PhD, Santa Clara Valley Medical Center
Citation Kolakowsky-Hayner, S.
(2010). The Patient Competency Rating Scale. The Center
for Outcome Measurement in Brain Injury. http://www.tbims.org/
combi/pcrs ( accessed
This citation is for the COMBI web material. Dr. Kolakowsky-Hayner
is not the scale author for the PCRS.
to the Patient Competency Rating Scale
Patient Competency Rating Scale (PCRS) was developed in the 1980s
by George Prigatano, Ph.D. and colleagues at Presbyterian Hospital's
Neuropsychological Rehabilitation Program (Prigatano and Others,
1986). The primary purpose of the PCRS is to evaluate self-awareness
(the ability to appraise one's current strengths and weaknesses)
following traumatic brain injury. The PCRS is a 30-item self-report
instrument which asks the subject to use a 5-point Likert scale
to rate his or her degree of difficulty in a variety of tasks and
functions. The subject's responses are compared to those of a significant
other (a relative or therapist) who rates the subject on the identical
items. Impaired self-awareness may be inferred from discrepancies
between the two ratings, such that the subject overestimates his/
her abilities compared to the other informant. Awareness of deficit
may also be examined separately for the various domains sampled
by PCRS items. These include activities of daily living, behavioral
and emotional function, cognitive abilities, and physical function.
regarding the PCRS was contributed by Santa Clara Valley Medical
Center. Please contact Stephanie Kolakowsky-Hayner, Ph.D., at
you find the information in the COMBI useful, please mention it
when citing sources of information. The information on the PCRS
may be cited as:
Kolakowsky-Hayner, S. (2010). The Patient Competency Rating Scale.
The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/combi/pcrs