The Satisfaction and Recovery Index as a new generic measure of health-related satisfaction: development and preliminary validation

eS1596

WCPT Congress 2015 / Physiotherapy 2015; Volume 101, Supplement 1 eS1238–eS1642

Results: There were no significant differences between the data of after exercise program and the data of one year later in MWT, TUG, OLS, LES, FFD in each group (PEG: p = .42, p = .963, p = .361, p = .228, p = .152 respectively. PLEG: p = .584, p = .52, p = .557, p = .09, p = .871 respectively). The results of a 2-way ANOVA revealed that there were no significant difference in the response to exercising (time × group) between the PTG and PLTG (p > 0.05). Conclusion(s): From the results of this study, each group maintained their physical abilities and Peer-led program achieved the same result of professional training program. Once people learn how to exercise by themselves, this physical exercise program on Peer-led program contributed to maintain physical abilities. Implications: It is well-known fact that physical exercise is very important to maintain physical abilities for older adults in everyday life. However, it is very difficult to continue participating exercise program because of participation fee. If participant learn the exercise program effectively and Peer-led program will be as equally effective as professional training program, Peer-led program may also be recommended for older adults, due to its low cost and effectiveness. It is important not only to improve their physical function, but also to enhance their sociality through the exercise program. Keywords: Peer-led exercise program; Older adult; Community Funding acknowledgements: There is no funding in this study. Ethics approval: This study had been approved by the ethics committee of Akita University Graduate School of Medicine. http://dx.doi.org/10.1016/j.physio.2015.03.1604 Research Report Platform Rapid 5 Presentation Number: RR-PLR5-1231 Monday 4 May 2015 10:45 Rooms 324–326 THE SATISFACTION AND RECOVERY INDEX AS A NEW GENERIC MEASURE OF HEALTH-RELATED SATISFACTION: DEVELOPMENT AND PRELIMINARY VALIDATION D. Walton 1 , J. MacDermid 2 , M. Pulickal 1 , A. Rollack 1 , J. Veitch 1 1 Western

University, School of Physical Therapy, London, Canada; 2 McMaster University, School of Physical Therapy, Hamilton, Canada Background: Patient-reported outcomes are becoming a standard of practice for health professionals. Function-related outcomes are commonly captured using region-specific disability scales (e.g. Neck Disability Index, Roland Morris Disability Questionnaire) or with more region-agnostic or

generic scales (e.g. SF-12, Brief Pain Inventory). Both regionspecific and generic measures pose different conceptual challenges. A need for a more sensitive, generic measure of health-related satisfaction is needed to facilitate evaluation of treatment outcomes and compare those across conditions. Purpose: To describe the development and preliminary validation of the Satisfaction and Recovery Index (SRI), a new importance-weighted health-related satisfaction scale for use in rehabilitation settings. Methods: Item generation occurred through triangulating existing theories on satisfaction and happiness, patient focus groups, and expert opinion. Through an iterative approach to testing, refinement, and re-testing the prototype tool was reduced to 10 items. A total of 135 subjects completed the tool, with 46 also completing additional generic (SF-12) and region-specific tools based on the region affected, and 29 repeating all tools 1 week later. Factor structure, concurrent (cross-sectional) associations, and responsiveness were evaluated using appropriate statistical approaches given the nature of the data. Results: Of the original 10 items, 9 satisfied criteria for retention by virtue of univariate associations with global recovery status and responsiveness. Exploratory factor analysis identified a single factor (health-related satisfaction) that explained 71% of scale variance. a priori hypotheses for association with generic and region-specific disability scales were largely satisfied. The generic SRI was as responsive to change as the region-specific disability scales and more so than the SF-12 Physical or Mental Component Scores. Conclusion(s): The SRI was developed over a 7-year period using a rigorous process for item generation and refinement. The final 9-item tool shows sound psychometric properties in preliminary analyses. Perhaps most valuable are the responsiveness findings, indicating that the SRI has the cross-condition advantage of other generic scales while offering responsiveness equal to region-specific scales. Implications: The SRI is a promising new tool for capturing and evaluating the results of rehabilitation intervention. It appears to be useful for measuring both the process and state of recovery, meaning it may be valuable for intervention and prognostic research. The importance weighting also offers potential utility in research based on response-shift theory. Keywords: Outcomes; Quality of life; Satisfaction Funding acknowledgements: Supported in part by a Doctoral Fellowship from the Canadian Institutes of Health Research. Ethics approval: Approval was obtained from the Health Sciences Research Ethics Board at Western University, Canada prior to initiating patient data collection. http://dx.doi.org/10.1016/j.physio.2015.03.1605