Surrey Community Health, Leatherhead, UK.
Neurorehabil Neural Repair. 2012 Sep;26(7):834-41. doi: 10.1177/1545968311431962. Epub 2012 Feb 9.
Patient-centered measures of the inpatient neurorehabilitation experience are needed to assess services.
The objective of this study was to develop a valid and reliable Neurorehabilitation Experience Questionnaire (NREQ) to assess whether neurorehabilitation inpatients experience service elements important to them.
Based on the themes established in prior qualitative research, adopting questions from established inventories and using a literature review, a draft version of the NREQ was generated. Focus groups and interviews were conducted with 9 patients and 26 staff from neurological rehabilitation units to establish face validity. Then, 70 patients were recruited to complete the NREQ to ascertain reliability (internal and test-retest) and concurrent validity.
On the basis of the face validity testing, several modifications were made to the draft version of the NREQ. Subsequently, internal reliability (time 1 α = .76, time 2 α = .80), test retest reliability (r = 0.70), and concurrent validity (r = 0.32 and r = 0.56) were established for the revised version. Whereas responses were associated with positive mood (r = 0.30), they appeared not to be influenced by negative mood, age, education, length of stay, sex, functional independence, or whether a participant had been a patient on a unit previously.
Preliminary validation of the NREQ suggests promise for use with its target population.
需要以患者为中心的住院神经康复体验措施来评估服务。
本研究旨在开发一种有效的、可靠的神经康复体验问卷（NREQ），以评估神经康复住院患者是否体验到对他们重要的服务要素。
基于先前定性研究中确定的主题，采用来自现有量表的问题，并进行文献复习，生成了 NREQ 的草案。通过焦点小组和访谈，对 9 名患者和 26 名神经康复病房工作人员进行了访谈，以确定其表面效度。然后，招募了 70 名患者完成 NREQ，以确定可靠性（内部和重测）和同时效度。
根据表面有效性测试，对 NREQ 的草案进行了一些修改。随后，内部信度（时间 1α=.76，时间 2α=.80）、重测信度（r=0.70）和修正版的同时效度（r=0.32 和 r=0.56）得到了验证。虽然患者的回答与积极情绪相关（r=0.30），但似乎不受负面情绪、年龄、教育程度、住院时间、性别、功能独立性或患者是否曾在某一病房住院的影响。
NREQ 的初步验证表明，它有望在目标人群中使用。
