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

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.