Evidence map›Paper›PMID 42609253›Full record

ArticlePatient preference and adherence2026

Adaptation and Content Validation of the Adherence to Treatment of Neurological Physiotherapy Questionnaire (AdT-NeuroPhysio) in Spanish People with Stroke.

Adrián Arranz-Escudero, Rosa María Ortiz-Gutiérrez, Ester Carpio-Calatayud, María José Díaz-Arribas, Roberto Cano-de-la-Cuerda, Patricia Martín-Casas

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Article in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Adrián Arranz-EscuderoDoctoral Program in Healthcare, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain.ORCID 0000-0003-4871-9279
Rosa María Ortiz-GutiérrezDepartment of Physiotherapy, Faculty of Nursery, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain.
Ester Carpio-CalatayudPhysiotherapy Unit, Hospital San Vicente, Madrid, Spain.
María José Díaz-ArribasDepartment of Physiotherapy, Faculty of Nursery, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain.ORCID 0000-0002-6231-107X
Roberto Cano-de-la-CuerdaDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Alcorcón, Madrid, Spain.ORCID 0000-0002-1118-4234
Patricia Martín-CasasDepartment of Physiotherapy, Faculty of Nursery, Physiotherapy and Podiatry, Complutense University of Madrid, Madrid, Spain.ORCID 0000-0002-5889-1841

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adherence to rehabilitation programmes is often poor after stroke, which limits functional recovery. Although adherence to rehabilitation programmes is frequently inadequate following a stroke and limits functional recovery, there is a need for more measures based on patient-reported information to assess this adherence. Purpose: This study aimed to adapt and validate the content of the Adherence to Treatment of Neurological Physiotherapy (AdT-NeuroPhysio) questionnaire for Spanish persons with subacute stroke. Patients and methods: After initial item adaptation by authors, a two-round Delphi study with 165 national stroke rehabilitation experts assessed relevance, comprehensibility, and content validity. Content Validity Indices (I-CVI, S-CVI), probability of chance agreement (Pc), and internal consistency (Cronbach's α) were calculated. Open-ended questions were proposed to gather author's extended opinion on items. Cognitive testing with 12 participants evaluated comprehensibility and feasibility. Results: After the two rounds, the AdT-NeuroPhysio demonstrated excellent content validity (I-CVI range: 0.80-0.98; S-CVI=0.90), negligible chance agreement, and good internal consistency (α=0.819). The compliance subscale showed high consistency (α=0.804), while the beliefs subscale was acceptable (α=0.685). Two open-ended sections on environmental barriers/facilitators were added. In the pilot study, participants found the questionnaire highly comprehensible (S-CVI=1), feasible, and easy to complete (mean time: ~3 minutes). Conclusion: The AdT-NeuroPhysio is a content-validated, comprehensible and feasible assessment for evaluating therapeutic adherence from the patient's perspective in Spanish subacute stroke populations. Further psychometric studies in larger samples are needed.

Indexed as

patient health questionnairereproducibility of resultsstroke rehabilitationtreatment adherence and compliancevalidation study

Identifiers

PMID42609253
PMCPMC13477862

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.