Cross-cultural adaptation and validation of the Spanish version of the Client-Centred Rehabilitation Questionnaire (CCRQ).

PURPOSE: The aim of the study is to present the process of translation, adaptation and validation of the Client-Centred Rehabilitation Questionnaire (CCRQ) in the Spanish context. METHODS: The process integrates two sequential phases. Phase 1 consists of a questionnaire translation and back-translation process conducted by a panel of experts, and a pilot study. In phase 2, CCRQ-e (Spanish version) was administered to 305 rehabilitation inpatients to collect evidence on the reliability and validity of the instrument. RESULTS: The exploratory and confirmatory analysis confirmed seven original domains, eliminating four items from the original scale. CCRQ-e has a good internal consistency. Discriminative construct validity distinguished significant differences based on age, educational level, and severity of diagnosis. Criterion validity of the CCRQ and EQ-5D showed negative significant correlations between CCRQ-e and the general perception of health EQ-VAS, and a positive correlation between CCRQ-e and EQ pain and EQ anxiety (higher scores in CCRQ-e mean lower client-centered practice perceived). CONCLUSIONS: The Spanish version of the CCRQ is suitable for evaluating person-centered rehabilitation from the person's perspective. It includes aspects related to the comfort, decision-making, and participation of the client, as well as questions about the provision of service and the environment.Implications for rehabilitationThe original seven domains of the CCRQ could be replicated in the sample of patients from Spanish rehabilitation services.By eliminating four items from the original scale, the validated scale, known as the CCRQ-e (Spanish version), was obtained.The CCRQ-e allows a reliable and valid evaluation of the perception of the person-centeredness of the Spanish rehabilitation services.The CCRQ-e is the first self-reported measure in Spanish of an individual's experience during the rehabilitation service.

Presentación de la traducción, adaptación y validación del Client-Centred Rehabilitation Questionnaire - versión Española (CCRQ-E) / Presentation of the translation, adaptation and validation of the Client-Centred Rehabilitation Questionnaire - Spanish version (CCRQ-E)

El creciente interés de aplicar una práctica centrada en la persona en los servicios de terapia ocupacional y rehabilitación, implican disponer de herramientas para que la persona del servicio pueda evaluar las diferentes dimensiones que engloba el concepto. Después de un proceso de traducción, adaptación cultural y validación el Client-Centred Rehabilitation Questionaire o Cuestionario de Rehabilitación Centrado en el Cliente versión española (CCRQ-e) es una medida de autoevaluación diseñada para evaluar la experiencia centrada en la persona en los servicios de rehabilitación. Engloba tanto aspectos relacionados con el confort, decisión o participación del cliente, como aspectos relacionados con la provisión de servicio o el entorno. El instrumento consta de 29 ítems específicamente desarrollados para representar las características de rehabilitación en 7 subescalas: Toma de decisiones, educación, evaluación de resultados, implicación de la familia, soporte emocional, confort físico y continuidad/coordinación. Las 7 subescalas muestran una buena consistencia interna. Asimismo, la validez de constructo del instrumento mostró una buena capacidad discriminante entre programas y centros, en las diferentes subescalas, resultando un instrumento adecuado para evaluar la atención centrada en la persona en los servicios de rehabilitación. (AU)

The growing interest in applying a person-centered practice in occupational therapy and rehabilitation services, implies having tools so that the person in the service can evaluate the different dimensions that the concept encompasses. After a process of translation, cultural adaptation and validation, the Client-Centred Rehabilitation Questionnaire or Cuestionario de Rehabilitación Centrado en el Cliente in its Spanish version (CCRQ-e), is a self-assessment measure designed to assess the person-centered experience in rehabilitation services. It encompasses both aspects related to customer comfort, decision or participation, as well as aspects related to the provision of service or the environment. The instrument consists of 29 items, specifically developed to represent rehabilitation characteristics, in 7 subscales: decision making, education, outcome evaluation, family involvement, emotional support, physical comfort, and continuity/coordination. The 7 subscales show good internal consistency. Likewise, the construct validity of the instrument showed a good discriminating capacity between programs and centers, in the different subscales, resulting in an adequate instrument to evaluate person- centered care in rehabilitation services. (AU)

Clinical Utility of the Canadian Occupational Performance Measure in Older Adult Rehabilitation and Nursing Homes: Perceptions among Occupational Therapists and Physiotherapists in Spain.

INTRODUCTION: Scientific evidence that supports the psychometric properties of the COPM as a tool to enable personalized care has been repeatedly shown. However, there is a lack of studies about its utility within the Spanish research community. AIM: This qualitative study seeks to ascertain the perceptions of professionals from social health centers, nursing homes, and Spanish rehabilitation services about the clinical utility of the COPM as a standardized instrument. METHODS: Thirty occupational therapists and physiotherapists in four focus groups discussed the experience of applying the COPM. The interpretative phenomenological analysis (IPA) incorporated a multidimensional model of clinical utility based on the components of acceptable, appropriate, accessible, and practicable by the clients, professionals, and institutions. Results and Discussion. The results of the utility study showed that the COPM helped professionals and clients to gain significant involvement in the treatment process. The COPM contributed to the process of further goal setting, occupation-based, and client-centered, thus achieving considerable satisfaction from the clients that had treatment. The professional training and adaptation to the geriatric population were vital to this process. CONCLUSION: The COPM is a useful and viable tool for the institutions that are supportive of a client-centered approach in the Spanish context.

Eating disorders in patients with traumatic brain injury: a report of four cases.

BACKGROUND: Traumatic brain injury (TBI) can lead to changes in eating behavior patterns with significant clinical manifestations. METHODS: Medical records of four patients with severe TBI and eating disorders attending the neurorehabilitation program of our brain injury unit were reviewed. CONCLUSIONS: Several eating disorders observed among the four cases, may be present from early phases and remain years after the lesion. Symptoms do not adhere to the typical forms of anorexia and bulimia. Factors influencing the weight changes experienced by patients with brain injury included reduction in physical activity, metabolic disorders and treatment with psychotropic drugs.