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Content and concurrent validity of the motivation for change questionnaire

Grahn, Birgitta LU and Gard, Gunvor LU (2008) In Journal of Occupational Rehabilitation 18(1). p.68-78
Abstract
Introduction Musculoskeletal disorders (MSD) are nowadays seen within a biopsychosocial framework, including salutogenic factors, motivation factors, and coping ability. Such a framework recognizes the importance of motivational factors in health promotion and in rehabilitation. The Motivation for Change Questionnaire (MCQ) has been developed to measure the strength of individuals' motivation for change in life, MCQ part 1, and work situation, MCQ part 2. The purpose of the study was to test the content and concurrent validity of the MCQ on patients with prolonged musculoskeletal disorders referred to interdisciplinary rehabilitation as a basis for use in medical and occupational rehabilitation. Methods Content validity was studied among... (More)
Introduction Musculoskeletal disorders (MSD) are nowadays seen within a biopsychosocial framework, including salutogenic factors, motivation factors, and coping ability. Such a framework recognizes the importance of motivational factors in health promotion and in rehabilitation. The Motivation for Change Questionnaire (MCQ) has been developed to measure the strength of individuals' motivation for change in life, MCQ part 1, and work situation, MCQ part 2. The purpose of the study was to test the content and concurrent validity of the MCQ on patients with prolonged musculoskeletal disorders referred to interdisciplinary rehabilitation as a basis for use in medical and occupational rehabilitation. Methods Content validity was studied among an expert group of 20 rehabilitation professionals at a rehabilitation centre, and with 10 individuals suffering from prolonged MSD in the south of Sweden. The experts evaluated the clinical relevance of each question in MCQ. Concurrent validity was studied on 58 patients with prolonged MSD at an interdisciplinary rehabilitation centre in the south of Sweden. They answered MCQ, QPS Nordic questionnaire, KASAM and the Action theory questionnaire. Spearman's rank correlation coefficient was used in the analyses. Results The MCQ covered and measured areas of relevance according to content validity. No floor effects in any of the subscales of MCQ part 1 were seen. In MCQ part 2, floor effects were seen in two sub indexes. As for concurrent validity subscales of MCQ correlated significantly with QPS Nordic questionnaire and KASAM. Conclusions Findings so far indicate the instrument to be valid for use within the present patient group. The questionnaire can be used to identify patient's motivating factors for change in life and work, as a basis for motivational work within rehabilitation. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
musculoskeletal disorder, motivation, rehabilitation, validity, questionnaire
in
Journal of Occupational Rehabilitation
volume
18
issue
1
pages
68 - 78
publisher
Springer
external identifiers
  • wos:000254202600008
  • scopus:41049105036
ISSN
1053-0487
DOI
10.1007/s10926-008-9122-7
language
English
LU publication?
yes
id
9220ea21-f02b-471f-a944-5a17c21366a8 (old id 1184929)
date added to LUP
2008-09-02 14:36:25
date last changed
2017-01-01 05:29:14
@article{9220ea21-f02b-471f-a944-5a17c21366a8,
  abstract     = {Introduction Musculoskeletal disorders (MSD) are nowadays seen within a biopsychosocial framework, including salutogenic factors, motivation factors, and coping ability. Such a framework recognizes the importance of motivational factors in health promotion and in rehabilitation. The Motivation for Change Questionnaire (MCQ) has been developed to measure the strength of individuals' motivation for change in life, MCQ part 1, and work situation, MCQ part 2. The purpose of the study was to test the content and concurrent validity of the MCQ on patients with prolonged musculoskeletal disorders referred to interdisciplinary rehabilitation as a basis for use in medical and occupational rehabilitation. Methods Content validity was studied among an expert group of 20 rehabilitation professionals at a rehabilitation centre, and with 10 individuals suffering from prolonged MSD in the south of Sweden. The experts evaluated the clinical relevance of each question in MCQ. Concurrent validity was studied on 58 patients with prolonged MSD at an interdisciplinary rehabilitation centre in the south of Sweden. They answered MCQ, QPS Nordic questionnaire, KASAM and the Action theory questionnaire. Spearman's rank correlation coefficient was used in the analyses. Results The MCQ covered and measured areas of relevance according to content validity. No floor effects in any of the subscales of MCQ part 1 were seen. In MCQ part 2, floor effects were seen in two sub indexes. As for concurrent validity subscales of MCQ correlated significantly with QPS Nordic questionnaire and KASAM. Conclusions Findings so far indicate the instrument to be valid for use within the present patient group. The questionnaire can be used to identify patient's motivating factors for change in life and work, as a basis for motivational work within rehabilitation.},
  author       = {Grahn, Birgitta and Gard, Gunvor},
  issn         = {1053-0487},
  keyword      = {musculoskeletal disorder,motivation,rehabilitation,validity,questionnaire},
  language     = {eng},
  number       = {1},
  pages        = {68--78},
  publisher    = {Springer},
  series       = {Journal of Occupational Rehabilitation},
  title        = {Content and concurrent validity of the motivation for change questionnaire},
  url          = {http://dx.doi.org/10.1007/s10926-008-9122-7},
  volume       = {18},
  year         = {2008},
}