[Questionnaire "Coping Procedures - Goals and Appraisals": Development and First Psychometric Evaluation in Patients...

Area of Science:

• Health Psychology
• Rehabilitation Medicine
• Psychometrics

Background:

• Self-regulation is crucial in managing chronic conditions and rehabilitation.
• The Common Sense Model of Self-Regulation (CSM) provides a framework for understanding health-related behaviors.
• Existing tools may not adequately capture specific coping strategies and their appraisal in rehabilitation.

Purpose of the Study:

• To develop and psychometrically evaluate a disease-specific questionnaire based on the CSM.
• To assess 'coping procedures' and their 'appraisal' in orthopedic rehabilitation patients.
• To examine the psychometric properties of the 'coping procedures' scale.

Main Methods:

• Item pool generation through a multimodal approach.
• Data collection from 214 patients across 9 orthopedic rehabilitation centers with longitudinal measurements.
• Psychometric evaluation including confirmatory factor analysis and assessment of internal consistency, construct validity, and sensitivity to change.

Main Results:

• The developed questionnaire includes CSM-based items on coping procedures, goals, and appraisal.
• Coping procedures items loaded onto two scales: activity-focused and biomedicine-focused.
• The questionnaire demonstrated acceptable model fit, normal distribution characteristics, acceptable internal consistency, construct validity, sensitivity to change, comprehensibility, and acceptance.

Conclusions:

• The developed CSM-based questionnaire for coping procedures and appraisal shows satisfactory psychometric properties.
• The findings support the use of this questionnaire in orthopedic rehabilitation settings.
• Practical implications for assessing and understanding patient coping strategies are discussed.