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Titre : | Psychometric Testing of a Rehabilitative Care Patient Experience Instrument (2018) |
Auteurs : | Josephine McMurray ; Heather McNeil ; Alicia Gordon |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 9, 2018) |
Article en page(s) : | p. 1840-1847 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Indicateurs qualité santé ; Mesures des résultats rapportés par les patients (PROM) ; Rééducation et réadaptation |
Mots-clés: | Patient Reported Outcome Measures ; Quality Indicators ; Health Care ; Reproducibility of results ; Reproductibilité des résultats |
Résumé : |
Objective To evaluate the internal consistency and test-retest reliability, construct validity, and feasibility of the WatLX, a measure of the experience of patients in rehabilitative care. Design Multisite, cross-sectional, and test-retest self-report study. Setting Outpatient rehabilitative care settings. Participants The WatLX was administered to English-speaking, cognitively intact outpatients (N=1174) over 18 years old who had completed a program of cardiac, musculoskeletal, neurologic, stroke, pulmonary, or speech language rehabilitative care, at 2 separate time points: (1) immediately following completion of their rehabilitation program, and (2) 2 weeks later (n=29). A subsequent feasibility study was conducted with 1013 patients from 19 clinics. Interventions Not applicable. Main Outcome Measures The WatLX measures 6 concepts, previously identified as key to outpatient rehabilitative care patients experience: (1) ecosystem issues, (2) client and informal caregiver engagement, (3) patient and health care provider relations, (4) pain and functional status, (5) group and individual identity, and (6) open-ended feedback. Results Reliability analyses were conducted on 2 versions of the WatLX. Using a 7-point versus a 5-point Likert scale resulted in higher internal consistency and reliability scores. Cronbachs alpha coefficients were .863 and .957 for the 5- and 7-point scale, respectively, and the ICC scores were .827 and .880, respectively. The proof of concept study recruited 1013 patients with little interruption of workflow; results displayed strong internal consistency (Cronbachs alpha coefficient =.906). There is evidence of ceiling effects. Conclusions The WatLX is a parsimonious question set that is feasible for administration in ambulatory rehabilitative care settings, and which shows promising psychometric properties. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318303198 |