Swedish hospitals get new tool to track patient exercise compliance after shoulder surgery
Researchers have validated a Swedish-language questionnaire that reliably measures whether patients stick to prescribed exercises following shoulder surgery—a key predictor of treatment success. The tool could help hospitals identify non-adherent patients early and improve long-term surgical outcomes and healthcare costs.
Originaltitel: Cross-cultural adaptation and test-retest reliability assessment of a Swedish version of the exercise adherence rating scale in patients after shoulder surgery
<p>Background:</p><p>Adherence to prescribed home exercise is an important predictor for the long-term effectiveness of exercise therapy and therefore important to evaluate. The Exercise Adherence Rating Scale (EARS) is a valid and reliable tool to assess exercise adherence behavior, but it is not translated into Swedish. This study aimed to translate EARS into Swedish and to explore the psychometric properties in terms of test-retest reliability, internal consistency as well and possible floor-/ceiling effects.</p><p>Materials and Methods:</p><p>A translation and cultural adaptation process followed international guidelines and resulted in EARS-Sv. A total of 30 patients who had undergone shoulder surgery were included in the study and filled out EARS-Sv at two different time points. The test-retest reliability was evaluated through the weighted kappa coefficient and Intraclass Correlation Coefficient (ICC). Cronbach's alpha was used to assess internal consistency. Floor-/ceiling effects were calculated.</p><p>Results:</p><p>The test-retest reliability of the questionnaire was good with ICC (0.79, CI 95%) and moderate with weighted kappa-coefficient (MD = 0.58). Cronbach's alpha was considered good (0.88). A ceiling effect was registered in all 6 items of EARS-Sv.</p><p>Conclusion:</p><p>EARS-Sv has moderate to good test-retest reliability and good internal consistency in patients who have undergone shoulder surgery.</p>