Division Mental Health Services, Akershus University Hospital, Box 1000, Lørenskog, 1478, Norway.
Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
BMC Psychiatry. 2023 Mar 16;23(1):173. doi: 10.1186/s12888-023-04633-y.
Measuring patient experiences at psychiatric inpatient departments for the elderly need measurements adapted to the situation and challenges of the age group. We did not find any such instrument. The aim of this study then was to develop and document the measurement properties of a reliable and valid questionnaire about experiences of patients without severe neurocognitive disturbances at psychiatric inpatient departments for the elderly, which can be used in quality improvement and research.
Aiming for good content validity, we developed a questionnaire with 37 questions based on a review of the literature on important aspects for the elderly in psychiatric inpatient departments and on feedback from elderly patients from other questionnaires developed for use in psychiatric departments for adults. Using this first questionnaire, we collected data from 151 patients in psychiatric departments for the elderly in nine health trusts. We then revised the questionnaire based on comments from patients and interviewers on the questions, and we decided which questions we would keep and which we needed to adjust to improve clarity. This resulted in a final questionnaire of 20 questions. We analyzed the internal structure (factors and their internal consistency) of this final questionnaire based on data collected from a new sample of 96 patients. To test the construct validity of the questionnaire, a sample of 26 service user representatives, clinicians and researchers were asked to sort the questions based on identified factors.
The final questionnaire consisted of 20 questions giving a valid and reliable measurement tool with four subscales: Patient-centered Interaction, Outcome, Care and Safety, and Information on Rights. Very few unanswered questions indicate that the questionnaire is feasible, as patients seemed to understand the questions and the response scales well. It is desirable that structural validity is confirmed with a larger sample.
Our final questionnaire "Patient Experiences in Psychiatric Departments for the Elderly" (PEPDE) has adequate measurement properties and seems to be well understood. It can be used as a questionnaire or an interview for quality improvement and research.
衡量老年精神科住院患者的体验需要适应该年龄段的情况和挑战的测量工具。我们没有发现这样的工具。因此，本研究的目的是开发和记录一份关于老年精神科住院患者中无严重神经认知障碍患者体验的可靠且有效的问卷的测量特性，该问卷可用于质量改进和研究。
为了确保良好的内容效度，我们根据文献中关于老年精神科住院患者重要方面的综述以及来自其他成人精神科部门开发的问卷中老年人的反馈，开发了一个包含 37 个问题的问卷。使用这个初始问卷，我们从九个卫生信托机构的老年精神科病房收集了 151 名患者的数据。然后，根据患者和访谈者对问题的反馈，我们对问卷进行了修订，并决定保留哪些问题以及需要调整哪些问题以提高清晰度。最终得到一个包含 20 个问题的最终问卷。我们根据从新的 96 名患者样本中收集的数据，分析了该最终问卷的内部结构（因素及其内部一致性）。为了测试问卷的结构有效性，我们请 26 名服务使用者代表、临床医生和研究人员根据确定的因素对问题进行分类。
最终问卷由 20 个问题组成，具有四个子量表：以患者为中心的互动、结果、护理和安全以及权利信息，提供了一个有效且可靠的测量工具。很少有未回答的问题表明该问卷具有可行性，因为患者似乎很好地理解了问题和回答量表。希望用更大的样本量来确认结构有效性。
我们的最终问卷“老年精神科住院患者体验问卷”（PEPDE）具有足够的测量特性，并且似乎很容易理解。它可以用作问卷或访谈，用于质量改进和研究。
