Modification of the Patient Competency Rating Scale for use on an acute neurorehabilitation unit: the PCRS-NR

Objective: The Patient Competency Rating Scale (PCRS) is a 30-item self-report questionnaire that was developed to assess awareness of deficits in post-acute patients following traumatic brain injury (TBI). The purpose of this study was to develop a modified and psychometrically sound version of the PCRS for use on an acute, inpatient neurorehabilitation unit. Research design: Prospective cohort of patients seen for inpatient rehabilitation following brain injury. Procedures: Nineteen items from the original PCRS were retained for their applicability to an inpatient neurorehabilitation unit and administered to 108 acute neurological inpatients. Results: Principle components factor analyses with varimax rotation yielded a three factor solution. Acceptable internal consistencies were calculated for each factor and the total PCRS score. Conclusions: These findings document the psychometric properties of a briefer version of the PCRS for use on an inpatient rehabilitation unit. This modified version has been labelled the PCRS for neurorehabilitation (i.e. PCRS-NR).