Reliability and validity of the neurorehabilitation experience questionnaire for inpatients.
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.
Surrey Community Health, Leatherhead, UK. i.kneebone@nhs.net
Ian I
II
Kneebone
Samantha L
SL
Hull
Rhona
R
McGurk
Mark
M
Cropley
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D017144:Focus Groups; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009422:Nervous System Diseases / Q000523:psychology* / Q000534:rehabilitation; D017060:Patient Satisfaction; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics / Q000295:instrumentation*; D036301:Qualitative Research; D011795:Surveys and Questionnaires / Q000592:standards*