Francesc Medina-Mirapeix1, María Elena Del Baño-Aledo2, Jacinto Javier Martínez-Payá3, María Carmen Lillo-Navarro4, Pilar Escolar-Reina5. 1. F. Medina-Mirapeix, PT, PhD, Department of Physical Therapy, University of Murcia, Murcia, Spain. 2. M.E. del Baño-Aledo, PT, PhD, Central Unit of Anatomy, Catholic University of San Antonio, Campus de Los Jerónimos, s/n Guadalupe, 30107 Murcia, Spain. mbano@ucam.edu. 3. J.J. Martínez-Payá, PT, PhD, Central Unit of Anatomy, Catholic University of San Antonio. 4. M.C. Lillo-Navarro, PT, PhD, Department of Physical Therapy, Miguel Hernandez University of Elche, Alicante, Spain. 5. P. Escolar-Reina, PT, PhD, Department of Physical Therapy, University of Murcia.
Abstract
BACKGROUND: Patient feedback surveys are increasingly seen as a key component of health care quality monitoring and improvement. OBJECTIVE: The study objective was to describe the development and initial psychometric evaluation of a fixed-length questionnaire about the experiences of patients receiving physical therapist treatment in postacute outpatient settings. DESIGN: This was an instrument development study with validity and reliability testing. METHODS: A total of 465 participants attending 3 rehabilitation centers for musculoskeletal conditions completed the questionnaire. A cognitive pretest was applied to the draft version (n=94), and a revised version was evaluated for test-retest reliability (n=90). Analyses to evaluate variance and nonresponse rates for items, the factor structure of the questionnaire, and the metric properties of multi-item scales were conducted. RESULTS: Exploratory factor analyses yielded evidence for a 7-factor structure of the questionnaire, with 3 factors that may be conceptually viewed as professionals' attitudes and behavior (providing information and education, sensitivity to patients' changes, and emotional support) and 4 factors that conceptually reflect organizational environment (duration of attendance, interruptions during care delivery, waiting times, and patient safety). Item-scale correlations ranged from .70 to .93. The percentage of scaling success was 100% for all of the scales. Cronbach alpha coefficients ranged from .70 to .87. Intraclass correlation coefficients ranged from .57 to .80 (median=.68). LIMITATIONS: Generalization to other patients is not known. CONCLUSIONS: The questionnaire has test-retest reliability, and the scales have internal consistency and convergent and discriminant validity. All of the scales are distinct and unidimensional.
BACKGROUND:Patient feedback surveys are increasingly seen as a key component of health care quality monitoring and improvement. OBJECTIVE: The study objective was to describe the development and initial psychometric evaluation of a fixed-length questionnaire about the experiences of patients receiving physical therapist treatment in postacute outpatient settings. DESIGN: This was an instrument development study with validity and reliability testing. METHODS: A total of 465 participants attending 3 rehabilitation centers for musculoskeletal conditions completed the questionnaire. A cognitive pretest was applied to the draft version (n=94), and a revised version was evaluated for test-retest reliability (n=90). Analyses to evaluate variance and nonresponse rates for items, the factor structure of the questionnaire, and the metric properties of multi-item scales were conducted. RESULTS: Exploratory factor analyses yielded evidence for a 7-factor structure of the questionnaire, with 3 factors that may be conceptually viewed as professionals' attitudes and behavior (providing information and education, sensitivity to patients' changes, and emotional support) and 4 factors that conceptually reflect organizational environment (duration of attendance, interruptions during care delivery, waiting times, and patient safety). Item-scale correlations ranged from .70 to .93. The percentage of scaling success was 100% for all of the scales. Cronbach alpha coefficients ranged from .70 to .87. Intraclass correlation coefficients ranged from .57 to .80 (median=.68). LIMITATIONS: Generalization to other patients is not known. CONCLUSIONS: The questionnaire has test-retest reliability, and the scales have internal consistency and convergent and discriminant validity. All of the scales are distinct and unidimensional.
Authors: O Rodríguez Nogueira; J Botella-Rico; M C Martínez González; M Leal Clavel; J Morera-Balaguer; A R Moreno-Poyato Journal: PLoS One Date: 2020-03-02 Impact factor: 3.240