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Objective : To analyze definitions and related requirements, processes, and operationalization of person-centered goal-setting in the physiotherapy research literature; to discuss those findings in relation to underlying principles of person-centeredness; and to provide an initial framework for how person-centered goal-setting could be conceptualized and operationalized in physiotherapy. Methods : A literature search was conducted in the databases: CINAHL, PubMed, PEDro, PsycINFO, REHABdata and Scopus. A content analysis was performed on how person-centered goal-setting was described. Results : A total of 21 articles were included in the content analysis. Five categories were identified: 1) Understanding goals that are meaningful to the patients; 2) Setting goals in collaboration; 3) Facing challenges with person-centered goal-setting; 4) Developing skills by experiences and education; and 5) Changing interaction and reflective practice. These categories were abstracted into two higher-ordered interlaced themes: 1) To seek mutual understanding of what is meaningful to the patient; and 2) To refine physiotherapy interaction skills, which we suggest would be useful for further conceptualization. Conclusion : In this analysis, we interpreted person-centered goal-setting in physiotherapy as a process of interaction toward a mutual understanding of what is meaningful to the patient. Future research may explore how to integrate mindful listening, embodied interaction and continuous ethical reflection with different assessments and treatment methods.

Background: Reinforcing self-efficacy in patients is important in person-centered care; therefore, reliable and valid measures of a person's self-efficacy is of clinical relevance. A questionnaire suitable for self-efficacy and patient engagement that is not limited to a particular condition is the Self-efficacy to Manage Chronic Disease (SEMCD). This study aims to evaluate the measurement properties of a Swedish translation of the SEMCD with a Rasch analysis. Methods: The translation and cultural adaptation of the SEMCD was performed according to the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) recommendations. Self-reported data was collected from two cohorts: patients with pituitary tumors (n = 86) and patients on sick leave due to common mental disorders (n = 209). Measurement properties were evaluated with a Rasch analysis in RUMM2030. Results: The original six-item SEMCD did not fit to a unidimensional scale. Two items, item 5 and item 6, deviated both statistically and conceptually and were removed. A four-item solution, the SEMCD-4 with collapsed thresholds for mid-range response options, showed good targeting and unidimensionality, no item misfit, and a reliability of 0.83. Conclusion: In a Swedish context with a mix of patients with pituitary tumors or common mental disorders, SEMCD-4 showed satisfactory measurement properties. Thus, SEMCD-4 could be used to identify patient self-efficacy in long-term illnesses. This knowledge about patient self-efficacy may be of importance to tailor person-centered support based on each patient´s resources, needs and goals. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the psychometric properties of the Patient Participation in Rehabilitation Questionnaire (PPRQ) in neurological rehabilitation using statistical methods taking the ordinal nature of data into account. Methods: A cross-sectional postal questionnaire study was conducted. In total, 522 patients from a neurological rehabilitation unit completed the 32-item version of the PPRQ. The PPRQ comprises five scales and assesses patients' experiences of participation in their rehabilitation. A confirmatory factor analysis was conducted to evaluate the factor structure according to the hypothetical five-scale model. Internal consistency reliability was evaluated by ordinal α, and test–retest reliability was evaluated by weighted kappa statistics and intraclass correlations (ICC). Results: After omitting 12 items, a 20-item version with the five hypothetical scales showed acceptable fit for the PPRQ (RMSEA = 0.067, CFI = 0.983, TLI = 0.979). For each scale, both internal consistency and test–retest reliability were good to excellent (ordinal α = 0.88–0.93, ICC = 0.83–0.90). Conclusions: The revised version of the PPRQ shows sound psychometric properties and is a potential questionnaire for the evaluation of patients' experiences of participation in neurological rehabilitation. The PPRQ can provide insight into central aspects that are crucial for the patients' participation, namely Respect and integrity, Planning and decision-making, Information and knowledge, Motivation and encouragement, and Involvement of family. Patient participation in rehabilitation is a multidimensional concept that can be assessed by the revised Patient Participation in Rehabilitation Questionnaire (PPRQ). The revised PPRQ shows sound psychometric properties for persons undergone neurological rehabilitation. The revised PPRQ still covers five central aspects of patient participation: Respect and integrity, Planning and decision-making, Information and knowledge, Motivation and encouragement, and Involvement of family. Assessments with the revised PPRQ can provide insight into the patients' experiences of central aspects that are crucial for participation in their own rehabilitation. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the Patient Participation in Rehabilitation Questionnaire (PPRQ) according to Rasch measurement theory. Method: Five hundred twenty‐two post‐discharge patients from a neurological rehabilitation unit were included. The PPRQ questionnaire comprises 20 items rated by a cohort of 522 patients about their experiences of participating in rehabilitation. The measurement properties of the PPRQ were evaluated by Rasch analysis of the responses. Results: The Rasch analysis of 20 items showed some major misfits, particularly three items addressing the involvement of family members. After removing those items, the model fit improved and no significant DIF remained. Despite improvements, person values (−2.96 to 4.86 logits) were not fully matched by the item values (−0.61 to 0.77 logits). Neither did the t test for unidimensionality meet the criterion of 5%, and local dependency was present. The unidimensionality and local dependency could, however, be accommodated for by four testlets. Conclusion: The PPRQ‐17 showed that a ruler with a reasonable and clinical hierarchy can be constructed, although the expectations of dimensionality and local dependency need to be evaluated further. Despite room for further development, PPRQ‐17 nevertheless shows improved measurement precision in terms of patient leniency compared with previous evaluations with classical test theory. In turn, this can play a crucial role when comparing different rehabilitation programs and planning tailored care development activities. [ABSTRACT FROM AUTHOR]