The Self-Regulation Assessment (SeRA) questionnaire: development and exploratory analyses of a new patient-reported outcome measure for rehabilitation

To develop and explore underlying dimensions of the Self-Regulation Assessment (SeRA) and psychometric features of potential components. Further, to identify associations between the SeRA and disability-management self-efficacy, type of diagnosis, and type of rehabilitation. Based on a previously developed model of self-regulation, expert and patient opinions, and cognitive interviews, a list of 22 items on self-regulation (the SeRA) was constructed. The SeRA was included in a cross-sectional survey among a multi-diagnostic group of 563 former rehabilitation patients. Exploratory analyses were conducted. Respondents had a mean age of 56.5 (<i>SD</i> 12.7) years. The largest diagnostic groups were chronic pain disorder and brain injury. Four components were found within the SeRA, labelled as “insight into own health condition,” “insight into own capabilities,” “apply self-regulation,” and “organization of help.” Cronbach’s alpha was high (total scale: 0.93, subscales: range 0.85–0.89). Only scores on the first subscale showed a ceiling effect. Subscale three showed the highest correlation with a self-efficacy measure. Small differences in SeRA total scores (range 71.6–78.1) were found between different diagnostic groups. The SeRA is a new self-regulation measure with four subscales. Further research is needed to establish the validity and reliability of the SeRA. IMPLICATIONS FOR REHABILITATIONThe Self-Regulation Assessment (SeRA) was developed to provide a comprehensive measurement of self-regulation among rehabilitation populations.The SeRA could potentially be used to identify persons with self-regulation problems at the start of rehabilitation treatment and measure outcomes of rehabilitation for self-regulation.The SeRA could potentially be used to help analyse outcomes of rehabilitation practice as well as evaluate interventions on self-regulation. The Self-Regulation Assessment (SeRA) was developed to provide a comprehensive measurement of self-regulation among rehabilitation populations. The SeRA could potentially be used to identify persons with self-regulation problems at the start of rehabilitation treatment and measure outcomes of rehabilitation for self-regulation. The SeRA could potentially be used to help analyse outcomes of rehabilitation practice as well as evaluate interventions on self-regulation.本研究旨在开发并探索自我调节评估量表（Self-Regulation Assessment, SeRA）的潜在维度，以及其各潜在组成部分的心理测量学特征。此外，旨在明确SeRA与残疾管理自我效能、诊断类型以及康复类型之间的关联。 基于已有的自我调节模型、专家与患者的意见，结合认知访谈，研究团队编制了包含22个自我调节相关条目的测评工具（即SeRA）。 随后将SeRA纳入针对563名多诊断类别既往康复患者的横断面调查，并开展探索性分析。 受访者平均年龄为56.5岁（标准差SD=12.7），占比最高的诊断类别为慢性疼痛障碍与脑损伤。 探索性分析显示，SeRA包含4个维度，分别命名为「自身健康状况认知」、「自身能力认知」、「自我调节应用」以及「求助组织」。 克朗巴赫α系数（Cronbach’s alpha）整体表现优异：总量表α值为0.93，各分量表α值介于0.85至0.89之间。仅第一分量表的得分存在天花板效应，第三分量表与自我效能感测评结果的相关性最高。 不同诊断组之间的SeRA总得分差异较小，得分区间为71.6至78.1。 SeRA是一款包含4个分量表的新型自我调节测评工具，未来仍需开展进一步研究以验证其效度与信度。 康复领域应用启示 自我调节评估量表（Self-Regulation Assessment, SeRA）旨在为康复人群的自我调节能力提供全面测评。SeRA可用于在康复治疗起始阶段识别存在自我调节障碍的人群，并评估康复干预对自我调节能力的改善效果。此外，SeRA还可用于辅助分析康复临床实践的效果，并评估针对自我调节的干预措施成效。 自我调节评估量表（Self-Regulation Assessment, SeRA）旨在为康复人群的自我调节能力提供全面测评。SeRA可用于在康复治疗起始阶段识别存在自我调节障碍的人群，并评估康复干预对自我调节能力的改善效果。此外，SeRA还可用于辅助分析康复临床实践的效果，并评估针对自我调节的干预措施成效。