Department of Pediatrics, University of Washington, Seattle, Washington;
Seattle Children's Research Institute, Seattle, Washington; and.
Pediatrics. 2020 Feb;145(2). doi: 10.1542/peds.2019-2150.
The Pediatric Transition Experience Measure (P-TEM) is an 8-item, parent-reported measure that globally assesses hospital-to-home transition quality from discharge through follow-up. Our goal was to examine the convergent validity of the P-TEM with existing, validated process and outcome measures of pediatric hospital-to-home transitions.
This was a prospective, cohort study of English-speaking parents and legal guardians who completed the P-TEM after their children's discharge from a tertiary children's hospital between January 2016 and October 2016. By using data from 3 surveys, we assessed convergent validity by examining associations between total and domain-specific P-TEM scores (0-100 scale) and 4 pediatric hospital-to-home transition validation measures: (1) Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite, (2) Center of Excellence on Quality of Care Measures for Children With Complex Needs parent-reported transition measures, (3) change in health-related quality of life from admission to postdischarge, and (4) 30-day emergency department revisits or readmissions.
P-TEM total scores were 7.5 points (95% confidence interval: 4.6 to 10.4) higher for participants with top-box responses on the Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite compared with those of participants with lower Discharge Composite scores. Participants with highet P-TEM scores (ie, top-box responses) had 6.3-points-greater improvement (95% confidence interval: 2.8 to 9.8) in health-related quality of life compared with participants who reported lower P-TEM scores. P-TEM scores were not significantly associated with 7- or 30-day reuse.
The P-TEM demonstrated convergent validity with existing hospital-to-home process and outcome validation measures in a population of hospitalized children.
儿科过渡体验量表（P-TEM）是一个 8 项的家长报告量表，从出院到随访，全面评估医院到家庭过渡的质量。我们的目标是检验 P-TEM 与现有的儿科医院到家庭过渡的验证过程和结果测量方法的趋同效度。
这是一项前瞻性队列研究，研究对象为 2016 年 1 月至 10 月期间从一家三级儿童医院出院的英语为母语的父母或法定监护人，他们在出院后完成了 P-TEM。通过使用 3 项调查的数据，我们通过考察 P-TEM 总分和特定领域（0-100 分）与 4 项儿科医院到家庭过渡验证测量方法之间的相关性来评估趋同效度：（1）儿童医疗保健提供者和系统出院综合评估量表（Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite），（2）卓越中心的儿童复杂需求护理质量测量的家长报告过渡测量，（3）从入院到出院后健康相关生活质量的变化，以及（4）30 天内急诊部门复诊或再入院。
与 Child Hospital Consumer Assessment of Healthcare Providers and Systems Discharge Composite 得分较低的参与者相比，获得量表最高分的参与者的 P-TEM 总分高 7.5 分（95%置信区间：4.6 至 10.4）。P-TEM 得分较高（即最高分）的参与者在健康相关生活质量方面的改善程度比报告较低 P-TEM 得分的参与者高 6.3 分（95%置信区间：2.8 至 9.8）。P-TEM 得分与 7 天或 30 天再使用率无显著相关性。
在住院儿童群体中，P-TEM 与现有的医院到家庭过程和结果验证测量方法具有趋同效度。
