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Related Experiment Video

Updated: Jul 8, 2025

Computerized Adaptive Testing System of Functional Assessment of Stroke
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Developing post-stroke psychometric properties for an Adherence to rehabilitation regimen scale: A sequential

Asghar Dalvandi1, Maryam Khoshbakht-Pishkhani2, Abbas Ebadi3

  • 1Department of Nursing,School of Rehabilitation, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; School of Nursing and Midwifery, Islamic Azad University of Tehran, Central branch, Tehran, Iran.

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|December 10, 2023
PubMed
Summary

This study developed the Adherence to Rehabilitation Regimen Scale (ARRS) for post-stroke patients. The ARRS demonstrates strong psychometric properties, offering a valuable tool for assessing rehabilitation adherence.

Keywords:
AdherenceFactor analysisPsychometricsRehabilitationStroke

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Area of Science:

  • Rehabilitation Medicine
  • Psychometrics
  • Neuroscience

Background:

  • Patient adherence to rehabilitation regimens significantly impacts recovery outcomes post-stroke.
  • Developing reliable measurement tools is crucial for evaluating and improving adherence in stroke rehabilitation programs.

Purpose of the Study:

  • To design and validate a psychometric scale for measuring adherence to rehabilitation regimens in Iranian patients post-stroke.
  • To establish the face, content, and construct validity, along with the reliability, of the new scale.

Main Methods:

  • A sequential exploratory mixed-methods design was employed, involving qualitative (n=20) and quantitative (n=198) phases.
  • Psychometric properties, including validity and reliability, were rigorously assessed using established statistical methods.

Main Results:

  • The Adherence to Rehabilitation Regimen Scale (ARRS) was developed with 26 items across four factors: physical exercises, following regimens, daily living activities, and psychological follow-up.
  • The scale exhibited excellent internal consistency (Cronbach's alpha = 0.96) and reliability (ICC = 0.99).

Conclusions:

  • The ARRS is a valid and reliable instrument for measuring adherence to rehabilitation regimens in post-stroke patients.
  • This scale can be a valuable tool for clinicians and researchers aiming to manage and enhance adherence in stroke rehabilitation programs.