Developement of the INpaTiEnt Rehabilitation App Compliance quesTionnaire [INTERACT]

Abstract

Abstract Background In a previously translated and validated survey, the research team at the center of orthopaedics and trauma surgery cross-culturally adapted non-compliance items of a survey that targeted patients in rehabilitative care in private practice. However, the elements of the previously mentioned questionnaire neither take into account the burdens encountered in an inpatient hospital setting nor the effects of a mobile app-based telerehabilitation program on the early postoperative rehabilitative period. The purpose of this study is to validate elements of a non-compliance survey in an in-hospital setting and discuss aspects of compliance with telerehabilitative physiotherapy in the early postoperative period. Methods For this purpose, a literature search was conducted to identify elements that prevent patients from performing their prescribed physical therapy exercises. These items were then evaluated by the expert review technique as described by Ikart. Afterwards, the synthesized survey was handed out to patients for the assessment of the quality of its items. Results The results of the expert review technique identified some conceptual and grammatical problems. This lead to the adjustment of some of the elements. The quality of the resulting questionnaire was deemed to be good as patients were able to fully understand the concepts and answer accordingly. A statistical analysis was done to evaluate the responses. Conclusion The items of the second questionnaire have proven to be reliable to asses the compliance of patients in an in-hospital setting. These items will be added to the cross-culturally adapted items of a previous questionnaire. The items of the system usability score will be further added to evaluate the experience of patients with an app-based rehabilitation program. Registration: The adoption and validation of questionnaire items does not need to be registered.