Non-Adherence with Physiotherapeutic Rehabilitation—A Cross-Cultural Adaption of Compliance Parameters into German

Author:

Hakam Hassan123ORCID,Lettner Jonathan2,Hofmann Hannes12ORCID,Kersten Sebastian14,Muehlensiepen Felix235ORCID,Becker Roland12,Prill Robert123ORCID

Affiliation:

1. Center of Orthopedics and Trauma Surgery, University Clinic of Brandenburg, Hochstr. 29, 14770 Brandenburg an der Havel, Germany

2. Medical School of Brandenburg, Fehbellinerstr 38, 16816 Neuruppin, Germany

3. Center of Evidence Based practice Brandenburg (EBB), A JBI Affiliated Group, 14770 Brandenburg an der Havel, Germany

4. Department of Orthopaedic Surgery, Sana Kliniken Sommerfeld, 16766 Kremmen, Germany

5. Center for Health Services Research, Faculty for Health Sciences, University Clinic of Brandenburg, Seebad 82/83, 15562 Rüdersdorf bei Berlin, Germany

Abstract

Background: Compliance with rehabilitative physiotherapeutic measures leads to an improvement in outcomes in patients suffering from a variety of musculoskeletal conditions. To date, a tool for assessing the parameters that lead to non-adherence to physical therapy does not exist in the German language. The objective of this paper is to cross-culturally adapt a non-compliance questionnaire to German. Methods: In reference to the “Guidelines for the Process of Cross-Cultural Adaption of Self-Reported Measures”, the questionnaire was translated into German followed by a back-translation into the original language. An expert committee met and refined the pre-final version. A preliminary version was handed out to patients for evaluation of the quality of the resulting German version. Results: After the forward- and back-translation of the questionnaire, some discrepancies were discovered between the translators on the one hand and between the back-translations and the original document on the other. The statistical analysis showed satisfactory results regarding the quality of the questionnaire. Conclusion: The translation and adaption of the items proved to have a high degree of reliability. The German version will be made available for German-speaking researchers and used for evaluating a mobile-application-based physical therapy regimen by the authors of the paper.

Publisher

MDPI AG

Subject

Medicine (miscellaneous)

Reference20 articles.

1. Lewis, A., Morris, M.E., and Walsh, C. (2022, January 01). Are Physiotherapy Exercises Effective in Reducing Chronic Low Back Pain? Centre for Reviews and Dissemination (UK), Available online: https://www.ncbi.nlm.nih.gov/books/NBK75764/.

2. Artz, N., Elvers, K.T., Lowe, C.M., Sackley, C., Jepson, P., and Beswick, A.D. (2015). Effectiveness of physiotherapy exercise following total knee replacement: Systematic review and meta-analysis. BMC Musculoskelet. Disord., 16.

3. Physiotherapist-directed rehabilitation exercises in the outpatient or home setting improve strength, gait speed and cadence after elective total hip replacement: A systematic review;Coulter;J. Physiother.,2013

4. After total knee arthroplasty, many people are not active enough to maintain their health and fitness: An observational study;Groen;J. Physiother.,2012

5. Lowe, C.M., Barker, K.L., Dewey, M., and Sackley, C.M. (2023, June 19). Effectiveness of Physiotherapy Exercise after Knee Arthroplasty for Osteoarthritis: Systematic Review and Meta-Analysis of Randomised Controlled Trials. Centre for Reviews and Dissemination (UK), Available online: https://www.ncbi.nlm.nih.gov/books/NBK74624/.

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