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A Rating Instrument for the Evaluation of In-Patient Rehabilitation Programmes in China

Results of Reliability and Validity Testing

Published online by Cambridge University Press:  06 August 2018

Gongan Li*
Affiliation:
Community Services Department
Xiong Hu
Affiliation:
Rehabilitation Ward
Dezhen Jin
Affiliation:
Shashi City Veterans Psychiatric Hospital
Weicai Tian
Affiliation:
Shashi City Veterans Psychiatric Hospital
Michael R. Phillips
Affiliation:
Research Centre of Clinical Epidemiology, Shashi City Veterans Psychiatric Hospital, Department of Social Medicine, Harvard Medical School
*
Shashi City Veterans Psychiatric Hospital, 78 Ta Qiao Road, Shashi, Hubei 434000, PRC

Abstract

To objectively evaluate in-patient rehabilitation programmes in China, we developed a new rating scale: the Inpatient Psychiatric Rehabilitation Outcome Scale (IPROS). The scale has five subscales: performance in occupational therapy, daily activities, socialisation, personal hygiene, and level of interest in external events. Evaluators (physicians or nurses) observe patients for one week before coding items on a five-point scale. Comparison of four independent evaluators' results for 32 schizophrenic patients assessed on two separate occasions indicated that the inter-rater and test-retest reliability for the overall IPROS score and for the five subscale scores was excellent (all ICC values ≥0.973). Validity was evaluated by comparing IPROS results with those of five other independently assessed clinical measures for 101 chronic schizophrenic patients before and after a six-month rehabilitation programme; concurrent validity and longitudinal validity were satisfactory (correlation coefficients 0.37–0.81, all P values <0.01).

Type
II. Rehabilitation Interventions in In-Patient Settings
Copyright
Copyright © 1994 The Royal College of Psychiatrists 

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