Bollen Jessica C, Dean Sarah G, Siegert Richard J, Howe Tracey E, Goodwin Victoria A
PenCLAHRC, University of Exeter Medical School, Exeter, UK.
Department of Psychology, Auckland University of Technology (AUT University), Auckland, New Zealand.
BMJ Open. 2014 Jun 27;4(6):e005044. doi: 10.1136/bmjopen-2014-005044.
Adherence is an important factor contributing to the effectiveness of exercise-based rehabilitation. However, there appears to be a lack of reliable, validated measures to assess self-reported adherence to prescribed but unsupervised home-based rehabilitation exercises.
A systematic review was conducted to establish what measures were available and to evaluate their psychometric properties.
MEDLINE, EMBASE, PsycINFO CINAHL (June 2013) and the Cochrane library were searched (September 2013). Reference lists from articles meeting the inclusion criteria were checked to ensure all relevant papers were included.
To be included articles had to be available in English; use a self-report measure of adherence in relation to a prescribed but unsupervised home-based exercise or physical rehabilitation programme; involve participants over the age of 18. All health conditions and clinical populations were included.
Descriptive data reported were collated on a data extraction sheet. The measures were evaluated in terms of eight psychometric quality criteria.
58 studies were included, reporting 61 different measures including 29 questionnaires, 29 logs, two visual analogue scales and one tally counter. Only two measures scored positively for one psychometric property (content validity). The majority of measures had no reported validity or reliability testing.
The results expose a gap in the literature for well-developed measures that capture self-reported adherence to prescribed but unsupervised home-based rehabilitation exercises.
依从性是影响运动康复效果的重要因素。然而，目前似乎缺乏可靠、经过验证的方法来评估自我报告的对规定的但无人监督的家庭康复锻炼的依从性。
进行系统评价，以确定有哪些可用的方法，并评估其心理测量特性。
检索了MEDLINE、EMBASE、PsycINFO、CINAHL（2013年6月）和Cochrane图书馆（2013年9月）。检查符合纳入标准的文章的参考文献列表，以确保纳入所有相关论文。
纳入的文章必须为英文；使用与规定的但无人监督的家庭锻炼或身体康复计划相关的依从性自我报告测量方法；涉及18岁以上的参与者。纳入所有健康状况和临床人群。
将报告的描述性数据整理在数据提取表上。根据八项心理测量质量标准对这些方法进行评估。
纳入58项研究，报告了61种不同的方法，包括29份问卷、29份日志、两份视觉模拟量表和一个计数计数器。只有两种方法在一种心理测量特性（内容效度）上得分呈阳性。大多数方法未报告效度或信度测试。
结果揭示了文献中在用于获取自我报告的对规定的但无人监督的家庭康复锻炼的依从性的完善方法方面存在空白。
