TRANSLATION AND VALIDATION OF A DANISH MODIFIED VERSION OF THE CLIENT-CENTERED REHABILITATION QUESTIONNAIRE (CCRQ) FOR OUTPATIENTS

Background: Evidence supports client-centeredness as approach in occupational therapy, as it improves functioning in everyday living. The Client-Centered Rehabilitation Questionnaire (CCRQ) was developed to measure inpatients... [ view full abstract ]

Background:
Evidence supports client-centeredness as approach in occupational therapy, as it improves functioning in everyday living. The Client-Centered Rehabilitation Questionnaire (CCRQ) was developed to measure inpatients reported outcomes. However, questionnaires to measure outpatients’ perception of client-centeredness are also of utmost importance. Therefore, the CCRQ was translated into Danish and modified to suite outpatients with hand-related injuries.

Method:
Focus group interviews were completed to insure consistency between the Danish understanding of client-centered practice and core values from the occupational therapy research. The CCRQ was translated using Dual panel translation. Face and content validation was obtained. The Danish modified version was pilot tested. Construct validity is accessed by a priori hypothesis. The reliability is tested by test-retest.

Results:
CCRQ was modified after literature review and interviews. Items concerning enabling occupation were added and items related to inpatient were deleted. The content validity was good to excellent. The test-retest and construct validity is ongoing. An a priory analysis of reliability shows excellent agreement.

Conclusion:
This study showed consistency in the understanding of client-centeredness. The modified CCRQ for outpatients with hand-related injuries has good to excellent face and content validity and seems preliminarily reliable.

Application to Practice:
In quality development of rehabilitation, measurement instruments to evaluate patients’ perception of client-centeredness is most important.

References
Cott, C & Teare, G & McGilton, K & Lineker, S. (2006) `Reliability and construct validity of the Client-Centered Rehabilitation Questionnaire´, Disability and rehabilitation, 28 p.1387-1397.

Financial support by The Danish Occupational Therapist Association and Bevica Foundation is gratefully acknowledged.