Article

OBJECTIVE: Structural analysis of the German translation of the "Client-Centered
Rehabilitation Questionnaire" (CCRQ). DESIGN: Cross-sectional multicenter study.
SETTING: Ten inpatient rehabilitation centers in Germany. SUBJECTS: The CCRQ was
completed by patients in the ten rehabilitation centers.
MAIN MEASURES: The
psychometric analysis of the CCRQ was conducted using exploratory and
confirmatory factor analysis. RESULTS: The CCRQ was completed by 496 patients
(average age: 59 years; 59.7% women). The CCRQ's 7-factor structure could not be
confirmed. Factor analysis showed that the three latent constructs
"decision-making/communication", "self-management/empowerment",
and "psychosocial
well-being" (60.73% variance explained) adequately represent patient-centeredness
in medical rehabilitation assessed by the CCRQ. The scales possess good
reliability (Cronbach's alpha = .83 to .87) and convergent criterion validity (r
= 0.48 to 0.68). The three-factorial model exhibited good local and global data
fit (RMSEA: 0.063, CFI 0.962, TLI 0.954) and proved to have a better data fit
than concurring models (e.g. a model assuming an underlying factor). CONCLUSIONS:
A validated short form of the Client-Centered Rehabilitation Questionnaire,
CCRQ-15, could be identified. Three scales based on 15 items allow assessing the
key aspects of patient-centeredness in German medical rehabilitation.

Langue : ANGLAIS