Reliability and validity of the neurorehabilitation experience questionnaire for inpatients.

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Journal Article
Neurorehabilitation and neural repair, 2012, 26 (7), pp. 834 - 841
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BACKGROUND: Patient-centered measures of the inpatient neurorehabilitation experience are needed to assess services. OBJECTIVE: The objective of this study was to develop a valid and reliable Neurorehabilitation Experience Questionnaire (NREQ) to assess whether neurorehabilitation inpatients experience service elements important to them. METHODS: Based on the themes established in prior qualitative research, adopting questions from established inventories and using a literature review, a draft version of the NREQ was generated. Focus groups and interviews were conducted with 9 patients and 26 staff from neurological rehabilitation units to establish face validity. Then, 70 patients were recruited to complete the NREQ to ascertain reliability (internal and test-retest) and concurrent validity. RESULTS: On the basis of the face validity testing, several modifications were made to the draft version of the NREQ. Subsequently, internal reliability (time 1 α = .76, time 2 α = .80), test retest reliability (r = 0.70), and concurrent validity (r = 0.32 and r = 0.56) were established for the revised version. Whereas responses were associated with positive mood (r = 0.30), they appeared not to be influenced by negative mood, age, education, length of stay, sex, functional independence, or whether a participant had been a patient on a unit previously. CONCLUSIONS: Preliminary validation of the NREQ suggests promise for use with its target population.
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