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Development and reliability of the Motivation for Change Questionnaire.

Gard, Gunvor LU ; Rivano, M and Grahn, B (2005) In Disability and Rehabilitation 27(17). p.967-976
Abstract
Purpose. The purpose of this study was to describe the development of the Motivation for Change Questionnaire (MCQ) and to test its intra-patient reliability on musculoskeletal pain patients in interdisciplinary rehabilitation as a basis for use in rehabilitation planning.



Method. The MCQ questionnaire was developed from a literature search in the Medline, Cinahl and Psychlit databases concerning motivating factors for change in the life and work situation. Questions covering these factors were developed (item generation). Factor analysis of the questions implied a reduction of the number of questions (item reduction). Inter-item correlation was assessed on the baseline administration of the questionnaire by calculating... (More)
Purpose. The purpose of this study was to describe the development of the Motivation for Change Questionnaire (MCQ) and to test its intra-patient reliability on musculoskeletal pain patients in interdisciplinary rehabilitation as a basis for use in rehabilitation planning.



Method. The MCQ questionnaire was developed from a literature search in the Medline, Cinahl and Psychlit databases concerning motivating factors for change in the life and work situation. Questions covering these factors were developed (item generation). Factor analysis of the questions implied a reduction of the number of questions (item reduction). Inter-item correlation was assessed on the baseline administration of the questionnaire by calculating Cronbach's agr. When testing the structure of the scales, it was shown that the MCQ questionnaire could be described in two scales, one scale relating to motivation for change in the life situation and the other focusing on motivation for change in the work situation and in total 49 questions.



Results. The test - retest reliability was calculated using the intra-class correlation coefficient (ICC) and 95% confidence intervals were calculated. One question was excluded due to the threshold limit of > 0.5. Seven scales relating to the life situation were accepted by the analysis: social support, mastery in life, challenges in life, control in life, values, self-efficacy and self-confidence. Six scales relating to the work situation were also accepted: co-worker support, supervisory support, challenges in work, job control, interaction and job-satisfaction.



Conclusions. The MCQ questionnaire with 48 questions is reliable for use on musculoskeletal pain patients in interdisciplinary rehabilitation. It can be used to identify each individual's motivating factors for change in life and work situation as a basis for motivational work within rehabilitation and/or to measure within-subject changes in motivation over time. The validity and the responsiveness of the MCQ, need to be studied. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Motivation, rehabilitation, musculoskeletal disorder, reliability, questionnaire, ICC
in
Disability and Rehabilitation
volume
27
issue
17
pages
967 - 976
publisher
Taylor & Francis
external identifiers
  • wos:000231160800001
  • pmid:16096250
  • scopus:23744494855
ISSN
0963-8288
DOI
10.1080/09638280500052682
language
English
LU publication?
yes
id
aa9cb20c-fdc8-4c26-bc8a-0de68e11c196 (old id 142822)
date added to LUP
2007-07-24 09:44:35
date last changed
2017-01-01 04:59:42
@article{aa9cb20c-fdc8-4c26-bc8a-0de68e11c196,
  abstract     = {Purpose. The purpose of this study was to describe the development of the Motivation for Change Questionnaire (MCQ) and to test its intra-patient reliability on musculoskeletal pain patients in interdisciplinary rehabilitation as a basis for use in rehabilitation planning.<br/><br>
<br/><br>
Method. The MCQ questionnaire was developed from a literature search in the Medline, Cinahl and Psychlit databases concerning motivating factors for change in the life and work situation. Questions covering these factors were developed (item generation). Factor analysis of the questions implied a reduction of the number of questions (item reduction). Inter-item correlation was assessed on the baseline administration of the questionnaire by calculating Cronbach's agr. When testing the structure of the scales, it was shown that the MCQ questionnaire could be described in two scales, one scale relating to motivation for change in the life situation and the other focusing on motivation for change in the work situation and in total 49 questions.<br/><br>
<br/><br>
Results. The test - retest reliability was calculated using the intra-class correlation coefficient (ICC) and 95% confidence intervals were calculated. One question was excluded due to the threshold limit of &gt; 0.5. Seven scales relating to the life situation were accepted by the analysis: social support, mastery in life, challenges in life, control in life, values, self-efficacy and self-confidence. Six scales relating to the work situation were also accepted: co-worker support, supervisory support, challenges in work, job control, interaction and job-satisfaction.<br/><br>
<br/><br>
Conclusions. The MCQ questionnaire with 48 questions is reliable for use on musculoskeletal pain patients in interdisciplinary rehabilitation. It can be used to identify each individual's motivating factors for change in life and work situation as a basis for motivational work within rehabilitation and/or to measure within-subject changes in motivation over time. The validity and the responsiveness of the MCQ, need to be studied.},
  author       = {Gard, Gunvor and Rivano, M and Grahn, B},
  issn         = {0963-8288},
  keyword      = {Motivation,rehabilitation,musculoskeletal disorder,reliability,questionnaire,ICC},
  language     = {eng},
  number       = {17},
  pages        = {967--976},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Development and reliability of the Motivation for Change Questionnaire.},
  url          = {http://dx.doi.org/10.1080/09638280500052682},
  volume       = {27},
  year         = {2005},
}