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远程康复满意度问卷在神经疾病中的开发、可靠性和有效性。

Development, reliability, and validity of the telerehabilitation satisfaction questionnaire in neurological diseases.

机构信息

Sivas Cumhuriyet University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sivas, Türkiye.

Sivas Cumhuriyet University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Sivas, Türkiye.

出版信息

Int J Med Inform. 2024 Nov;191:105578. doi: 10.1016/j.ijmedinf.2024.105578. Epub 2024 Jul 28.

DOI:10.1016/j.ijmedinf.2024.105578
PMID:39096592
Abstract

BACKGROUND

Measuring satisfaction with telerehabilitation provides a way to evaluate and improve the effectiveness of both the technology used and the rehabilitation provided. On the other hand, valid and reliable tools are needed to evaluate satisfaction of patients receiving physiotherapy via telerehabilitation.

AIMS

The purpose of the current study was to develop Telerehabilitation Satisfaction Questionnaire (TrSQ) and evaluate its validity and reliability.

METHODS

Sixty-three patients with stroke, Multiple Sclerosis, or Parkinson's disease participated in this study. Content validity was reviewed by a panel experienced in telerehabilitation. Construct validity of the model was investigated using and Confirmatory Factor Analysis (CFA) and Explanatory Factor Analysis (EFA). Test-retest reliability and Internal consistency were used to evaluate the reliability of the TrSQ.

RESULTS

A one-factor structure was determined based on EFA. The structure fitted well in terms of the fit indices according to the confirmatory factor analysis results (x2/df = 1.016, p = 0.442, IFI=0.997, CFI=0.997, and RMSEA=0.016). The questionnaire was proven to have an acceptable reliability level (Cronbach's alpha = 0.858) and it was found that all items were necessary. Finally, an 11-item version was obtained and tested twice on 30 patients. The questionnaire was shown to have acceptable test-retest reliability (ICC=0.753).

CONCLUSIONS

TrSQ can be used as a valid and reliable questionnaire in evaluating patient satisfaction with telerehabilitation in neurological diseases. However, in order for it to be widely applicable, adaptation to different languages is needed.

摘要

背景

测量远程康复的满意度为评估和提高所使用技术和康复效果提供了一种方法。另一方面,需要有效的、可靠的工具来评估通过远程康复接受物理治疗的患者的满意度。

目的

本研究旨在开发远程康复满意度问卷(TrSQ)并评估其有效性和可靠性。

方法

63 名中风、多发性硬化症或帕金森病患者参与了本研究。内容有效性由在远程康复方面有经验的专家小组进行审查。使用验证性因子分析(CFA)和解释性因子分析(EFA)来研究模型的结构效度。采用重测信度和内部一致性来评估 TrSQ 的可靠性。

结果

基于 EFA 确定了一个单因素结构。根据验证性因子分析结果,该结构在拟合指数方面表现良好(x2/df=1.016,p=0.442,IFI=0.997,CFI=0.997,RMSEA=0.016)。问卷具有可接受的可靠性水平(Cronbach's alpha=0.858),并且发现所有项目都是必要的。最后,获得了一个包含 11 个项目的版本,并在 30 名患者中进行了两次测试。结果表明该问卷具有可接受的重测信度(ICC=0.753)。

结论

TrSQ 可用于评估神经疾病患者对远程康复的满意度,是一种有效且可靠的问卷。但是,为了使其具有广泛的适用性,需要对其进行不同语言的适应性调整。

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