Jiang Hu, Wang Xiaoxuan, Wang Wenna, Mei Yongxia, Lin Beilei, Chen Jing, Zhang Zhenxiang
School of Nursing and Health, Zhengzhou University, Zhengzhou 450001, China.
Nursing Department, The Third Affiliated Hospital of Zunyi Medical University, The First People's Hospital of Zunyi, Zunyi 563000, China.
Nurs Rep. 2025 Aug 19;15(8):303. doi: 10.3390/nursrep15080303.
: Exercise rehabilitation is a crucial component of stroke recovery, particularly for patients transitioning to home or community settings. However, there is currently a lack of self-reported scales designed to measure the level of engagement in exercise rehabilitation among patients with stroke. : To develop and validate psychometric properties of the Engagement in Exercise Rehabilitation Scale for patients with stroke. : The initial item pool was extracted from a literature review and a semi-structured interview with patients with stroke. The development and refinement of the items underwent expert consultation and cognitive interviews with patients with stroke. The items primarily covered patients' perceptions, emotional attitudes, and specific engagement behaviors regarding exercise rehabilitation in home or community settings. A total of 260 patients with stroke were selected to test the reliability and validity. The psychometric proprieties test included construct validity, content validity, criterion-related validity, exploratory factor analysis, internal consistency reliability, test-retest reliability, and split-half reliability. : The final version of the Engagement in Exercise Rehabilitation Scale comprised 20 items. The scale's content validity index was determined to be 0.976, while the item-content validity indices ranged from 0.833 to 1.000. Results from exploratory factor analysis indicated that this scale is unidimensional, with a cumulative variance contribution rate of 79.3%. The test-retest reliability of the scale was found to be 0.879, its split-half reliability was measured at 0.980, and its Cronbach's α coefficient was calculated to be 0.986. : The Engagement in Exercise Rehabilitation Scale for patients with stroke demonstrates accepted reliability and validity. The accuracy and generalizability of this scale necessitate further validation through additional large-sample studies involving diverse populations across multiple centers.
运动康复是中风恢复的关键组成部分，对于过渡到家庭或社区环境的患者尤为重要。然而，目前缺乏专门用于测量中风患者运动康复参与程度的自我报告量表。
开发并验证中风患者运动康复参与量表的心理测量学特性。
初始条目池从文献综述以及对中风患者的半结构化访谈中提取。条目经过专家咨询和对中风患者的认知访谈进行开发和完善。这些条目主要涵盖患者对家庭或社区环境中运动康复的认知、情感态度和具体参与行为。共选取260例中风患者进行信效度检验。心理测量学特性检验包括结构效度、内容效度、效标关联效度、探索性因子分析、内部一致性信度、重测信度和分半信度。
中风患者运动康复参与量表的最终版本包含20个条目。该量表的内容效度指数为0.976，各条目内容效度指数范围为0.833至1.000。探索性因子分析结果表明该量表为单维度，累积方差贡献率为79.3%。该量表的重测信度为0.879，分半信度为0.980，Cronbach's α系数为0.986。
中风患者运动康复参与量表具有可接受的信效度。该量表的准确性和普遍性需要通过涉及多个中心不同人群的更多大样本研究进一步验证。
