Research Center for Public Health and Social Security, School of Public Administration, Hunan University, Changsha, China.
Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China.
Glob Health Action. 2022 Dec 31;15(1):2035503. doi: 10.1080/16549716.2022.2035503.
Despite the large population of patients with mental disorders and the rapid development of mental health services in China, there are few evaluations of Chinese mental health services from the patient perspective. Relevant instruments with robust psychometric properties are lacking.
This study aimed to translate, adapt and validate the WHO responsiveness performance questionnaire for measuring the quality of hospital mental health services among Chinese patients.
The adaption of the translated questionnaire incorporated experts' and patients' opinions. For psychometric testing, 193 outpatients and 168 inpatients completed outpatient and inpatient modules, respectively.
The adapted questionnaire adhered to the WHO framework of responsiveness domains, and just four items had some wording changes. Item missing rates were below 6%. Both the outpatient and inpatient modules had acceptable internal reliability (Cronbach's α = 0.837 and 0.730) and most domains had desirable average inter-item correlation coefficients. The confirmatory factor analysis indicated an acceptable model fit for the inpatient module, while some goodness-of-fit indices for the outpatient module were a little outside of the recommended ranges. Except for 'talking privately' from the domain of confidentiality (both outpatient and inpatient modules) and 'waiting time' from the domain of prompt attention (the inpatient module), factor loadings of all other items were above 0.5.
The Chinese version of the responsiveness performance questionnaire has acceptable feasibility, reliability, and validity in general and it can be used to measure, assess and improve the quality of mental health services in China.
尽管中国有大量精神障碍患者，精神卫生服务也在快速发展，但从患者角度评价中国精神卫生服务的研究却很少，缺乏具有良好信度和效度的相关工具。
本研究旨在翻译、修订并验证世界卫生组织反应性表现问卷，以评估中国患者对医院精神卫生服务的质量。
采用专家和患者意见对翻译后的问卷进行调整。对 193 名门诊患者和 168 名住院患者分别进行门诊和住院模块的心理测量学测试。
调整后的问卷符合世界卫生组织反应性领域框架，只有 4 个条目有一些措辞上的变化。项目缺失率低于 6%。门诊和住院模块的内部一致性均可以接受（Cronbach's α 值分别为 0.837 和 0.730），大多数领域的平均项目间相关系数也令人满意。验证性因子分析表明，住院模块的模型拟合度可以接受，而门诊模块的一些拟合优度指数略低于推荐范围。除了保密性领域的“私下交谈”（门诊和住院模块）和及时性领域的“等候时间”（住院模块）外，其他所有条目的因子负荷均高于 0.5。
中文版反应性表现问卷具有良好的可行性、信度和效度，可用于评估和改善中国的精神卫生服务质量。
