Personality commitment to rehabilitation in the disabled patients: assessment methodology

Relevance. In the presence of a disabling disease, the patient’s activity should be aimed not only at functional recovery of the organism, but also at social recovery for better adaptation and social integration. To achieve social adaptation and integration, social functioning should be restored. However, not every patient expects active participation in everyday life, which is revealed in the process of medical and social assessment. This problem necessitates conceptual generalization within the framework of the developed theoretical and applied concept of the rehabilitation commitment of the personality in the conditions of disability.

Intention. To develop valid, reliable, specific and efficient questionnaire for assessing personality commitment to rehabilitation (QPCR) in case of disabling conditions.

Methodology. The study involved 624 patients with various disabling conditions and 32 experts (medical and social expertise physicians, specialist physicians, and psychologists). At the first stage of the study, a questionnaire including 10 questions was developed to assess the formation of personality commitment to rehabilitation. At the second stage of the study, the questionnaire was tested for its validity, reliability, specificity and efficiency. At the third stage, the questionnaire was tested on patients with major disabling pathologies.

Results and Discussion. Reliable and valid questionnaire for assessment of personality commitment to rehabilitation was tested on patients with major disabling pathologies and included an integral index and the following two scales: psychological commitment of personality to rehabilitation (five questions); and activity and participation in social functioning (five questions). Tests in the group of patients with major disabling pathologies revealed specific features of rehabilitation commitment and reduced levels of activity and participation in social functioning. The results will help organize more effective rehabilitation.

Conclusion. The questionnaire can be used for medical and social expert evaluation of personality involvement in social functioning, as well as for planning rehabilitation measures in health care and social protection to assess personality commitment to rehabilitation in the disabled.

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