Development and validation of the stroke recovery phase patient active exercise guidance satisfaction rat-ing scale
10.3969/j.issn.1001-1242.2025.12.008
- VernacularTitle:脑卒中恢复期患者主动运动指导满足感评定量表的编制与验证
- Author:
Jingyun ZENG
1
;
Zhengyu YANG
1
;
Shuo YANG
1
Author Information
1. 贵州中医药大学第二附属医院针灸康复科,贵阳市,550003
- Publication Type:Journal Article
- Keywords:
stroke recovery phase;
active exercise guidance;
needs;
acceptance;
satisfaction
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(12):1816-1823
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To develop and validate the stroke recovery phase patient active exercise guidance satisfaction rat-ing scale(SRPPAEGSRS)for stroke recovery patients.Method:Using the self-determination theory as the primary framework,integrated with the Brunnstrom stag-ing and social cognitive theories,an initial scale was developed through literature review,semi-structured inter-views,expert consultations,and a preliminary survey.A convenience sampling of 434 stroke patients in the re-covery phase who visited or were hospitalized in the rehabilitation department of a tertiary hospital in Guizhou province from November 2024 to February 2025 were recruited.Reliability and validity tests were conducted to finalize the scale.Result:A total of 422 valid questionnaires were collected,with an effective response rate of 97.24%.The scale consisted of 2 parts,8 dimensions,and 18 items.Three rounds of expert consultations showed a 100%positive coefficient,Kendall's harmony coefficient>0.5,authority coefficient>0.7,and coefficient of varia-tion<0.280.The critical ratio(CR)for all items in each part and the total scale was>8.The correlation coef-ficients between item scores and total scores for each part and the total scale were>0.6.The item-level con-tent validity index(I-CVI)was>0.8,and the scale-level content validity index(S-CVI)was>0.9.Exploratory factor analysis yielded a cumulative variance contribution rate of 77.895%,with no cross-loadings.Confirmatory factor analysis indicated good model fit(χ2/df=1.250,RMSEA=0.034,CFI=0.935,GFI=0.915).The Cronbach's α coefficient,split-half reliability,and test-retest reliability for each part and the total scale were all>0.8.Conclusion:The scale demonstrated good reliability and validity,enabling systematic assessment stroke patients'needs and acceptance of active exercise guidance during recovery.Additionally,it quantifies patients'satisfac-tion with active exercise guidance through the"need-acceptance"discrepancy and identifies bottlenecks in their active rehabilitation.
