self-report measures of daily activities with objective activity data to determine whether patients with chronic lower back pain report their activity levels as accurately as controls do. DESIGN:A cross-sectional study was performed in patients and controls. SETTING:The study was carried out in t...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510380828
更新日期:2011-03-01 00:00:00
abstract:UNLABELLED:This series of articles for rehabilitation in practice aims to cover a knowledge element of the rehabilitation medicine curriculum. Nevertheless they are intended to be of interest to a multidisciplinary audience. The competency addressed in this article is cognitive rehabilitation. BACKGROUND:There is a pa...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215510395791
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVE:To compare the cost effectiveness of two occupational therapy-led discharge planning interventions from the HOME trial. DESIGN:An economic evaluation was conducted within the superiority randomized HOME trial to assess the difference in costs and health-related outcomes associated with the enhanced program a...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215518764249
更新日期:2018-07-01 00:00:00
abstract:OBJECTIVE:A pilot study to compare the effectiveness of an individual therapy program with the effects of a general physical therapy program. DESIGN:A randomized, single-blind cross-over design. PARTICIPANTS:Ten ambulant children with bilateral spastic cerebral palsy, age four to nine years. INTERVENTION:Participant...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215514544984
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:To enhance our understanding of coping and rehabilitation in the context of adaptation to disability by examining how coping may change over a two-year time period, and how different vision rehabilitation services may affect coping over time. DESIGN:Longitudinal two-wave study (baseline and two-year follow-u...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215506cr965oa
更新日期:2006-06-01 00:00:00
abstract:OBJECTIVE:The study asked whether an early botulinum toxin A (BTX-A) injection in subacute stroke patients may prevent a disabling finger flexor stiffness six months later. DESIGN:Single-blind, randomized pilot study. SETTING:Inpatient rehabilitation centre. SUBJECTS:Eighteen stroke patients, interval 4-6 weeks, non...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215511421355
更新日期:2012-03-01 00:00:00
abstract:OBJECTIVE:(1) To evaluate constraint-induced movement therapy for chronic stroke patients modified into group practice to limit the demand on therapist resources. (2) To explore whether extended mitt use alone may enhance outcome. DESIGN:A combined case-control and randomized controlled study with pre- and post-treatm...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1191/0269215506cr937oa
更新日期:2006-03-01 00:00:00
abstract:OBJECTIVES:This study hypothesized that higher caregiving demands are related to higher perceived injustice. Furthermore, this study investigated the mediating role of perceived injustice in the link between caregiving demands and caregivers' psychological well-being. DESIGN:A cross-sectional design. SETTING:The Pain...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215516643846
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To examine the scalability of the Rivermead Motor Assessment (RMA) with nonacute stroke patients in the community. DESIGN:This was a prospective study of the patients after discharge from hospital. All subjects were assessed on the RMA at six and 12 months after discharge home from hospital. Coefficients of ...
journal_title:Clinical rehabilitation
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1177/026921559701100108
更新日期:1997-02-01 00:00:00
abstract:OBJECTIVE:To investigate the feasibility and the effects on gait of a high intensity task-oriented training, incorporating a high cardiovascular workload and large number of repetitions, in patients with subacute stroke, when compared to a low intensity physiotherapy-programme. DESIGN AND SUBJECTS:Randomized controlle...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509360647
更新日期:2010-11-01 00:00:00
abstract:OBJECTIVE:To identify predictors of long-term pain and disability in knee osteoarthritis. DESIGN:A longitudinal cohort study of five years. SETTING:Primary care providers. SUBJECTS:In all, 108 patients (mean age = 63.6 years, standard deviation (SD) = 7.2 years) with knee pain (⩾40 mm on a 100 mm visual analogue sca...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215519900533
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To test the hypothesis that combined aerobic and resistance training and non-invasive ventilatory support result in additional benefits compared with combined aerobic and resistance training alone in heart failure patients. DESIGN:A randomized, single-blind, controlled study. SETTING:Cardiac rehabilitation ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215517704269
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVE:To compare the feasibility, convergent and clinical validity of three commonly used burden scales: Caregiver Strain Index (CSI), Caregiver Reaction Assessment (CRA) and Sense of Competence Questionnaire (SCQ), with a self-developed single question on self-rated burden (SRB). SUBJECTS:Stroke patients receivin...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215504cr723oa
更新日期:2004-03-01 00:00:00
abstract:OBJECTIVE:To compare the efficacy of three-dimensional (3D) Schroth exercises in patients with adolescent idiopathic scoliosis. DESIGN:A randomised-controlled study. SETTING:An outpatient exercise-unit and in a home setting. SUBJECTS:Fifty-one patients with adolescent idiopathic scoliosis. INTERVENTIONS:Forty-five ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215515575745
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:To identify the nature and extent of perceived unmet needs of people with spinal cord injury (SCI) living in the community and to determine their preferences regarding multidisciplinary outreach service delivery. DESIGN:Structured telephone interviews. SETTING:Spinal Injuries Unit, Queensland, Australia. S...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1191/0269215501cr453oa
更新日期:2001-12-01 00:00:00
abstract:OBJECTIVES:(1) To examine the feasibility of group physical activity in a day-care routine. (2) To assess the impact of this programme on functional fitness. DESIGN:Ten-week observational period, followed by 12 weeks of intervention in randomized controlled design, followed by 12 weeks of intervention only. SETTING:A...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215507078318
更新日期:2007-11-01 00:00:00
abstract:AIM:To investigate the effects of the water-based exercise on balance, mobility, mobility and functional independence, functional performance, fear of falling and quality of life in people with Parkinson's disease. METHODS:We searched pubmed/MEDLINE, Cochrane Central Register of Controlled Trials, PEDro data base and ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215520943660
更新日期:2020-12-01 00:00:00
abstract:OBJECTIVE:To investigate the effectiveness and safety of Baduanjin training on the cognitive function in stroke survivors with cognitive impairment. DESIGN:A randomized, two-arm parallel controlled trial with allocation concealment and assessors blinding. SETTING:Community centre of Fuzhou city, China. SUBJECTS:A to...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215520930256
更新日期:2020-08-01 00:00:00
abstract:OBJECTIVE:To investigate accidental falls and near fall incidents in people with multiple sclerosis with respect to clinical variables and the predictive values of four tests. DESIGN:A longitudinal, multi-centred cohort study with prospectively collected falls. PROCEDURES:Self-reported incidents during the three mont...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215508095087
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVE:To determine the acceptability and clinical application of two recently developed goal-setting interventions (Goal Management Training and Identity Oriented Goal Training) in people with traumatic brain injury. DESIGN:A three parallel group, randomized controlled pilot study. SETTING:Inpatient and community...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215509102980
更新日期:2009-04-01 00:00:00
abstract:OBJECTIVE:To systematically investigate how fatigue, depression, anxiety, sleep quality, and life quality are influenced by the Internet-based self-management program (IBSMP) among cancer patients. DATA SOURCES:Eight databases (Cochrane Library, Ovid, Web of Science, Medline, Embase, Chinese biomedical database (CBM),...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215519889394
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:To analyse the feasibility of Basic Body Awareness Therapy in people with eating disorders. DESIGN:A randomized controlled trial; the assessors were not blinded to the group allocation. SETTING:The eating disorders department within a hospital setting. SUBJECTS:Twenty-eight outpatients with eating disorder...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,随机对照试验
doi:10.1177/0269215510394223
更新日期:2011-07-01 00:00:00
abstract:OBJECTIVES:Combined aerobic and resistance exercise (CARE) is beneficial for improving renal function. To confirm this, we conducted a meta-analysis to evaluate the effects of CARE on renal function in adult patients with chronic kidney disease (CKD). DATE SOURCES:The last date of search was 22 February 2020. We searc...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,meta分析
doi:10.1177/0269215520924459
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to examine the role of social support in predicting depression in caregivers of adults aging with spinal cord injuries. DESIGN:Cross-sectional secondary data analyses were conducted for this study. SETTING:Participants were recruited from multiple community locations in Pitts...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1177/0269215512464503
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:To investigate the service users' (stroke survivors and care-givers) experiences and views of the rehabilitation assessment process. DESIGN:Qualitative data analysis from three focus groups using a content analysis to identify the major themes. SETTING:Participants were recruited from stroke support groups ...
journal_title:Clinical rehabilitation
pub_type: 杂志文章
doi:10.1177/0269215514523300
更新日期:2014-08-01 00:00:00
abstract:OBJECTIVE:Structural analysis of the German translation of the "Client-Centered Rehabilitation Questionnaire" (CCRQ). DESIGN:Cross-sectional multicenter study. SETTING:Ten inpatient rehabilitation centers in Germany. SUBJECTS:The CCRQ was completed by patients in the ten rehabilitation centers. MAIN MEASURES:The ps...
journal_title:Clinical rehabilitation
pub_type: 杂志文章,多中心研究
doi:10.1177/0269215516665158
更新日期:2017-07-01 00:00:00
abstract::This editorial considers how healthcare systems should approach the problems associated with ongoing, persistent symptoms and limitations on a person's ability to undertake activities. It starts from the premise, established in the first editorial, that the current reliance on the biomedical model of health and illnes...
journal_title:Clinical rehabilitation
pub_type: 社论
doi:10.1177/0269215515601175
更新日期:2015-12-01 00:00:00