http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.712524
Author: | Bollen, Jessica Charlotte | ||||
Awarding Body: | Exeter and Plymouth Peninsula Medical School | ||||
Current Institution: | Exeter and Plymouth Peninsula Medical School | ||||
Date of Award: | 2017 | ||||
Availability of Full Text: |
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Abstract: | |||||
Adherence is necessary to establish the effectiveness of
rehabilitation exercises for those with long term conditions, but
measuring it is problematic. Adherence is vital when attempting to
measure and understand how an intervention works; without appropriate
levels of adherence it is not possible to conduct a fair test of an
intervention since failure to find benefit may be due to poor adherence
rather than an ineffective intervention. There are no gold standard
measures, and objective measurement devices are fallible. Without an
accurate way to assess if participants are adherent to their exercise
programs the efficacy of the programme cannot be assessed. Therefore the
objective of this PhD was to develop a psychometrically valid and
reliable self-report adherence measure to assess the likelihood of
adherence for stroke survivors called the Stroke Rehabilitation Exercise
Adherence Measure, (StREAM).
A large systematic review was conducted to synthesise the existing
evidence for self-report measures of adherence to prescribed
unsupervised exercise programmes. The review found many measures but few
possessed acceptable any tested psychometric properties and therefore
the need for a psychometrically sound adherence measure to assess the
likelihood of adherence was highlighted.
To ensure StREAM had robust content validity stroke survivors (n=16),
physiotherapists (n=3), and exercise professionals (n=2) were
interviewed.
Items were created from salient phases in the interviews which were then
discussed at two focus groups of stroke survivors. This ensured items
in StREAM were suitable and comprehensible to the target population.
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Supervisor: | Not available | Sponsor: | Not available | ||
Qualification Name: | Thesis (Ph.D.) | Qualification Level: | Doctoral | ||
EThOS ID: | uk.bl.ethos.712524 | DOI: | Not available | ||
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