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The Needs and Provision Complexity Scale: a first psychometric analysis using multicentre data
| Content Provider | SAGE Publishing |
|---|---|
| Author | Siegert, Richard J. Jackson, Diana M. Turner-Stokes, Lynne |
| Copyright Year | 2014 |
| Abstract | Objective:A psychometric evaluation of the Needs and Provision Complexity Scale (NPCS).Main measure:The NPCS is designed to evaluate both needs for health and social support (NPCS-Needs) and services provided to meet those needs (NPCS-Gets).Design:A consecutive cohort of patients were recruited from nine specialist neurorehabilitation units in London.Subjects:Four hundred and twenty-eight patients were assessed at discharge (63.1% males; mean age 49 years) of whom 73.6% had acquired brain injury (49.5% stroke/subarachnoid, 14.7% traumatic brain injury, 9.3% ‘other acquired brain injury’), 8.9% spinal cord injury, 6.1% peripheral neuropathy, 4.9% progressive neurological and 6.3% other neurological conditions.Results:The NPCS-Needs was completed by the clinical team at discharge and 212 patients reported NPCS-Gets after six months. NPCS-Gets repeatability was tested in a subsample (n = 60). Factor analysis identified two principal domains (‘Health and personal care’ and ‘Social care and support’) accounting for 66% of variance, and suggested a large general factor underpinning the NPCS. Internal consistency was high (alpha = 0.94) and repeatability acceptable. Intraclass coefficients for domain scores were healthcare 0.67 (95% confidence interval (CI) 0.48–0.80); personal care 0.83 (0.73–0.90); rehabilitation 0.65 (0.45–0.78); social/family support 0.66 (0.46–0.79) and environment 0.84 (0.74–0.90). Linear-weighted kappas for item-by-item agreement ranged from 0.42 to 0.83. Concurrent validity was demonstrated through correlations with measures of dependency and community integration.Conclusions:Notwithstanding a 50% response rate after six months, the NPCS has good internal consistency, a robust two-factor structure, acceptable test–retest reliability and initial evidence of concurrent validity. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/0269215513513601?download=true |
| Starting Page | 687 |
| Ending Page | 695 |
| Page Count | 9 |
| ISSN | 02692155 |
| Issue Number | 7 |
| Volume Number | 28 |
| Journal | Clinical Rehabilitation (CRE) |
| e-ISSN | 14770873 |
| DOI | 10.1177/0269215513513601 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2014-01-22 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2014 |
| Subject Keyword | neurological disorders psychometry questionnaire Rehabilitation Needs and Provision Complexity Scale |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation |
