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 (SD 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.

本研究旨在开发与探索自我调节评估（SeRA）的潜在维度及其心理测量特征，并进一步识别SeRA与残疾管理自我效能、诊断类型及康复类型之间的关联。基于先前构建的自我调节模型、专家及患者意见以及认知访谈，构建了一个包含22项自我调节（SeRA）条目的清单。SeRA被纳入一项针对563名前康复患者的横断面调查中，调查对象涵盖多诊断组。进行了探索性分析。受访者的平均年龄为56.5岁（标准差为12.7岁）。最大的诊断组为慢性疼痛障碍和脑损伤。在SeRA中发现了四个成分，分别标记为“了解自身健康状况”、“了解自身能力”、“应用自我调节”和“求助组织”。Cronbach’s α系数较高（总体量表：0.93，子量表：范围为0.85–0.89）。只有第一个子量表的得分显示出天花板效应。第三个子量表与自我效能感测量的相关性最高。不同诊断组之间的SeRA总分（范围71.6–78.1）存在微小差异。SeRA是一种新的自我调节测量工具，包含四个子量表。为进一步建立SeRA的有效性和可靠性，需要进一步的研究。

SeRA（自我调节评估）的开发旨在为康复人群提供全面自我调节的测量。SeRA有可能在康复治疗开始时识别出存在自我调节问题的个体，并测量自我调节的康复结果。SeRA还有可能用于分析康复实践的结果，以及评估对自我调节的干预措施。