Department of Psychiatry, Vrije Universiteit Brussel, Universitair Ziekenhuis Brussel, Brussels, Belgium.
Department of Psychiatry, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Drug Alcohol Rev. 2024 Nov;43(7):2021-2034. doi: 10.1111/dar.13939. Epub 2024 Sep 10.
Patient-centred care has become increasingly important in health care. Patient-reported experience measures (PREM) are used to measure patient experiences in health care, but the availability of psychometrically validated PREMs is limited. The Patient Reported Experience Measure in Addiction Treatment (PREMAT) is a PREM developed with extensive service user input to assess the experiences of people in residential addiction treatment services. In this study we aimed to evaluate the psychometric properties of the Dutch translation of the PREMAT, the PREMAT-NL.
Ninety-three participants completed the PREMAT-NL approximately 45 days after starting addiction treatment as part of a naturalistic prospective multi-centre study in Belgium. We examined the factorial structure using principal component analysis with Promax oblique rotation and assessed the internal consistencies of the subscales and total score using Cronbach's α. Additionally, we explored the relationship of PREMAT-NL scores with demographic and clinical variables.
The PREMAT-NL had a four-factor structure, with good internal consistencies of the subscales (Cronbach's α >0.70) and excellent internal consistency of the total score (Cronbach's α = 0.94). The PREMAT-NL total score was negatively skewed, and four score categories were proposed based on z-scores. PREMAT-NL scores correlated weakly with the type of treatment centre (r = 0.21, p < 0.05) and with previously received treatment for addiction (r = -0.25, p < 0.05).
Although the factor structure and thus the appropriate use of subscales need further investigation, the findings of this study support the use of the PREMAT-NL total score as a valid and reliable PREM to evaluate residential addiction treatment services.
以患者为中心的医疗护理在医疗保健中变得越来越重要。患者报告的体验测量（PREM）用于衡量患者在医疗保健中的体验，但具有心理测量学验证的 PREM 可用性有限。《成瘾治疗中的患者报告体验测量（PREMAT）》是一种使用广泛的服务使用者投入开发的 PREM，用于评估居住在成瘾治疗服务中的人的体验。在这项研究中，我们旨在评估 PREMAT-NL（荷兰语 PREMAT）的心理测量学特性，PREMAT-NL 是比利时一项自然前瞻性多中心研究中大约 45 天开始接受成瘾治疗的 93 名参与者完成的。我们使用主成分分析和 Promax 斜交旋转来检查因子结构，并使用 Cronbach 的 α 评估子量表和总分的内部一致性。此外，我们还探讨了 PREMAT-NL 评分与人口统计学和临床变量的关系。
PREMAT-NL 具有四因子结构，子量表的内部一致性良好（Cronbach 的 α >0.70），总分的内部一致性极好（Cronbach 的 α=0.94）。PREMAT-NL 总分呈负偏态，基于 z 分数提出了四个评分类别。PREMAT-NL 评分与治疗中心的类型（r=0.21，p<0.05）和先前接受的成瘾治疗（r=-0.25，p<0.05）呈弱相关。
尽管因子结构，因此子量表的适当使用需要进一步研究，但这项研究的结果支持使用 PREMAT-NL 总分作为评估住院成瘾治疗服务的有效和可靠的 PREM。
