Construct Validity and Interrater Agreement of the Sport Injury Rehabilitation Adherence Scale

2002 ◽  
Vol 11 (3) ◽  
pp. 170-178 ◽  
Author(s):  
Britton W. Brewer ◽  
Joshua B. Avondoglio ◽  
Allen E. Cornelius ◽  
Judy L. Van Raalte ◽  
John C. Brickner ◽  
...  

Context:Adherence to clinic-based rehabilitation might influence outcomes.Objective:To examine the construct validity and interrater agreement of a measure of adherence to clinic-based rehabilitation.Design:Repeated-measures in both study 1 and study 2.Participants:43 student rehabilitation practitioners in study 1 and 12 patients undergoing rehabilitation after anterior cruciate ligament reconstruction in study 2.Interventions:Participants in study 1 rated the adherence of a simulated videotaped patient exhibiting high, moderate, and low adherence. Two certified athletic trainers rated the adherence of patients at 4 consecutive appointments in study 2.Main Outcome Measure:The Sport Injury Rehabilitation Adherence Scale.Results:In study 1, adherence ratings increased in a linear fashion across the 3 levels of adherence, andrWG(J)and rater-agreement-index values ranging from .84 to .95 were obtained. In study 2, the rater-agreement index was .94.Conclusions:Strong support was found for the construct validity and interrater agreement of the Sport Injury Rehabilitation Adherence Scale.

Physiotherapy ◽  
2007 ◽  
Vol 93 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Gregory S. Kolt ◽  
Britton W. Brewer ◽  
Tania Pizzari ◽  
Adrian M.M. Schoo ◽  
Nick Garrett

2010 ◽  
Vol 19 (3) ◽  
pp. 249-267 ◽  
Author(s):  
Megan D. Granquist ◽  
Diane L. Gill ◽  
Renee N. Appaneal

Context:Rehabilitation adherence is accepted as a critical component for attaining optimal outcomes. Poor adherence is recognized as a problem in the athletic training setting. Measurement has been inconsistent, and no measure has been developed for athletic training settings.Objective:To identify indicators of sportinjury rehabilitation adherence relevant to athletic training and develop a Rehabilitation Adherence Measure for Athletic Training (RAdMAT) based on these indicators.Design:Mixed methods, 3 steps.Setting:College athletic training facility.Participants:Practicing certified athletic trainers (ATCs; n = 7) generated items, experts (n = 12) reviewed them, and practicing ATCs (n = 164) completed the RAdMAT for their most, average, and least adherent athlete.Main Outcome Measure:RAdMAT.Results:The RAdMAT is 16 items with 3 subscales. Subscales and total have good internal consistency and clearly discriminate among adherence levels.Conclusions:The RAdMAT is based on scholarly literature and clinical practice, making it particularly appropriate for use in athletic training clinical practice or for research purposes.


2000 ◽  
Vol 9 (4) ◽  
pp. 329-338 ◽  
Author(s):  
Carla Sordoni ◽  
Craig Hall ◽  
Lorie Forwell

Objectives:To determine whether athletes use motivational and cognitive imagery during injury rehabilitation and to develop an instrument for measuring imagery use.Design:A survey concerning imagery use during rehabilitation was administered to injured athletes.Setting:The Fowler Kennedy Sport Medicine Clinic in London, Ontario, Canada.Participants:Injured athletes (N = 71) receiving physiotherapy.Main Outcome Measure:The Athletic Injury Imagery Questionnaire (AIIQ).Results:As hypothesized, 2 distinct factors emerged from the items on the AIIQ: motivational and cognitive imagery. Motivational imagery was used more often than cognitive imagery in this context, yet less frequently than in other sport situations (eg, training and competition).Conclusions:The study indicates that the AIIQ is a potentially useful tool through which physiotherapists and sport psychologists can examine athletes' use of imagery in injury rehabilitation.


2009 ◽  
Vol 7 (2) ◽  
pp. 212-229 ◽  
Author(s):  
Andrew R. Levy ◽  
Remco C. J. Polman ◽  
Adam R. Nicholls ◽  
David C. Marchant

2012 ◽  
Vol 17 (4) ◽  
pp. 18-25 ◽  
Author(s):  
Joe Hart ◽  
Damien Clement ◽  
Jordan Hamson-Utley ◽  
Monna Arvinen-Barrow ◽  
Cindra Kamphoff ◽  
...  

Context:Injured athletes begin the rehabilitation process with expectations about the nature of the working relationship with an athletic trainer. These expectations can infuence the effectiveness of the assistance provided.Objective:To determine whether male and female athletes differed in terms of expectations about injury rehabilitation services with an athletic trainer.Design:A questionnaire was administered to student athletes that assessed expectations about injury rehabilitation. Setting: Five colleges and universities.Patients or Other Participants:Questionnaire responses were provided by 679 student athletes (443 males and 236 females).Main Outcome Measure:Responses to the Expectations about Athletic Training questionnaire were used to assess factors identifed as Personal Commitment, Facilitative Conditions, Athletic Trainer Expertise, and Realism.Results:A statistically signifcant interaction between gender and prior experience was identifed. Male athletes with no prior experience had lower expectations for a facilitative environment. Female athletes with prior experience were less likely to have realistic expectations.Conclusions:Gender and prior experience infuence athletes’ expectations of injury rehabilitation with an athletic trainer.


2020 ◽  
pp. 026921552096228
Author(s):  
Jonas Svingen ◽  
Jenny Rosengren ◽  
Christina Turesson ◽  
Marianne Arner

Objective: Evaluate the effect of a smartphone application on exercise adherence, range of motion and self-efficacy compared to standard rehabilitation after repair of the flexor digitorum profundus tendon. Design: Prospective multi-centre randomised controlled trial. Setting: Four hand surgery departments in Sweden. Subjects: A total of 101 patients (35 women) (mean age 37.5 ± 12.8) were randomised to control ( n = 49) or intervention group ( n = 52). Intervention: A smartphone application to facilitate rehabilitation. Main outcome measures: Adherence assessed with the Sport Injury Rehabilitation Adherence Scale at two and six weeks (primary outcome). Secondary outcomes were self-reported adherence in three domains assessed at two and six weeks, self-efficacy assessed with Athlete Injury Self-Efficacy Questionnaire at baseline, two and six weeks. Range of motion and perceived satisfaction with rehabilitation and information were assessed at 12 weeks. Results: Twenty-five patients were lost to follow-up. There was no significant between group difference in Sport Injury Rehabilitation Adherence Scale at two or six weeks, mean scores (confidence interval, CI 95%) 12.5 (CI 11.8–13.3), 11.8 (CI 11.0–12.8) for the intervention group, and 13.3 (CI 12.6–14.0), 12.8 (CI 12.0–13.7) for the control group. Self-reported adherence for exercise frequency at six weeks was significantly better for the intervention group, 93.2 (CI 86.9–99.5) compared to the controls 82.9 (CI 76.9–88.8) ( P = 0.02). There were no differences in range of motion, self-efficacy or satisfaction. Conclusion: The smartphone application used in this study did not improve adherence, self-efficacy or range of motion compared to standard rehabilitation for flexor tendon injuries. Further research regarding smartphone applications is needed. Level of evidence: I. Randomised controlled trial


2001 ◽  
Vol 17 (2) ◽  
pp. 98-111 ◽  
Author(s):  
Anders Sjöberg ◽  
Magnus Sverke

Summary: Previous research has identified instrumentality and ideology as important aspects of member attachment to labor unions. The present study evaluated the construct validity of a scale designed to reflect the two dimensions of instrumental and ideological union commitment using a sample of 1170 Swedish blue-collar union members. Longitudinal data were used to test seven propositions referring to the dimensionality, internal consistency reliability, and temporal stability of the scale as well as postulated group differences in union participation to which the scale should be sensitive. Support for the hypothesized factor structure of the scale and for adequate reliabilities of the dimensions was obtained and was also replicated 18 months later. Tests for equality of measurement model parameters and test-retest correlations indicated support for the temporal stability of the scale. In addition, the results were consistent with most of the predicted differences between groups characterized by different patterns of change/stability in union participation status. The study provides strong support for the construct validity of the scale and indicates that it can be used in future theory testing on instrumental and ideological union commitment.


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