Assessment of readiness to change in patients with osteoarthritis. Development and application of a new questionnaire
- 1 May 2005
- journal article
- research article
- Published by SAGE Publications in Clinical Rehabilitation
- Vol. 19 (3), 290-299
- https://doi.org/10.1191/0269215505cr814oa
Abstract
Objective: To develop a self-report measure for assessment of the stage of change in patients with osteoarthritis, in order to identify patients who would benefit from a self-management programme. Methods: According to the ‘stages of change’ model a questionnaire was developed with three groups of items corresponding to the precontemplation stage (Pre), the contemplation (Cont) and the action (Act) stage. Internal consistency and factor structure of this questionnaire were investigated by assessing Cronbach's alphas and by performing factor analysis. Subjects and setting: The questionnaire was offered to 273 patients who entered a randomized clinical trial on self-management in a general health care setting. Results: Factor analysis revealed that most items corresponded to the a priori described groups, while some items were not loading on the presumed factor. In each subgroup some items were deleted, resulting in a 15-item questionnaire. After this item reduction Cronbach's alphas were 0.72 (Pre), 0.76 (Cont) and 0.79 (Act) and all factor loadings were satisfactory (above 0.35). Classification revealed some differences between parts of the total group, for example in the proportion of patients in the preparation stage (recruited by general practitioner 33.6%; advertisement 49.2%). Conclusions: The Stages of Change Questionnaire in Osteoarthritis, a 15-item questionnaire to assess the ‘stage of change’ of a patient with osteoarthritis showed good internal consistency and adequate factor structure. These findings warrant further studies on validity and applicability in a clinical context.Keywords
This publication has 24 references indexed in Scilit:
- Readiness to adopt the self-management approach to cope with chronic pain in fibromyalgic patientsPain, 2001
- The status of evidence and outcomes in Stages of Change researchHealth Education Research, 2000
- Understanding the adoption of arthritis self-management: stages of change profiles among arthritis patientsPain, 2000
- Predicting responses to self-management treatments for chronic pain: application of the pain stages of change modelPain, 2000
- EditorialAmerican Journal of Health Promotion, 1997
- CommentaryAmerican Journal of Health Promotion, 1997
- ResponseAmerican Journal of Health Promotion, 1997
- Readiness to adopt a self-management approach to chronic pain: the Pain Stages of Change Questionnaire (PSOCQ)Pain, 1997
- OsteoarthritisThe Lancet, 1997
- Guidelines for the medical management of osteoarthritisArthritis & Rheumatism, 1995