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· DOS Abstracts
Test-retest reliability of Antonovsky’s 13-item Sense
of Coherence scale in patients with hand-related
injures
Alice Ørts Hansen, Hanne Kaae Kristensen, Ragnhild Cederlund, Hans Tromborg
Department of Orthopedic , Odense University Hospital; Department of
Rehabilitation, Odense University Hospital; Health Sciences, Lund University
Background:
Patients with identical hand injuries, who gets the same treat-
ment and rehabilitation, recover differently from their injuries. It might be due
to personal factors. Antonovsky developed a questionnaire measuring Sense
of Coherence (SOC13) reflecting person’s ability coping in a stressful situation.
Studies have shown that patients with strong Sense of Coherence (SOC) get
better functional outcome and satisfaction in daily activities after hand- and
orthopaedic injuries compared to patients with weak SOC. Psychometric prop-
erties of SOC 13 have not been tested on patients with hand injuries. This is
necessary before using SOC13 to predict outcome and plan rehabilitation.
Purpose / Aim of Study:
To report on distribution, stability and test-retest re-
liability of SOC13 in patients with hand-related injuries and explore associations
between SOC13 and age, education level, gender and type of injury.
Materials and Methods:
The design was a survey with test- retest using self-
administered questionnaire. SOC13 and demographic data was collected before
occupational therapy in an Outpatient Clinic from 170 patients with hand-re-
lated injuries aged 18 and older. SOC13 was completed after 14 days and 3
months.
Findings / Results:
170 patients completed SOC13 at baseline (median score
71, range 30- 91). Intra-class correlation coefficient (ICC) between baseline
and 14 days was 0.87 (n=151), 3 months 0.82 (n=113). Weak correlations
was found between SOC, age (r=0.17, p<0.03), education(r= 0.02, p<0.02).
No correlation was found between SOC and gender or type of injury.
Conclusions:
SOC13 showed stability and reliability for patients with hand in-
juries before and 3 months after hand therapy. Age and education had a weak
relationship with SOC without clinical relevance. SOC13 has potential to be a
powerful tool measuring personal factors before hand therapy.
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