The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study
BackgroundThe 40-item Quality of Recovery (QoR-40) questionnaire is well validated for measuring self-assessed postoperative recovery. The Swedish version of the 40-item Quality of Recovery (QoR-40) has been developed into a Web-based questionnaire, the Swedish Web version of the Quality of Recovery...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JMIR Publications
2017-12-01
|
| Series: | JMIR mHealth and uHealth |
| Online Access: | http://mhealth.jmir.org/2017/12/e188/ |
| _version_ | 1818919458620571648 |
|---|---|
| author | Nilsson, Ulrica Dahlberg, Karuna Jaensson, Maria |
| author_facet | Nilsson, Ulrica Dahlberg, Karuna Jaensson, Maria |
| author_sort | Nilsson, Ulrica |
| collection | DOAJ |
| description | BackgroundThe 40-item Quality of Recovery (QoR-40) questionnaire is well validated for measuring self-assessed postoperative recovery. The Swedish version of the 40-item Quality of Recovery (QoR-40) has been developed into a Web-based questionnaire, the Swedish Web version of the Quality of Recovery (SwQoR) questionnaire, adapted for use in a mobile app, Recovery Assessment by Phone Points, or RAPP.
ObjectiveThe aim of this study was to test the validity, reliability, responsiveness, and clinical acceptability and feasibility of SwQoR.
MethodsWe conducted a prospective psychometric evaluation study including 494 patients aged ≥18 years undergoing day surgery at 4 different day-surgery departments in Sweden. SwQoR was completed daily on postoperative days 1 to 14.
ResultsAll a priori hypotheses were confirmed, supporting convergent validity. There was excellent internal consistency (Cronbach alpha range .91-.93), split-half reliability (coefficient range .87-.93), and stability (ri=.99, 95% CI .96-.99; P<.001). Cohen d effect size was 1.00, with a standardized response mean of 1.2 and a percentage change from baseline of 59.1%. An exploratory factor analysis found 5 components explaining 57.8% of the total variance. We noted a floor effect only on postoperative day 14; we found no ceiling effect.
ConclusionsSwQoR is valid, has excellent reliability and high responsiveness, and is clinically feasible for the systematic follow-up of patients’ postoperative recovery. |
| first_indexed | 2024-12-20T01:06:11Z |
| format | Article |
| id | doaj.art-d02156f833d34879987caf134f4a0045 |
| institution | Directory Open Access Journal |
| issn | 2291-5222 |
| language | English |
| last_indexed | 2024-12-20T01:06:11Z |
| publishDate | 2017-12-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR mHealth and uHealth |
| spelling | doaj.art-d02156f833d34879987caf134f4a00452022-12-21T19:58:51ZengJMIR PublicationsJMIR mHealth and uHealth2291-52222017-12-01512e18810.2196/mhealth.9061The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation StudyNilsson, UlricaDahlberg, KarunaJaensson, MariaBackgroundThe 40-item Quality of Recovery (QoR-40) questionnaire is well validated for measuring self-assessed postoperative recovery. The Swedish version of the 40-item Quality of Recovery (QoR-40) has been developed into a Web-based questionnaire, the Swedish Web version of the Quality of Recovery (SwQoR) questionnaire, adapted for use in a mobile app, Recovery Assessment by Phone Points, or RAPP. ObjectiveThe aim of this study was to test the validity, reliability, responsiveness, and clinical acceptability and feasibility of SwQoR. MethodsWe conducted a prospective psychometric evaluation study including 494 patients aged ≥18 years undergoing day surgery at 4 different day-surgery departments in Sweden. SwQoR was completed daily on postoperative days 1 to 14. ResultsAll a priori hypotheses were confirmed, supporting convergent validity. There was excellent internal consistency (Cronbach alpha range .91-.93), split-half reliability (coefficient range .87-.93), and stability (ri=.99, 95% CI .96-.99; P<.001). Cohen d effect size was 1.00, with a standardized response mean of 1.2 and a percentage change from baseline of 59.1%. An exploratory factor analysis found 5 components explaining 57.8% of the total variance. We noted a floor effect only on postoperative day 14; we found no ceiling effect. ConclusionsSwQoR is valid, has excellent reliability and high responsiveness, and is clinically feasible for the systematic follow-up of patients’ postoperative recovery.http://mhealth.jmir.org/2017/12/e188/ |
| spellingShingle | Nilsson, Ulrica Dahlberg, Karuna Jaensson, Maria The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study JMIR mHealth and uHealth |
| title | The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study |
| title_full | The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study |
| title_fullStr | The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study |
| title_full_unstemmed | The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study |
| title_short | The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study |
| title_sort | swedish web version of the quality of recovery scale adapted for use in a mobile app prospective psychometric evaluation study |
| url | http://mhealth.jmir.org/2017/12/e188/ |
| work_keys_str_mv | AT nilssonulrica theswedishwebversionofthequalityofrecoveryscaleadaptedforuseinamobileappprospectivepsychometricevaluationstudy AT dahlbergkaruna theswedishwebversionofthequalityofrecoveryscaleadaptedforuseinamobileappprospectivepsychometricevaluationstudy AT jaenssonmaria theswedishwebversionofthequalityofrecoveryscaleadaptedforuseinamobileappprospectivepsychometricevaluationstudy AT nilssonulrica swedishwebversionofthequalityofrecoveryscaleadaptedforuseinamobileappprospectivepsychometricevaluationstudy AT dahlbergkaruna swedishwebversionofthequalityofrecoveryscaleadaptedforuseinamobileappprospectivepsychometricevaluationstudy AT jaenssonmaria swedishwebversionofthequalityofrecoveryscaleadaptedforuseinamobileappprospectivepsychometricevaluationstudy |