Développement d’un instrument d’évaluation des besoins de réadaptation des personnes atteintes de maladies respiratoires chroniques
Pulmonary rehabilitation is widely recognized as an effective intervention.  That effectiveness was established through the use of global impact measures.  Patients who benefit from pulmonary rehabilitation programs have various characteristics and generally suffer from chronic obstructive pulmonary disease at different degrees.  Depending on their different needs, patients’ responses to components of a pulmonary rehabilitation program vary.  In order to optimize the effects, it is recommended to individualize programs according to patients needs.  To that end, the assessment of patients rehabilitation needs is necessary.  Since no standardized instrument allowing these assessments presently exist, we have set out to develop one using qualitative and quantitative research methods.  A conceptual model for the evaluation of patients rehabilitation needs was elaborated following the results gathered from focus groups, consultation of medical records and a literature search.  Based on this model, items to be selected in an individualized manner among five domains (need recognition, knowledge, motivation, expectations and goals) were pre-tested.  General tendencies regarding the validity of the items contained in the prototype instrument were verified during a pilot study conducted with a sample of 50 respondents undergoing rehabilitation.  The investigative avenues that have emerged in this thesis should be useful for the more in-depth validation studies that should take place in the future in regards to the developed prototype instrument.
MPOC