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.
Frequently Asked Questions
if subjects (or significant others) appear to be responding as
though they are rating the subject's premorbid level of ability?
the PCRS be used with aphasic subjects?
the PCRS been translated into other languages?
What if subjects (or significant others) appear to be responding
as though they are rating the subject's premorbid level of ability?
comes up mostly with subjects who have been injured recently and
are still hospitalized after a TBI. Respondents sometimes make comments
while they are filling out the scale such as, "he was always good
at this" or "she never had a problem." In this case the examiner
should stress to respondents that they should rate current behaviors
and levels of ability. If they are being asked to rate an activity
that has not yet been attempted (e.g., driving a car), they should
take their best guess based on what they have observed of the subject's
current ability level.
Can the PCRS be used with aphasic subjects?
with any verbal self-report measure, the examiner should first determine
whether the subject's comprehension of the items will allow valid
responding. The items may be read and/ or re-phrased to subjects
whose auditory comprehension is superior to reading comprehension.
If necessary, the subject may be allowed to point to the items on
the response scale rather than saying them aloud.
Has the PCRS been translated into other languages?
PCRS has been used in three cross-cultural studies (Prigatano &
Leathem, 1993; Prigatano et al., 1997; Prigatano et al., 1998).
In the second study listed, the PCRS was translated into Japanese.
In the third, a Spanish version of the PCRS was used.