Purpose: This study aimed to culturally adapt the Client-Centered Rehabilitation Questionnaire into Turkish (CCRQ-Tr) and evaluate its psychometric properties in outpatient rehabilitation.
Materials and method: This cross-sectional study followed international guidelines for translation and adaptation. Participants included 210 individuals who completed at least three weeks of rehabilitation. Psychometric evaluation included content validity, internal consistency, test-retest reliability, exploratory (EFA) and confirmatory factor analyses (CFA), and measurement error assessment.
Results: The CCRQ-Tr demonstrated strong content validity (S-CVI/Ave = 0.977). Following EFA, two reverse-coded items (2 and 7) were removed due to insufficient factor loadings and low item-total correlations. The remaining items supported a seven-factor structure, explaining 50.25% of the variance. CFA showed excellent model fit (CFI = 0.992, RMSEA = 0.058). The scale demonstrated excellent internal consistency (α = 0.92) and test-retest reliability (ICC = 0.992). SEM and MDC values (4.21 and 11.64) supported the instrument's sensitivity to change.
Conclusion: The CCRQ-Tr is a valid and reliable tool for evaluating client-centered rehabilitation in Turkish outpatient settings. A comprehensive evaluation of patient experiences is made possible by assessing key elements such as communication and continuity of care. The integration of this tool into routine practice supports service quality improvements and promotes personalized care.
Keywords: Client-Centered Rehabilitation Questionnaire; cultural adaptation; outpatient rehabilitation; reliability; validity.
The CCRQ-Tr provides a robust framework for the systematic assessment of client-centeredness, specifically adapted to the cultural and clinical context of Turkish outpatient rehabilitation services.Clinicians can use specific domain scores -such as those related to education or family involvement- to identify precise gaps in service delivery and implement focused clinical interventions.By highlighting patient perceptions of information sharing and care continuity, the tool supports multidisciplinary teams in refining their communication strategies and fostering more participatory care.Integrating the questionnaire into institutional quality management systems allows for the continuous tracking of patient-centeredness trends and the assessment of service-wide policy changes.The instrument’s established measurement precision allows clinicians to reliably distinguish between true clinical improvements in care experience and measurement error during longitudinal patient follow-ups.