Lazaridis School of Business & Economics/Health Studies, Wilfrid Laurier University, Brantford, Ontario, Canada.
Lazaridis School of Business & Economics/Health Studies, Wilfrid Laurier University, Brantford, Ontario, Canada.
Arch Phys Med Rehabil. 2019 Jan;100(1):39-44. doi: 10.1016/j.apmr.2018.05.022. Epub 2018 Jun 26.
To develop and test face and content validity, and user interface design of a rehabilitative care patient experience measure.
Mixed methods, cross-sectional validation study that included subject matter expert input. Cognitive interviewing tested user interface and design.
Outpatient rehabilitative care settings.
Subject matter experts (n=3), health care providers (n=137), and patients and caregivers (n=5) contributed to the question development. Convenience and snowball sampling were used to recruit rehabilitative care patients postdischarge (n=9) for cognitive interviews to optimize survey design and user interface (N=154).
Not applicable.
This novel survey instrument measures 6 concepts previously identified as key to outpatient rehabilitative care patients' experience: ecosystem issues, client and informal caregiver engagement, patient and health care provider relations, pain and functional status, group and individual identity, and open-ended feedback.
502 survey questions from psychometrically tested instruments, secondary data from a related ethnographic study, and consultations with health care providers, patients, caregivers, and subject matter experts, were analyzed to create a 10-item questionnaire representing 6 key constructs that influence patient experience quality. Cognitive interviewing with 9 patients (3 rounds of 3 participants each), produced 3 progressively edited versions of the survey instrument. A final version required no further modifications.
Rehabilitative care clients have characteristics that differentiate their experience from that of other sectors and patient groups, warranting a distinct experience measure. The survey instrument includes a parsimonious set of questions that address strategic issues in the ongoing improvement of care delivery and the patient experience in the rehabilitative care sector.
The rehabilitative care patient experience survey instrument developed has an acceptable user interface, and content and face validity. Psychometric testing of the survey instrument is reported elsewhere.
开发并检验康复护理患者体验量表的表面效度、内容效度和用户界面设计。
采用混合方法、横断面验证研究，包括主题专家的意见。认知访谈测试了用户界面和设计。
门诊康复护理环境。
主题专家（n=3）、医疗保健提供者（n=137）和患者及其照护者（n=5）共同参与了问题的制定。便利抽样和滚雪球抽样用于招募出院后的康复护理患者（n=9）进行认知访谈，以优化调查设计和用户界面（N=154）。
不适用。
本新型调查工具测量了 6 个概念，这些概念先前被确定为门诊康复护理患者体验的关键：生态系统问题、患者和非专业照护者的参与、患者与医疗保健提供者的关系、疼痛和功能状态、群体和个体身份以及开放性反馈。
对经过心理测量测试的工具、与相关人种学研究相关的二级数据以及与医疗保健提供者、患者、照护者和主题专家的咨询内容进行了分析，创建了一个由 10 个问题组成的问卷，代表影响患者体验质量的 6 个关键结构。对 9 名患者（每轮 3 名参与者，共 3 轮）进行了认知访谈，产生了 3 个经过逐步编辑的调查工具版本。最终版本无需进一步修改。
康复护理客户具有区别于其他部门和患者群体的特点，因此需要一种独特的体验工具来衡量。该调查工具包含一套简洁的问题，旨在解决康复护理部门不断改进护理服务和患者体验的战略问题。
所开发的康复护理患者体验调查工具具有可接受的用户界面和内容与表面效度。该调查工具的心理测量学测试结果将在其他地方报告。
