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The Swedish Web Version of the Quality of Recovery Scale Adapted for Use in a Mobile App: Prospective Psychometric Evaluation Study
Örebro University, School of Health Sciences. (Centre for Perioperative Nursing (CPoN))ORCID iD: 0000-0001-5403-4183
Örebro University, School of Health Sciences. (Perioperativ omvårdnad)ORCID iD: 0000-0002-4170-6451
Örebro University, School of Health Sciences. (Centre for Perioperative Nursing)ORCID iD: 0000-0001-7575-6745
2017 (English)In: JMIR mhealth and uhealth, E-ISSN 2291-5222, Vol. 5, no 12, article id e188Article in journal (Refereed) Published
Abstract [en]

Background: The 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.

Objective: The aim of this study was to test the validity, reliability, responsiveness, and clinical acceptability and feasibility of SwQoR.

Methods: We 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.

Results: All 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.

Conclusions: SwQoR is valid, has excellent reliability and high responsiveness, and is clinically feasible for the systematic follow-up of patients’ postoperative recovery.

Place, publisher, year, edition, pages
Toronto, Canada: JMIR Publications, Inc. , 2017. Vol. 5, no 12, article id e188
Keywords [en]
Psychometric evaluation, postoperative recovery, Web version, evaluation studies, mobile application, Quality of Recovery scale
National Category
Nursing Information Systems
Research subject
Caring Sciences w. Medical Focus
Identifiers
URN: urn:nbn:se:oru:diva-63310DOI: 10.2196/mhealth.9061ISI: 000419159800021PubMedID: 29229590OAI: oai:DiVA.org:oru-63310DiVA, id: diva2:1164832
Projects
RAPP
Funder
Swedish Research Council, 2015-02273Forte, Swedish Research Council for Health, Working Life and Welfare, 2013-4765Available from: 2017-12-12 Created: 2017-12-12 Last updated: 2018-01-25Bibliographically approved

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Nilsson, UlricaDahlberg, KarunaJaensson, Maria
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