Preliminary psychometric evaluation of the Japanese version of the client-centredness of goal setting scale in subacute rehabilitation.

Abstract

To develop a Japanese version of the Client-Centredness of Goal Setting (C-COGS) scale and examine its measurement properties. A convenience sample of 111 clients in four Japanese subacute rehabilitation wards participated in this cross-sectional psychometric study. Internal consistency (Cronbach's α and McDonald's ω), test-retest reliability (intraclass correlation coefficient; ICC), convergent validity (correlation with the 9-item Shared Decision-Making Questionnaire; SDM-Q-9), and structural validity (confirmatory factor analysis) were assessed. Internal consistency was high for the 10 scored items (α = 0.91), with ω = 0.86 (Participation) and 0.92 (Goals), and test-retest reliability was moderate (ICC = 0.73). Convergent validity was moderate (<i>r</i> = 0.53 with SDM-Q-9, <i>p</i> < .001). Most fit indices supported the two-factor model (robust CFI = 0.971, TLI = 0.961, SRMR = 0.058), although RMSEA (0.070) exceeded the cutoff; a WLSMV sensitivity analysis supported the same structure with poorer fit (RMSEA = 0.099). Ceiling effects exceeded the 15% criterion for all items, subscales, and the total score (30.6-74.8%); floor effects were not indicated. The Japanese C-COGS showed preliminary evidence for the properties examined. Content validity, responsiveness, known-groups validity, and measurement invariance remain to be established, and ceiling effects warrant caution in interpreting absolute scores.