Measures of self-regulation used in adult rehabilitation populations: A systematic review and content screening.
T I Mol, C A M van Bennekom, E W M Scholten and 1 others
PMID 35473388WHAT IT FOUND
No existing generic self-regulation measure covers all six key aspects of rehabilitation self-regulation.
Most tools focus only on confidence or awareness, leaving gaps in assessing how patients communicate limitations or use their remaining abilities.
Key findings
01None of the nineteen eligible generic measures covered four or more of the six sub-themes of self-regulation considered important in rehabilitation.
02Most included measures focused on self-efficacy, which aligns with only one sub-theme: trust in body and functioning.
03The first four sub-themes, including gaining insight into impairments and communicating limitations, were least often covered by existing measures.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The review only included English-language publications, potentially missing relevant measures developed in other languages. The definition of self-regulation and the six sub-themes were based on a specific conceptual model derived from focus groups in the Netherlands, which may not be universally accepted. The content analysis involved subjective mapping of items to sub-themes, although double-checking was performed. Validation studies were excluded, so measures that were validated but not used in recent rehabilitation research might have been missed.
Declared interests
The authors declared no potential conflicts of interest. The work was supported by a grant from ZonMw.
The easy way to misread this
Do not assume that a high score on a generic self-efficacy scale indicates strong overall self-regulation. The study found that these scales largely miss critical components like communicating limitations and gaining insight into impairments, so they provide an incomplete picture of a patient's self-regulation abilities.