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. 2025 Oct 9:1-14.
doi: 10.1080/09638288.2025.2571067. Online ahead of print.

The experiences of rehabilitation healthcare professionals with the use of the self-regulation assessment (SeRA) in routine care: a qualitative pilot study

B M P Mourits  1 , J M P Leenders  2 , E W M Scholten  1 , J A de Graaf  1   3 , C M C van Leeuwen  1   2 , V R M Moulaert  4 , F B van de Weg  5 , C A J Smit  6 , M W M Post  1 , J M A Visser-Meily  1   3
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Free article

The experiences of rehabilitation healthcare professionals with the use of the self-regulation assessment (SeRA) in routine care: a qualitative pilot study

B M P Mourits et al. Disabil Rehabil. .
Free article

Abstract

Purpose: The Self-Regulation Assessment (SeRA) was developed to evaluate levels of self-regulation in rehabilitation populations. To support its integration into routine clinical practice, involving healthcare professionals in the implementation process is crucial. Therefore, we explored rehabilitation professionals' experiences with the SeRA during treatment.

Material and methods: In this qualitative pilot study, 14 professionals from six rehabilitation institutions used the SeRA with at least three patients. Afterwards, semi-structured interviews were conducted. Directed content analysis was used, with a deductive approach, to identify main themes and subthemes.

Results: Twelve professionals participated in the interviews. Identified codes were categorised into three main themes. Perceived usefulness (1) was influenced by the SeRA's characteristics, patient characteristics, and timing of administration. The value of the SeRa (2) was linked to the relevance of self-regulation and its application as a conversation tool and evaluation instrument. These insights shaped recommendations for implementation (3), concerning integration into workflows and potential modifications to the SeRA.

Conclusions: The SeRA seems applicable across diagnoses and offers insights into self-regulation from the patient's perspective. It complements existing patient-reported outcome measures. Further refinement, such as shortening the questionnaire and clarifying the timing of administration and role responsibilities, could enhance its usability and clinical relevance.

Keywords: Self control; health plan implementation; healthcare providers; patient reported outcome measures; qualitative research; rehabilitation.

Plain language summary

The Self-Regulation Assessment (SeRA) appears to be broadly applicable in treatment of patients with a range of rehabilitation diagnoses, offering insights into self-regulation from the patient’s perspective.The SeRA seems to facilitate clearer discussions about self-regulation between patients and healthcare professionals.Measuring self-regulation with the SeRA complements existing patient reported outcome measures in rehabilitation, offering a more comprehensive understanding of the patients’ difficulties.Practical considerations for successful implementation include shortening the SeRA and clarifying the timing of its application and the roles and responsibilities of the multidisciplinary team.

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