Using Self-Regulation Assessment To Explore Associations Between Self-Regulation, Participation And Health-Related Quality Of Life In A Rehabilitation Population

Objective: Self-regulation, participation and health -related quality of life are important rehabilitation outcomes. The aim of this study was to explore associations between these outcomes in a multi -diagnostic and heterogenic group of former rehabi-litation patients. Methods: This cross-sectional survey used the Self -Regulation Assessment (SeRA), Utrecht Scale for Evaluation of Rehabilitation-Participation (USER -Participation) and the Patient-Reported-Outcome -Measurement-System (PROMIS) ability and PROMIS satisfaction with participation in social roles, and the EuroQol-5L-5D and PROMIS-10 Global Health. Regression analyses, controlling for demographic and condition-related factors, were performed. Results: Respondents (n = 563) had a mean age of 56.5 (standard deviation (SD) 12.7) years. The lar-gest diagnostic groups were chronic pain disorder and brain injury. In addition to demographic and condition-related factors, self-regulation subsca-les explained 0-15% of the variance in participa-tion outcome scores, and 0-22% of the variance in HRQoL outcome scores. Self-regulation subscales explained up to 22% of the variance in satisfac-tion subscales of participation (USER-Participation and PROMIS) and the mental health subscale of the PROMIS-10. Self-regulation subscales explained up to 11% of the restriction and frequency subscales of participation (USER-Participation) and the phy-sical health subscale of the PROMIS-10. Conclusion: Self-regulation is more strongly associa-ted with outcomes such as satisfaction with participa-tion and mental health compared with outcomes such as restrictions in participation and physical health.