轻度至中度残疾的神经系统疾病患者远程康复满意度问卷的开发、可靠性和有效性

IF 3.7 2区 医学 Q2 COMPUTER SCIENCE, INFORMATION SYSTEMS International Journal of Medical Informatics Pub Date : 2024-07-28 DOI:10.1016/j.ijmedinf.2024.105578
Sefa Eldemir , Kader Eldemir , Fettah Saygili , Cagla Ozkul , Merve Kasikci , Rezzak Yilmaz , Muhittin Cenk Akbostancı , Ceyla Irkec , Gorkem Tutal Gursoy , Arzu Guclu-Gunduz
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引用次数: 0

摘要

背景测量远程康复的满意度为评估和改进所使用的技术和所提供的康复服务的有效性提供了一种方法。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。内容有效性由一个在远程康复方面经验丰富的小组进行审核。使用确认性因子分析(CFA)和解释性因子分析(EFA)对模型的结构效度进行了研究。结果 根据 EFA 确定了单因素结构。根据确认性因素分析结果,该结构的拟合指数良好(x2/df = 1.016,p = 0.442,IFI=0.997,CFI=0.997,RMSEA=0.016)。问卷的信度(Cronbach's alpha = 0.858)可以接受,所有项目都是必要的。最后,获得了 11 个项目的版本,并对 30 名患者进行了两次测试。结论TrSQ 可作为有效、可靠的问卷,用于评估神经系统疾病患者对远程康复的满意度。然而,为了使其广泛适用,还需要根据不同的语言进行调整。
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Development, reliability, and validity of the telerehabilitation satisfaction questionnaire in neurological diseases

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.

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来源期刊
International Journal of Medical Informatics
International Journal of Medical Informatics 医学-计算机:信息系统
CiteScore
8.90
自引率
4.10%
发文量
217
审稿时长
42 days
期刊介绍: International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings. The scope of journal covers: Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.; Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc. Educational computer based programs pertaining to medical informatics or medicine in general; Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.
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