Audiology Department, Royal Surrey NHS Foundation Trust, Egerton Road, Guildford, United Kingdom.
Biostatistics and Health Informatics Department, Psychometric and Measurement Lab, Institute of Psychiatry, Psychology and Neurosciences, King's College London, London, United Kingdom.
J Am Acad Audiol. 2022 Feb;33(2):82-91. doi: 10.1055/s-0041-1736575. Epub 2022 May 5.
The Audiology Department at the Royal Surrey NHS Foundation Trust (RSFT), United Kingdom, developed a patient experience questionnaire (PEQ) to assess and compare patients' experiences of attending a wide range of appointments (e.g., hearing assessment, hearing aid fitting, hearing aid review, tinnitus therapy, balance assessment, and balance rehabilitation).
The aim of this study was to assess the psychometric properties of the PEQ. The PEQ is a unidimensional instrument with four items that assess a patient's experience of an outpatient appointment.
Retrospective cross-sectional study.
Patients attending appointments for audiology services at RSFT between January and March 2020.
All patients ( = 656) attending appointments for audiology services at RSFT during randomly selected days between January and March 2020 were given the questionnaire to complete themselves (PEQ-self) or to complete on their child's behalf (PEQ-parent). The factor structures for the PEQ-self and PEQ-parent were assessed separately, using confirmatory factor analysis. A multiple-causes, multiple-indicators (MIMIC) model was fitted to explore potential bias due to gender and age. Internal consistency was assessed using Cronbach's α. The bivariate correlations between PEQ scores and other variables were evaluated using the nonparametric Spearman correlation coefficient. Floor and ceiling effects were assessed using the distribution of total scores.
Confirmatory factor analysis revealed that a one-factor model gave a close fit to the data for both the self and parent versions. Cronbach's α for the total score was 0.77 for the PEQ-self and 0.86 for the PEQ-parent. The MIMIC model showed no significant direct effects of age or gender for either version.
Both the PEQ-self and PEQ-parent questionnaire can be reliably used to measure patients' experiences of outpatient audiology appointments. Future studies should aim to assess the psychometric properties of the PEQ-self and PEQ-parent for a range of outpatient appointments other than audiology.
英国皇家萨里郡国民保健信托基金会（RSFT）的听力学系开发了患者体验问卷（PEQ），以评估和比较患者参加各种预约的体验（例如听力评估、助听器适配、助听器复查、耳鸣治疗、平衡评估和平衡康复）。
本研究旨在评估 PEQ 的心理测量特性。PEQ 是一种具有四个项目的一维工具，用于评估患者对门诊预约的体验。
回顾性横断面研究。
2020 年 1 月至 3 月期间在 RSFT 参加听力学服务预约的患者。
在 2020 年 1 月至 3 月期间随机选择的日子里，所有在 RSFT 参加听力学服务预约的患者（ = 656）都被给予问卷自行填写（PEQ-self）或代表他们的孩子填写（PEQ-parent）。使用验证性因子分析分别评估 PEQ-self 和 PEQ-parent 的因子结构。拟合多因多指标（MIMIC）模型以探索因性别和年龄导致的潜在偏差。使用 Cronbach's α 评估内部一致性。使用非参数 Spearman 相关系数评估 PEQ 评分与其他变量之间的双变量相关性。使用总分分布评估地板和天花板效应。
验证性因子分析显示，对于自我和父母版本，单因素模型均与数据拟合良好。PEQ-self 的总分为 0.77，PEQ-parent 的总分为 0.86。MIMIC 模型显示，对于任何版本，年龄或性别均无显着直接影响。
PEQ-self 和 PEQ-parent 问卷均可可靠地用于测量患者对门诊听力学预约的体验。未来的研究应旨在评估 PEQ-self 和 PEQ-parent 对一系列非听力学门诊预约的心理测量特性。
