ABSTRACT
Objetivos: diseñar y llevar a cabo una intervención para aumentar la conciencia durante el desempeño de la actividad de conducir un simulador, en un caso de una persona con un accidente cerebrovascular. Métodos: basándose en el modelo de conciencia dinámica, la intervención se centró en la propia experiencia y en el feedback visual a través de vídeos sobre el desempeño. Resultados: el usuario obtuvo una mejoría en la conciencia inmediatamente después del desempeño (autoevaluación posterior), pero no en la conciencia anticipatoria antes de la actividad. Conclusiones: la autoevaluación posterior mejora tras la experiencia y el feedback, pero no lo hace la conciencia anticipatoria, quizás debido a alteraciones en la memoria. Estudios futuros deberán abordar cómo conseguir efectos sobre la anticipación del desempeño de la actividad.(AU)
Objective: An intervention was designed and carried out to increase awareness during the activity of simulated driving, in a case of a person with a stroke. Methods: based on the dynamic awareness model, the intervention was based on self-experience and visual feedback through performance videos. Results: An improvement in awareness immediately after the performance (subsequent self-assessment) was achieved by the user, but not in anticipatory awareness before the activity. Conclusions: subsequent self-assessment improves after the experience and feedback, but anticipatory awareness does not, perhaps because of memory disorders. Future studies should address how to achieve effects on the advance of the activity performance.(AU)
Subject(s)
Humans , Male , Middle Aged , Consciousness , Stroke , Stroke Rehabilitation , Occupational Therapy , Awareness , Automobile Driving/psychology , Inpatients , Physical Examination , Symptom Assessment , Feedback, PsychologicalABSTRACT
PURPOSE: The aim of the study is to present the process of translation, adaptation and validation of the Client-Centred Rehabilitation Questionnaire (CCRQ) in the Spanish context. METHODS: The process integrates two sequential phases. Phase 1 consists of a questionnaire translation and back-translation process conducted by a panel of experts, and a pilot study. In phase 2, CCRQ-e (Spanish version) was administered to 305 rehabilitation inpatients to collect evidence on the reliability and validity of the instrument. RESULTS: The exploratory and confirmatory analysis confirmed seven original domains, eliminating four items from the original scale. CCRQ-e has a good internal consistency. Discriminative construct validity distinguished significant differences based on age, educational level, and severity of diagnosis. Criterion validity of the CCRQ and EQ-5D showed negative significant correlations between CCRQ-e and the general perception of health EQ-VAS, and a positive correlation between CCRQ-e and EQ pain and EQ anxiety (higher scores in CCRQ-e mean lower client-centered practice perceived). CONCLUSIONS: The Spanish version of the CCRQ is suitable for evaluating person-centered rehabilitation from the person's perspective. It includes aspects related to the comfort, decision-making, and participation of the client, as well as questions about the provision of service and the environment.Implications for rehabilitationThe original seven domains of the CCRQ could be replicated in the sample of patients from Spanish rehabilitation services.By eliminating four items from the original scale, the validated scale, known as the CCRQ-e (Spanish version), was obtained.The CCRQ-e allows a reliable and valid evaluation of the perception of the person-centeredness of the Spanish rehabilitation services.The CCRQ-e is the first self-reported measure in Spanish of an individual's experience during the rehabilitation service.
