The development and initial psychometric evaluation of a measure assessing adherence to prescribed exercise: the Exercise Adherence Rating Scale (EARS)

Newman-Beinart, Naomi A.; Norton, Sam; Dowling, Dominic; Gavriloff, Dimitri; Vari, Chiara; Weinman, John; Godfrey, Emma

doi:10.1016/j.physio.2016.11.001

Cited by 137 publications

(178 citation statements)

References 29 publications

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“…This may have led to inaccurate reporting of exercise levels due to recall or self-report bias (Prince et al, 2008). There is a lack of valid and reliable measures of exercise adherence (Beinart et al, 2013) and only a few have undergone psychometric testing (see Newman-Beinart et al, 2017). This highlights the need for standardized, validated measures to move the research forward.…”

Section: Methodological Considerationsmentioning

confidence: 99%

Behaviour change techniques associated with adherence to prescribed exercise in patients with persistent musculoskeletal pain: Systematic review

Meade

Bearne

Sweeney

et al. 2018

British J Health Psychol

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Limited moderate-quality evidence supports using a small number of BCTs to enhance exercise adherence in people with PMSK. Further research should explore the associations and synergies between BCTs and explicitly report how theory was utilized. This may inform recommendations for health care professionals working with this population. Statement of contribution What is already known on this subject? Exercise (i.e., planned, structured, repetitive movements) improves pain and function in people with persistent musculoskeletal pain (PMSK). Many people with PMSK do not adhere to exercises prescribed by a health care professional. Little research has explored how to enhance adherence to prescribed exercise in people with PMSK. What does this study add? Moderate-quality evidence from eight trials suggests behaviour change interventions enhance exercise adherence. Social support, goal setting, demonstration, instruction, and rehearsal were employed in effective interventions. Interventions with ≤7 behaviour change techniques were more effective at improving adherence than those employing >7.

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Section: Methodological Considerationsmentioning

confidence: 99%

Behaviour change techniques associated with adherence to prescribed exercise in patients with persistent musculoskeletal pain: Systematic review

Meade

Bearne

Sweeney

et al. 2018

British J Health Psychol

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“…Cronbach's alpha (a) was calculated to determine internal consistency. Exploratory Factor Analysis (EFA) was performed in the study by Newman-Beinart et al, to determine factors in the original English tool [5]. To compare the ndings with the study, we performed EFA to explore construct validity.…”

Section: Discussionmentioning

confidence: 99%

“…People commonly use self-reported diaries to re ect exercise adherence; however, they lack standardization, accuracy, and possess self-presentation bias that limits their validity [4]. The Exercise Adherence Rating Scale (EARS) is one of the commonly used outcome tools, which helps to identify the adherence rate of exercises and reasons for adherence and non-adherence [5].…”

Section: Introductionmentioning

confidence: 99%

Cross-cultural adaptation, validity, and reliability of the Nepali version of the Exercise Adherence Rating Scale: A methodological study

Adhikari

Dev

Shrestha

2020

Preprint

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Background: The Exercise Adherence Rating Scale (EARS) is a commonly used outcome tool, which helps to identify the adherence rate of exercises and reasons for adherence and non-adherence. There is no evidence of the availability of any measurement tools to assess exercise adherence in the Nepalese context and cultural background. Therefore, we conducted a cross-cultural adaptation of the EARS into the Nepali language and investigated its reliability and validity. Methods: Cross-cultural adaptation of the EARS was done based on Beaton guidelines. Psychometric properties were evaluated among 18 participants aged 18 years or older with pre-diabetes or confirmed diagnosis of any disease who were prescribed with home exercises by physiotherapists. Any disease that limited participants from doing exercise and individuals unwilling to participate were excluded. Reliability was evaluated through internal consistency, using Cronbach’s alpha. Exploratory Factor Analysis (EFA) was performed to explore construct validity and confirm its unidimensionality. Receiver Operating Characteristic (ROC) curve was analyzed to identify cut-off score, sensitivity and specificity of the tool.Results: The Cronbach’s alpha was 0.94 for EARS-adherence behavior. The EFA of 6-items adherence behavior revealed the presence of one factor with an eigenvalue exceeding one. The scree-plot suggested for extraction of only one factor with strong loading (75.84%). The Area Under the Curve was 0.91 with 95% confidence interval 0.77 to 1.00 at p = 0.004. The cutoff score was found 17.5 with 89% sensitivity and 78% specificity.Conclusions: The EARS was cross-culturally adapted to the Nepali language. The reliability and construct validity of the Nepali version of the EARS were acceptable to assess exercise adherence in Nepali-speaking individuals. This validated tool might facilitate the evaluation of exercise-related interventions. Future studies could investigate other psychometric properties of the Nepali EARS.

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“…Patient self-reported adherence to prescribed home exercises is measured by the Exercise Adherence Rating Scale (EARS). Besides that, the EARS measures the exercise prescription and the reasons for (non-) adherence [50].…”

Section: Secondary Outcome Measuresmentioning

confidence: 99%

Effectiveness and cost-effectiveness of stratified blended physiotherapy in patients with non-specific low back pain: study protocol of a cluster randomized controlled trial

Koppenaal

Arensman

Dongen³

et al. 2020

BMC Musculoskelet Disord

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Background: Patient education, advice on returning to normal activities and (home-based) exercise therapy are established treatment options for patients with non-specific low back pain (LBP). However, the effectiveness of physiotherapy interventions on physical functioning and prevention of recurrent events largely depends on patient self-management, adherence to prescribed (home-based) exercises and recommended physical activity behaviour. Therefore we have developed e-Exercise LBP, a blended intervention in which a smartphone application is integrated within face-to-face care. E-Exercise LBP aims to improve patient self-management skills and adherence to exercise and physical activity recommendations and consequently improve the effectiveness of physiotherapy on patients' physical functioning. The aim of this study is to investigate the short-(3 months) and long-term (12 and 24 months) effectiveness on physical functioning and cost-effectiveness of e-Exercise LBP in comparison to usual primary care physiotherapy in patients with LBP.

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The development and initial psychometric evaluation of a measure assessing adherence to prescribed exercise: the Exercise Adherence Rating Scale (EARS)

Cited by 137 publications

References 29 publications

Behaviour change techniques associated with adherence to prescribed exercise in patients with persistent musculoskeletal pain: Systematic review

Behaviour change techniques associated with adherence to prescribed exercise in patients with persistent musculoskeletal pain: Systematic review

Cross-cultural adaptation, validity, and reliability of the Nepali version of the Exercise Adherence Rating Scale: A methodological study

Effectiveness and cost-effectiveness of stratified blended physiotherapy in patients with non-specific low back pain: study protocol of a cluster randomized controlled trial

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