Gibbons Elizabeth, Hewitson Paul, Morley David, Jenkinson Crispin, Fitzpatrick Ray
Health Service Research Unit, Nuffield, Department of Population Health, University of Oxford, Oxford, UK.
Patient Relat Outcome Meas. 2015 Jul 16;6:179-89. doi: 10.2147/PROM.S82784. eCollection 2015.
This report presents evidence regarding the development and validation of a new questionnaire, the Outcomes and Experiences Questionnaire (OEQ). The rationale for the questionnaire is to bring together into one short instrument questions about two distinct domains - patients' reports of the outcomes of their care and how they experience care.
The OEQ was developed from literature reviews, iterative drafting and discussion within the research group and cognitive testing with a sample of patients who had a hospital experience. Two validation studies were carried out with an eleven item OEQ. The goals of the studies were to examine response rates and to test specific hypotheses of how OEQ should relate to other variables normally collected in the two studies. In the first study, the OEQ was added to the follow-up questionnaires for patients (n=490) receiving surgery for hip or knee replacement or varicose vein procedures participating in the national Patient Reported Outcome Measures (PROMs) program permitting the analysis of the OEQ against change scores for the measures obtained before and after surgery. In the second study the OEQ was included in a sample of patients (n=586) who had been selected to receive the National Health Service (NHS) inpatient survey from three contrasting hospital trusts.
Results from study one provided consistent and substantial evidence of construct validity of OEQ particularly for those receiving hip or knee replacement. The OEQ sub-scales behaved differently and as predicted against other PROMs variables. Again hypotheses of how the two sub-scales regarding outcomes and experiences would relate to the existing domains of patient experience in the inpatient survey were broadly confirmed in study two.
The report provides encouraging evidence of the OEQ's capacity to assess distinct reports from patients about outcomes and experiences of care within a single short questionnaire.
本报告介绍了一份新问卷——结果与体验问卷（OEQ）的开发及验证证据。该问卷的基本原理是将关于两个不同领域的问题整合到一个简短的工具中，这两个领域分别是患者对其护理结果的报告以及他们对护理的体验。
OEQ是通过文献综述、研究小组内部的反复起草和讨论以及对有住院经历的患者样本进行认知测试而开发的。对一份包含11个条目的OEQ进行了两项验证研究。研究的目标是检查回复率，并检验关于OEQ应如何与两项研究中通常收集的其他变量相关的特定假设。在第一项研究中，OEQ被添加到参与全国患者报告结局测量（PROMs）计划的接受髋关节或膝关节置换手术或静脉曲张手术的患者（n = 490）的后续问卷中，从而能够分析OEQ与手术前后获得的测量指标的变化分数之间的关系。在第二项研究中，OEQ被纳入从三个不同的医院信托机构中挑选出来接受国民健康服务（NHS）住院患者调查的患者样本（n = 586）中。
第一项研究的结果提供了一致且充分的证据，证明OEQ具有结构效度，尤其是对于接受髋关节或膝关节置换手术的患者。OEQ的子量表表现不同，并且正如针对其他PROMs变量所预测的那样。此外，在第二项研究中，关于结果和体验的两个子量表如何与住院患者调查中患者体验的现有领域相关的假设得到了广泛证实。
该报告提供了令人鼓舞的证据，证明OEQ有能力在一份简短的问卷中评估患者关于护理结果和体验的不同报告。
