[Development of a questionnaire to assess treatment representations in rehabilitation patients].

The purpose of the study was to develop a generic questionnaire for assessing the patients' rehabilitation treatment representations on the theoretical basis of the Common Sense Model of self-regulation and analogous with established assessment instruments for illness representations and medication-related treatment representations. Using theory-based and empirical patient and provider input, a pool of 115 items on the patients' rehabilitation treatment representations was generated. The items were first pre-tested on n=182 rehabilitation patients in nine rehabilitation centres for the indications musculoskeletal diseases and psychosomatic illnesses. The next step was the factor analytical reduction of the item pool. The resulting factors were analyzed for unidimensionality, and the remaining items were analyzed for distribution of values. Internal consistency and the "known groups validity" were used to determine reliability and validity, respectively. Finally, patient acceptance of the questionnaire was assessed. The item pool was considerably reduced by factor analysis and the remaining items were grouped under four factors. After eliminating other single items on the basis of modification indices and indicator reliability, the unidimensionality of these factors was assessed as good. The majority of the remaining 23 items showed an asymmetrical distribution, which was also reflected by low item difficulty. The contents of the scales can be interpreted as "somatic outcome expectation", "psychological outcome expectation", "process expectations", and "concerns". The internal consistency of the scales (Cronbach's alpha) lies between 0.80 and 0.84 for the entire sample. The treatment representations for psychosomatic patients differ in the anticipated direction from those of orthopaedic rehabilitation patients. Patient acceptance of the questionnaire was very positive. The questionnaire developed allows aspects of the patients' rehabilitation treatment representations to be measured, the features of which are highly relevant for providers as a basis for providing individualized patient information. However, the results of the pretest have to be tested confirmatory and also indicate that there is still potential for improving the instrument and making it more precise.

Glattacker M ，Heyduck K ，Meffert C 《-》

[Motivation for psychosomatic-psychotherapeutic treatment of vocational stresses -- development and validation of a questionnaire].

Zwerenz R ，Knickenberg RJ ，Schattenburg L ，Beutel ME ... -  《REHABILITATION》

[Rehabilitation from the patient perspective--a qualitative analysis of the treatment beliefs of patients in inpatient orthopedic and psychosomatic rehabilitation].

As the common sense self-regulation model (CSM) was further developed in the late 1990s, its focus was, along with subjective illness perceptions, the treatment representations of patients, in particular medication-related perceptions. However until now, only few studies have dealt with subjective concepts regarding non-medication treatment. The objective of this study was to explore the core content areas of the treatment concept of rehabilitation patients as a basis for developing a questionnaire to survey rehabilitation-related treatment beliefs. In 5 inpatient rehabilitation centres for psychosomatic and musculoskeletal diseases, guided focus groups were conducted with a total of n=25 rehabilitation patients. Some 56% of the participants were female; the average age was 52.8 years (SD=10.8). The interviews were transcribed and analyzed using the computer programme Atlas.ti based on the method recommended by Mayring in a multi-stage qualitative content analysis procedure. In the analysis of the discussion transcriptions, a total of 579 patient statements were categorized with 49 codes that were assigned to the areas (1) expectations and beliefs with respect to the rehabilitation process, (2) expectations of results, and (3) fears associated with rehabilitation. The process expectations were the most frequently discussed topic, constituting 58.2% of all patient statements. It was found that the patients associate not only numerous individual treatments with rehabilitation but also have concrete perceptions about the specific form rehabilitation should have, their own role in the rehabilitation process, and features of the overall rehabilitation concept. The outcome expectations are related to the areas activities of daily life and job, psyche, soma, and effectiveness of rehabilitation. Fears with respect to rehabilitation generally played only a subordinate role for those surveyed. The indication-specific analyses showed that the perceptions regarding the realization and form of rehabilitation differed among the various diagnosis groups, but the patients named similar categories for expectations of results and fears, with only some variation in importance. The focus groups allowed good insights into the patient perspectives of rehabilitation. Simultaneously, a good basis was created for generating contents of items for a questionnaire on the rehabilitative treatment concept, so that along with literature analyses, the qualitative method proved to be a suitable approach and good source for developing a questionnaire.

Heyduck K ，Glattacker M ，Meffert C 《-》

[Patient expectations regarding methods and outcomes of their rehabilitation--a controlled study of back pain- and cancer patients].

Faller H ，Vogel H ，Bosch B 《REHABILITATION》

Patient Interpretation of Neuropathy (PIN) questionnaire: an instrument for assessment of cognitive and emotional factors associated with foot self-care.

Vileikyte L ，Gonzalez JS ，Leventhal H ，Peyrot MF ，Rubin RR ，Garrow A ，Ulbrecht JS ，Cavanagh PR ，Boulton AJ ... -  《DIABETES CARE》