Psychometric evaluation of the Dutch 40-item Quality-of-Recovery scale

2021 ◽  
Author(s):  
Agnes G.C.L. Wensing ◽  
Vincent R. van Cuilenborg ◽  
Jennifer S. Breel ◽  
David J. Heineman ◽  
Jeroen Hermanides ◽  
...  
Keyword(s):  
Psychometric Evaluation ◽  
Quality Of Recovery ◽  
Item Quality

scholarly journals The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study (Preprint)

2017 ◽  
Author(s):  
Ulrica Nilsson ◽  
Karuna Dahlberg ◽  
Maria Jaensson
Keyword(s):  
Convergent Validity ◽  
Psychometric Evaluation ◽  
Evaluation Study ◽  
Day Surgery ◽  
Postoperative Recovery ◽  
Mobile App ◽  
Swedish Version ◽  
Quality Of Recovery ◽  
Item Quality

BACKGROUND The 40-item Quality of Recovery (QoR-40) questionnaire is well validated for measuring self-assessed postoperative recovery. The Swedish version of the 40-item Quality of Recovery (QoR-40) has been developed into a Web-based questionnaire, the Swedish Web version of the Quality of Recovery (SwQoR) questionnaire, adapted for use in a mobile app, Recovery Assessment by Phone Points, or RAPP. OBJECTIVE The aim of this study was to test the validity, reliability, responsiveness, and clinical acceptability and feasibility of SwQoR. METHODS We conducted a prospective psychometric evaluation study including 494 patients aged ≥18 years undergoing day surgery at 4 different day-surgery departments in Sweden. SwQoR was completed daily on postoperative days 1 to 14. RESULTS All a priori hypotheses were confirmed, supporting convergent validity. There was excellent internal consistency (Cronbach alpha range .91-.93), split-half reliability (coefficient range .87-.93), and stability (ri=.99, 95% CI .96-.99; P<.001). Cohen d effect size was 1.00, with a standardized response mean of 1.2 and a percentage change from baseline of 59.1%. An exploratory factor analysis found 5 components explaining 57.8% of the total variance. We noted a floor effect only on postoperative day 14; we found no ceiling effect. CONCLUSIONS SwQoR is valid, has excellent reliability and high responsiveness, and is clinically feasible for the systematic follow-up of patients’ postoperative recovery.

scholarly journals Swedish Web Version of the Quality of Recovery Scale Adapted for Patients Undergoing Local Anesthesia and Peripheral Nerve Blockade (SwQoR-LA): Prospective Psychometric Evaluation Study (Preprint)

2020 ◽  
Author(s):  
Ulrica Nilsson ◽  
Karuna Dahlberg ◽  
Maria Jaensson
Keyword(s):  
Peripheral Nerve ◽  
Real Time ◽  
Nerve Block ◽  
Peripheral Nerve Block ◽  
Psychometric Evaluation ◽  
Day Surgery ◽  
Mobile App ◽  
Quality Of Recovery ◽  
Recovery Assessment

BACKGROUND The frequency and timing of assessing patient symptoms and discomfort during postoperative recovery are goals. Therefore, real-time recovery evaluation has been suggested to identify specific deficits in patient recovery. OBJECTIVE This study aimed to psychometrically evaluate the Swedish Web Version of the Quality of Recovery (SwQoR) Scale adapted for patients undergoing local and peripheral nerve block (SwQoR-LA). METHODS This was a secondary analysis of a psychometric evaluation of 107 patients aged ≥18 years undergoing day surgery under local or peripheral nerve block anesthesia at 4 different day surgery departments in Sweden. The SwQoR-LA, available through a mobile app called Recovery Assessment by Phone Points (RAPP), was completed daily on postoperative days 1-7. RESULTS Some evidence of construct validity was supported, and discriminant validity was found in 7 of 8 items related to general anesthesia. The internal consistency was acceptable (.87-.89), and the split-half reliability was 0.80-0.86. Cohen d effect size was 0.98, and the percentage of change from baseline was 43.4%. No floor nor ceiling effects were found. CONCLUSIONS The SwQoR-LA is valid, reliable, responsive, and clinically feasible for digital real-time recovery assessment of patient recovery to identify specific deficits in patient recovery and detect those patients who might benefit from a timely intervention. CLINICALTRIAL ClinicalTrials.gov NCT02492191; https://clinicaltrials.gov/ct2/show/NCT02492191 INTERNATIONAL REGISTERED REPORT RR2-10.1136/bmjopen-2015-009901

scholarly journals Development and Psychometric Evaluation of a Postoperative Quality of Recovery Score

2013 ◽  
Vol 118 (6) ◽  
pp. 1332-1340 ◽  
Author(s):  
Peter A. Stark ◽  
Paul S. Myles ◽  
Justin A. Burke
Keyword(s):  
Convergent Validity ◽  
Short Form ◽  
Psychometric Evaluation ◽  
Postanesthesia Care Unit ◽  
Research Experience ◽  
Five Dimensions ◽  
Quality Of Recovery ◽  
Duration Of Surgery ◽  
Excellent Internal Consistency

Abstract Background: Quality of recovery (QoR) after anesthesia is an important measure of the early postoperative health status of patients. The aim was to develop a short-form postoperative QoR score, and test its validity, reliability, responsiveness, and clinical acceptability and feasibility. Methods: Based on extensive clinical and research experience with the 40-item QoR-40, the strongest psychometrically performing items from each of the five dimensions of the QoR-40 were selected to create a short-form version, the QoR-15. This was then evaluated in 127 adult patients after general anesthesia and surgery. Results: There was good convergent validity between the QoR-15 and a global QoR visual analog scale (r = 0.68, P &lt; 0.0005). Construct validity was supported by a negative correlation with duration of surgery (r = −0.49, P &lt; 0.0005), time spent in the postanesthesia care unit (r = −0.41, P &lt; 0.0005), and duration of hospital stay (r = −0.53, P &lt; 0.0005). There was also excellent internal consistency (0.85), split-half reliability (0.78), and test–retest reliability (ri = 0.99), all P &lt; 0.0005. Responsiveness was excellent with an effect size of 1.35 and a standardized response mean of 1.04. The mean ± SD time to complete the QoR-15 was 2.4 ± 0.8min. Conclusions: The QoR-15 provides a valid, extensive, and yet efficient evaluation of postoperative QoR.

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