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Hope Predicts Positive Outcomes in Acute Rehabilitation

Only recently have researchers begun to examine the effect of positive psychological variables on outcome in inpatient medical rehabilitation settings.

Research Purpose, Method and Design

Using a longitudinal design and correlational and regression analyses, Kortte, Stevenson, Hosey, Castillo and Wegener studied 174 adults who were participating in inpatient rehabilitation for acute spinal cord dysfunction, stroke, amputation, or orthopedic surgery recovery.

The purpose of the study was to examine the association between facilitating psychological variables and functional rehabilitation outcomes following acute medical rehabilitation.

All participants completed the Hope Scale, Positive and Negative Affect Schedule, and Functional Independence Measure (FIM) during the first days of their inpatient stay, and then were contacted 3 months after discharge to complete the Craig Hospital Assessment and Reporting Technique and FIM.


Hope accounted for a statistically significant amount of the variance in the prediction of functional role participation at 3 months post discharge above and beyond the variance accounted for by demographic and severity variables.

In contrast, positive affect was not found to contribute to the prediction of functional role participation, and neither hope nor positive affect contributed to the prediction of functional skill level.

Conclusions and Implications

The results indicate that positive psychological variables present during the rehabilitation stay, such as hopefulness, may contribute to the prediction of functional outcomes after discharge in rehabilitation populations. These findings suggest that incorporating interventions that enhance hope and build on the individual’s psychological strengths may be useful to improve participation outcomes following acute medical rehabilitation.


Kortte K, Stevenson J, Hosey M, Castillo R and Wegener S: Hope Predicts Positive Functional Outcomes in Acute Rehabilitation Populations. Rehabilitation Psychology 2012 (57), 248-255.

Read more about the journal Rehabilitation Psychology »

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Sisältö päivitetty 26.05.2017

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