Chapter 2 20 Abstract Introduction: The assessment of adherence forms an important part of positive treatment outcomes, and there is a need to adapting them to the Dutch population. The aim of this study was to evaluate the inter-rater reliability of the Dutch version of the Rehabilitation Adherence Measure for Athletic Training (RAdMAT-NL) in patients who are undertaking physiotherapeutic rehabilitation in a primary physiotherapy practice. Methods: Two groups of patients, 18 with musculoskeletal injuries and 18 with chronic diseases (MS, COPD, dystrophy, Parkinson’s disease and partial paraplegia), participated in this cross-sectional study conducted between November 1 and December 1, 2017. Two matched physiotherapists independently assessed the adherence of a patient at the end of a treatment using the Dutch version of the 16-item RAdMAT. The inter-rater reliability was evaluated using the intraclass correlation coefficient (ICC). The ICC was calculated for all the participants together, after which it was calculated for patients with musculoskeletal injuries and patients with chronic diseases separately. Results: The inter-rater reliability of the RAdMAT-NL is excellent: ICC = 0.98 for all the participants. The inter-rater reliability is also excellent for patients with musculoskeletal injuries (ICC = 0.98) and patients with chronic diseases (ICC = 0.99). Conclusion: The inter-rater reliability of the RAdMAT-NL is excellent in patients who are undertaking physiotherapeutic rehabilitation in a primary physiotherapy practice.
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