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 The Swedish version of eHEALS: A Prospective Psychometric Evaluation Study (Preprint)

2019 ◽  
Author(s):  
Josefin Wångdahl ◽  
Maria Jaensson ◽  
Karuna Dahlberg ◽  
Ulrica Nilsson
Keyword(s):  
Convergent Validity ◽  
A Priori ◽  
Health Resources ◽  
Psychometric Evaluation ◽  
Evaluation Study ◽  
Self Report ◽  
Swedish Version ◽  
Perfect Agreement ◽  
Swedish Population ◽  
Ehealth Literacy

BACKGROUND Electronic health is an important factor that influences the use and receipt of benefits from web-based health resources. Consequently, the concept of eHealth literacy has emerged and in 2006 Norman and Skinner developed an 8-item self-report eHealth literacy scale to measure these skills: the eHealth Literacy Scale (eHEALS). However, the eHEALS has not been tested for validity in the general Swedish population. OBJECTIVE The aim of this study was to translate and adapt the eHEALS into a Swedish version and to evaluate its psychometric properties. METHODS Prospective psychometric evaluation study including 323 participants equally distributed between sex and with a mean age of 49 years. RESULTS There were some difficulties translating the English concept Health resources. This resulted in this concept being translated as Health information, i.e. Hälsoinformation in Swedish. The eHEALS total score was 29.3 (SD 6.2), Cronbach’s alpha 0.94, Spearman-Brown coefficient 0.96 and with a high responsiveness of 94.6%. All a priori hypotheses were confirmed, supporting convergent validity. The test-retest reliability indicated an almost perfect agreement, 0.86 (p< 0.001). An exploratory factor analysis found one component explaining 69% of the total variance. No floor or ceiling effect was noted. CONCLUSIONS The Swedish version of eHEALS was assessed as being unidimensional and the internal consistency of the instrument high, making the reliability adequate. However, there are some linguistic issues relating to the concept of Health resources.

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 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.

scholarly journals The Swedish Version of the Electronic Health Literacy Scale: Prospective Psychometric Evaluation Study Including Thresholds Levels

10.2196/16316 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e16316
Author(s):  
Josefin Wångdahl ◽  
Maria Jaensson ◽  
Karuna Dahlberg ◽  
Ulrica Nilsson
Keyword(s):  
Convergent Validity ◽  
Health Resources ◽  
Psychometric Evaluation ◽  
Evaluation Study ◽  
Self Report ◽  
Swedish Version ◽  
Instrument Making ◽  
Ehealth Literacy ◽  
Threshold Levels ◽  
Electronic Health

Background To enhance the efficacy of information and communication, health care has increasingly turned to digitalization. Electronic health (eHealth) is an important factor that influences the use and receipt of benefits from Web-based health resources. Consequently, the concept of eHealth literacy has emerged, and in 2006 Norman and Skinner developed an 8-item self-report instrument to measure these skills: the eHealth Literacy Scale (eHEALS). However, the eHEALS has not been tested for reliability and validity in the general Swedish population and no threshold values have been established. Objective The aim of this study was to translate and adapt eHEALS into a Swedish version; evaluate convergent validity and psychometric properties; and determine threshold levels for inadequate, problematic, and sufficient eHealth literacy. Methods Prospective psychometric evaluation study included 323 participants equally distributed between sexes with a mean age of 49 years recruited from 12 different arenas. Results There were some difficulties translating the English concept health resources. This resulted in this concept being translated as health information (ie, Hälsoinformation in Swedish). The eHEALS total score was 29.3 (SD 6.2), Cronbach alpha .94, Spearman-Brown coefficient .96, and response rate 94.6%. All a priori hypotheses were confirmed, supporting convergent validity. The test-retest reliability indicated an almost perfect agreement, .86 (P<.001). An exploratory factor analysis found one component explaining 64% of the total variance. No floor or ceiling effect was noted. Thresholds levels were set at 8 to 20 = inadequate, 21 to 26 = problematic, and 27 to 40 = sufficient, and there were no significant differences in distribution of the three levels between the Swedish version of eHEALS and the HLS-EU-Q16. Conclusions The Swedish version of eHEALS was assessed as being unidimensional with high internal consistency of the instrument, making the reliability adequate. Adapted threshold levels for inadequate, problematic, and sufficient levels of eHealth literacy seem to be relevant. However, there are some linguistic issues relating to the concept of health resources.

scholarly journals Implementation of WHO Surgical Safety Checklist and Pre-operative Anxiety Levels to Study the Effect on Post-operative Recovery among Surgery Patients

2021 ◽  
pp. 271-283
Author(s):  
Rajesh Hadia ◽  
Juliet Joy Joseph ◽  
Jilce Mathew ◽  
Shivani Patel ◽  
Trupal Rathod ◽  
...  
Keyword(s):  
Postoperative Recovery ◽  
World Health ◽  
Routine Practice ◽  
Surgical Safety Checklist ◽  
Surgical Safety ◽  
Quality Of Recovery ◽  
Health Organization ◽  
Operative Recovery ◽  
Or Team

Background: World Health Organization Surgical Safety Checklist demonstrated a significant reduction in both morbidity and mortality. Objectives: This study aimed to find out the feasibility of implementation of WHO Surgical safety checklist in the routine practice, to ensure the teams follow critical safety steps, consistency in patient safety, and to maintain a culture that values achieving it, to assess the pre-operative status and post-operative quality of recovery among the patients undergoing surgery. Methodology: It is a prospective and observational study. A total of 65 patients of age group 18 and above were included in the study. The data was collected by filling the patient medical record sheet. Result: A total of 65 patients were included in the study. 64.62% were male, 35.38% were female. Out of 65 patients 61.54% experienced pre-operative anxiety; of which 20% of patients (n=9) showed very fast to fast recovery, 27.5% of patients (n=11) showed moderate recovery) and 52.5% of patients (n=21) showed slow to very slow recovery. Conclusion: Implementation of the WHO surgical safety checklist may improve miscommunications between the OR team, avoid unexpected errors ((Improving teamwork and communication). Appointing a staff or member of the OR team with the responsibility to check the checklist may improve the feasibility to implement the WHO SSC. The level of pre-operative anxiety greatly influences postoperative recovery. Thus, the Surgical and Anaesthetic team must assess the patient's pre-operative anxiety and take the necessary step before surgery.

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