Bairati Isabelle, Turcotte Stéphane, Doray Geneviève, Belleau France, Grégoire Louise
Public Health Agency of the Capitale-Nationale, Quebec City, Canada.
BMC Health Serv Res. 2014 Jan 8;14:9. doi: 10.1186/1472-6963-14-9.
The assessment of the quality of mammography services delivered in organized breast cancer screening programs should include measures centered on women's perceptions. The objective of this study was to develop and validate an instrument in French designed to evaluate the satisfaction of women having a screening mammography.
An instrument evaluating women's satisfaction with mammography services was developed using published research, the perceptions of screened women, the expertise of health professionals and a pilot study. Between November 9 and 21, 2011, the questionnaire was sent to 1500 consecutive women having had a screening mammography in eight radiologic facilities designated by the Québec Breast Cancer Screening Program, in Quebec City, Canada. Construct validity, convergent and discriminant validity, reliability and sensitivity of the instrument were examined.
A total of 819 women (55%) participated in the validation study. The factor analysis retained four satisfaction dimensions: satisfaction with 1) the technician's skills (four items), 2) the physical environment (four items), 3) the staff's communication skills (three items) and 4) the information given by the program (3 items). The multitrait-scaling analysis showed good convergent and discriminant validity: scaling success was 100% for all subscales. All subscales had good internal consistency (Cronbach's alphas ≥ 0.86). The satisfaction scores were able to identify groups of women with lower levels of satisfaction, such as younger women or women with pain during breast compression.
This brief satisfaction instrument, developed in French, showed good psychometric properties to evaluate satisfaction in women receiving mammographic services in an organized breast cancer screening program.
在有组织的乳腺癌筛查项目中，对乳腺钼靶检查服务质量的评估应包括以女性认知为核心的指标。本研究的目的是开发并验证一种法语版工具，用于评估接受乳腺钼靶筛查的女性的满意度。
利用已发表的研究、接受筛查女性的认知、卫生专业人员的专业知识以及一项试点研究，开发了一种评估女性对乳腺钼靶检查服务满意度的工具。2011年11月9日至21日期间，该问卷被发送给加拿大魁北克市魁北克乳腺癌筛查项目指定的八家放射科机构中连续接受乳腺钼靶筛查的1500名女性。对该工具的结构效度、收敛效度和区分效度、信度及敏感性进行了检验。
共有819名女性（55%）参与了验证研究。因子分析保留了四个满意度维度：1）对技术人员技能的满意度（四个条目）、2）对物理环境的满意度（四个条目）、3）对工作人员沟通技能的满意度（三个条目）以及4）对项目提供信息的满意度（三个条目）。多特质量表分析显示出良好的收敛效度和区分效度：所有子量表的量表编制成功率均为100%。所有子量表都具有良好的内部一致性（克朗巴哈系数≥0.86）。满意度得分能够识别出满意度较低的女性群体，如年轻女性或在乳房压迫时有疼痛感的女性。
这种用法语开发的简短满意度工具，在评估有组织的乳腺癌筛查项目中接受乳腺钼靶检查服务的女性的满意度方面显示出良好的心理测量特性。
