Cross-cultural adaptation, reliability and validity of the Turkish version of the stroke exercise preference inventory

TL;DR

This study adapts and validates a Turkish version of a tool to assess stroke patients' exercise preferences, showing it is reliable and valid for use in rehabilitation.

Contribution

The Turkish version of the Stroke Exercise Preference Inventory is newly developed and validated for stroke patients.

Findings

The Turkish SEPI-13 demonstrated high internal consistency with a Cronbach’s α of 0.931.

A 3-factor structure explained 69.029% of the total variance, supported by confirmatory factor analysis.

The SEPI-13 showed strong convergent validity with EBBS and BREQ-2, and weak divergent validity with SSQoLS and FAI.

Abstract

While studies on version adaptation, validity, and reliability are common, no tools exist in Turkish literature to assess exercise preferences in stroke patients. This research aimed to translate the Stroke Exercise Preference Inventory (SEPI) into Turkish and evaluate its validity and reliability in stroke patients.

Ninety stroke patients completed the SEPI, Exercise Benefits/ Barriers Scale (EBBS), Behavioral Regulation in Exercise Questionnaire (BREQ-2), Stroke-Specific Quality of Life Scale (SSQoLS), and Frenchay Activities Index (FAI). The SEPI was translated into Turkish using a standard forward-backward translation process. Psychometric properties such as structural and construct validity, test–retest reliability, and internal consistency were assessed.

Reliability analysis demonstrated high internal consistency for SEPI-13, with Cronbach’s α values of 0.931. Validity testing revealed a 3-factor structure for SEPI-13, explaining 69.029% of total variance. CFA confirmed the model with acceptable fit indices. Construct validity showed good correlations with EBBS (r = −0.771; p < 0.001) and BREQ-2 (r = from −0.541 to 0.732; p < 0.001) for convergent validity, while divergent validity was supported by weak correlations with SSQoLS (r = 0.165; p = 0.120) and FAI (r = 0.137; p = 0.197). No floor or ceiling effects were observed for SEPI-13.

The Turkish SEPI is a reliable and valid tool for assessing exercise preferences in stroke patients, aiding their rehabilitation.

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