A systematic review of measures of self-reported adherence to unsupervised home-based rehabilitation exercise programmes, and their psychometric properties

BACKGROUND: 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. OBJECTIVES: A systematic review was conducted to establish what measures were available and to evaluate their psychometric properties. DATA SOURCES: 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. STUDY SELECTION: 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. DATA EXTRACTION: Descriptive data reported were collated on a data extraction sheet. The measures were evaluated in terms of eight psychometric quality criteria. RESULTS: 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. CONCLUSIONS: 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

A continuing education course on : the design of engineered timber elements and components for architects, engineers & associated professionals

A continuing education course on : the design of engineered timber elements and components for architects, engineers & associated professional

Planar stressed-skin floors : a load response comparison

Static and dynamic load response test results for a low profile, timber framed, plywood sheathed floor system suitable for use in conventional dwelling construction are presented. These results are compared to those obtained for a standard bearer/joist floor having similar material of construction and identical geometric layout. This work constitutes the first stage in the development of an engineered whole house designed to economically and efficiently resist forces produced by high winds

Planar stressed-skin floors : a load response comparison

Static and dynamic load response test results for a low profile, timber framed, plywood sheathed floor system suitable for use in conventional dwelling construction are presented. These results are compared to those obtained for a standard bearer/joist floor having similar material of construction and identical geometric layout. This work constitutes the first stage in the development of an engineered whole house designed to economically and efficiently resist forces produced by high winds

The sport Injury Rehabilitation Adherence Scale : a reliable scale for use in clinical physiotherapy

ObjectiveTo evaluate, through two studies, the factor structure, inter-rater agreement, and test&ndash;retest and inter-rater reliability of the Sport Injury Rehabilitation Adherence Scale (SIRAS).DesignRepeated measures design in both Study 1 (video evaluation) and Study 2 (clinical evaluation).SettingUniversity department (Study 1) and outpatient physiotherapy department (Study 2).ParticipantsSixty physiotherapists and physiotherapy students in Study 1 and 45 patients undergoing physiotherapy treatment for a musculoskeletal injury in Study 2.InterventionIn Study 1, participants rated the adherence of a simulated videotaped patient demonstrating high, moderate and low adherence during rehabilitation. In Study 2, two physiotherapists rated the adherence of patients at two consecutive rehabilitation sessions.Main outcome measureThe SIRAS.ResultsIn Study 1, principal components analysis confirmed a single factor for the SIRAS, and inter-rater agreement values ranged from 0.87 to 0.93. In Study 2, inter-rater and test&ndash;retest reliability coefficients ranged from 0.76 [95% confidence interval (CI) 0.54 to 0.83] to 0.89 (95% CI 0.79 to 0.95), and from 0.63 (95% CI 0.36&ndash;0.82) to 0.76 (95% CI 0.55&ndash;0.88), respectively.ConclusionThe SIRAS is a reliable measure with high inter-rater agreement when used to evaluate clinic-based adherence to physiotherapy rehabilitation for musculoskeletal injury.<br /