Building a rehabilitative care measurement instrument to improve the patient experience

Publication date: Available online 26 June 2018
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Josephine McMurray, Heather McNeil, Alicia Gordon, Jacobi Elliott, Paul Stolee
ObjectiveTo develop and test face and content validity, and user interface design of a rehabilitative care patient experience measure.DesignMixed methods, cross-sectional validation study that included subject matter expert input. Cognitive interviewing tested user interface and design.SettingOutpatient rehabilitative care settings.ParticipantsSubject matter experts (N=3), healthcare providers (N= 137), patients and caregivers (N=5), contributed to the question development. Convenience and snowball sampling were used to recruit rehabilitative care patients post-discharge (N=9) for cognitive interviews to optimize survey design and user interface.InterventionsNot applicableMain outcome measureThis novel survey instrument measures six concepts previously identified as key to outpatient rehabilitative care patients' experience: ecosystem issues, client and informal caregiver engagement, patient and healthcare provider relations, pain and functional status, group and individual identity, and open-ended feedback.Results502 survey questions from psychometrically tested instruments, secondary data from a related ethnographic study, and consultations with health care providers, patients, caregivers, and subject matter experts, were analysed to create a ten item questionnaire representing six key constructs that influence patient experience quality. Cognitive interviewing with nine patients (three rounds of three participants each), produced three progressively edited versions of the survey instrument. A final version required no further modifications.DiscussionRehabilitative care clients have characteristics that differentiate their experience from that of other sectors and patient groups, warranting a distinct experience measure. The survey instrument includes a parsimonious set of questions that address strategic issues in the ongoing improvement of care delivery and the patient experience in the rehabilitative care sector.ConclusionThe rehabilitative care patient experience survey instrument developed has an acceptable user interface, and content and face validity. Psychometric testing of the survey instrument is reported elsewhere.



from Rehabilitation via xlomafota13 on Inoreader https://ift.tt/2Kqx3cr
via IFTTT