Developing a novel measure of psychological wellbeing for a community neurorehabilitation service

Abstract

Psychological wellbeing during neurorehabilitation can be difficult to measure. This study aimed to develop a novel patient-rated wellbeing measure for patients attending a community neurorehabilitation service, and explore the relationships between scores on the new self-report measure, a mood questionnaire used in the service, and clinician wellbeing ratings. 178 healthy adults completed an initial wellbeing questionnaire comprised of 48 items. Exploratory principal component analysis was completed, and the final 11-item questionnaire was administered to 25 individuals undergoing community neurorehabilitation alongside the Hospital Anxiety and Depression Scale and Therapy Outcome Measures. Results suggested the novel Wellbeing in Neurorehabilitation Scale may be valid and reliable, with questions relating to social, emotional, and cognitive factors of wellbeing. Wellbeing ratings made by the clinicians correlated with patients self-reported wellbeing on the novel measure, although this was not a perfect relationship. The findings have implications for measuring psychological wellbeing during community neurorehabilitation.