Outpatients’ perspectives of quality in rehabilitation – development and validation of a patient-reported experience measure (PREM)

Sean Hartwell, Grace Macaree, Andreas McLaughlin, Liselotte Jensen, Britt Petersen, Marianne Pia Lindahl

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review


This study aimed to develop and validate a patient-reported experience measure (PREM) to examine the patients’ perspectives on the quality of outpatient physiotherapy and occupational therapy rehabilitation.

Materials and methods
A systematic literature search in PubMed, Embase, Scopus, and Cinahl was conducted to identify relevant themes for the questionnaire. Fourteen studies were analyzed through a systematic text condensation to identify quality aspects in the rehabilitation from patients’ perspectives. Further, based on the analysis, 13 items with answers on a five-point Likert scale were developed. Face validity and content validity were established during interviewing 14 municipality outpatients. Finally, to determine the construct validity and internal consistency, the questionnaire was distributed to 385 patients with various diagnoses.

The final questionnaire, Outpatients’ Experience of quality in Rehabilitation (OPER), demonstrated good face and content validity and covered patients’ experience of quality in municipal rehabilitation. Data from 307 respondents established construct validity and high internal consistency and showed, in general, a positive experience of outpatient rehabilitation.

The OPER demonstrates satisfactory psychometric properties based on an extensive development and validation process. By assessing outpatients’ experience of the rehabilitation process, OPER offers a measurement of the quality of therapists’ practice of patient-centered rehabilitation.
TidsskriftDisability and Rehabilitation
Antal sider12
StatusE-pub ahead of print - dec. 2023


  • fysioterapi
  • Municipal rehabilitation
  • Occupational Therapy
  • Patient-centredness
  • Physiotherapy
  • Psychometric properties
  • satisfaction


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