University of Miami School of Medicine and Sylvester Comprehensive Cancer Center, Miami, FL, USA.
Support Care Cancer. 2012 Sep;20(9):1949-56. doi: 10.1007/s00520-011-1297-3. Epub 2011 Oct 27.
Patient satisfaction (PS), a key measure of quality of cancer care, is a core study outcome of the multi-site National Cancer Institute-funded Patient Navigation Research Program. Despite large numbers of underserved monolingual Spanish speakers (MSS) residing in USA, there is no validated Spanish measure of PS that spans the whole spectrum of cancer-related care. The present study reports on the validation of the Patient Satisfaction with Cancer Care (PSCC) measure for Spanish (PSCC-Sp) speakers receiving diagnostic and therapeutic cancer-related care.
Original PSCC items were professionally translated and back translated to ensure cultural appropriateness, meaningfulness, and equivalence. Then, the resulting 18-item PSCC-Sp measure was administered to 285 MSS. We evaluated latent structure and internal consistency of the PSCC-Sp using principal components analysis (PCA) and Cronbach coefficient alpha (α). We used correlation analyses to demonstrate divergence and convergence of the PSCC-Sp with a Spanish version of the Patient Satisfaction with Interpersonal Relationship with Navigator (PSN-I-Sp) measure and patients' demographics.
The PCA revealed a coherent set of items that explicates 47% of the variance in PS. Reliability assessment demonstrated that the PSCC-Sp had high internal consistency (α = 0.92). The PSCC-Sp demonstrated good face validity and convergent and divergent validities as indicated by moderate correlations with the PSN-I-Sp (p = 0.003) and nonsignificant correlations with marital status and household income (all p(s) > 0.05).
The PSCC-Sp is a valid and reliable measure of PS and should be tested in other MSS populations.
患者满意度（PS）是癌症护理质量的关键衡量标准，也是美国国立癌症研究所资助的患者导航研究计划的核心研究结果之一。尽管有大量西班牙语单语者（MSS）在美国生活，但没有经过验证的涵盖癌症相关护理全过程的西班牙语 PS 测量工具。本研究报告了用于接受诊断和治疗性癌症相关护理的西班牙语（PSCC-Sp）患者的癌症护理患者满意度（PSCC）测量工具的验证情况。
原始 PSCC 项目经过专业翻译和回译，以确保文化适宜性、有意义和等效性。然后，将得到的 18 项 PSCC-Sp 量表施用于 285 名 MSS。我们使用主成分分析（PCA）和 Cronbach 系数 alpha（α）评估 PSCC-Sp 的潜在结构和内部一致性。我们使用相关分析来证明 PSCC-Sp 与西班牙语版患者与导航员人际关系满意度量表（PSN-I-Sp）和患者人口统计学数据的发散和收敛。
PCA 揭示了一组连贯的项目，这些项目解释了 PS 的 47%的方差。可靠性评估表明 PSCC-Sp 具有较高的内部一致性（α=0.92）。PSCC-Sp 具有良好的表面效度和收敛与发散效度，与 PSN-I-Sp 呈中度相关（p=0.003），与婚姻状况和家庭收入无显著相关（所有 p(s)>0.05）。
PSCC-Sp 是 PS 的有效且可靠的测量工具，应在其他 MSS 人群中进行测试。
