Medina-Mirapeix Francesc, Del Baño-Aledo María Elena, Martínez-Payá Jacinto Javier, Lillo-Navarro María Carmen, Escolar-Reina Pilar
F. Medina-Mirapeix, PT, PhD, Department of Physical Therapy, University of Murcia, Murcia, Spain.
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.
Phys Ther. 2015 May;95(5):767-77. doi: 10.2522/ptj.20140041. Epub 2014 Nov 20.
Patient feedback surveys are increasingly seen as a key component of health care quality monitoring and improvement.
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.
This was an instrument development study with validity and reliability testing.
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.
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).
Generalization to other patients is not known.
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.
患者反馈调查越来越被视为医疗质量监测和改进的关键组成部分。
本研究旨在描述一份关于急性后期门诊患者接受物理治疗师治疗体验的固定长度问卷的开发及初步心理测量学评估。
这是一项进行效度和信度测试的工具开发研究。
共有465名在3个康复中心接受肌肉骨骼疾病治疗的参与者完成了问卷。对问卷初稿进行了认知预测试（n = 94），并对修订版进行了重测信度评估（n = 90）。进行了分析以评估项目的方差和无应答率、问卷的因子结构以及多项目量表的度量属性。
探索性因子分析为问卷的7因子结构提供了证据，其中3个因子在概念上可视为专业人员的态度和行为（提供信息和教育、对患者变化的敏感性以及情感支持），4个因子在概念上反映组织环境（就诊时长、护理过程中的中断、等待时间和患者安全）。项目与量表的相关性在0.70至0.93之间。所有量表的量表成功百分比均为100%。克朗巴哈α系数在0.70至0.87之间。组内相关系数在0.57至0.80之间（中位数 = 0.68）。
尚不清楚该问卷能否推广到其他患者。
该问卷具有重测信度，量表具有内部一致性以及收敛效度和区分效度。所有量表均具有独特性和单维性。
