Using Self-Regulation Assessment to Explore Associations between Self-Regulation, Participation and Health-Related Quality of Life in a Rehabilitation Population.
Tanja I Mol, Eline W M Scholten, Coen A M Van Bennekom and 6 others
PMID 36749136WHAT IT FOUND
Self-regulation scores linked to how satisfied patients felt with their life and mental health, but not to how much they actually participated or their physical health.
Trust in one's own abilities was the strongest predictor of this satisfaction.
Key findings
01Self-regulation themes explained 0-15% of the variance in participation outcomes and 0-22% in health-related quality of life outcomes.
02The subscale on trust and applying self-regulation was most strongly associated with participation and health-related quality of life outcomes compared to other subscales.
03Self-regulation was mainly associated with satisfaction with participation and mental health outcomes, while associations with frequency of participation and physical health were weak.
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 study is cross-sectional, so it cannot prove that self-regulation causes better outcomes, only that they are linked. The response rate was low (19%), and the characteristics of non-responders are unknown, which may introduce bias. The study did not measure the severity of physical or cognitive impairments, or the patients' emotional status, which are key factors that could influence the results. The data was collected during the COVID-19 pandemic, which may have affected patients' levels of participation and well-being in ways that are not typical. The SeRA is a new measure that still requires further research on its validity and responsiveness in different settings.
Declared interests
The authors have no conflicts of interest to declare.
The easy way to misread this
Do not assume that improving a patient's self-regulation will directly increase their physical participation or improve their physical health. The study found these associations were weak or non-existent, with self-regulation primarily linked to subjective satisfaction and mental health.